scholarly journals Case management’s effectiveness to yield positive outcomes for frail older persons living at home: a realist review

2014 ◽  
Vol 14 (6) ◽  
Author(s):  
Therese Van Durme ◽  
Sophie Cès ◽  
Olivier Schmitz ◽  
Macq Jean
Keyword(s):  
Older Persons ◽  
Realist Review ◽  
Positive Outcomes ◽  
Frail Older Persons ◽  
At Home

Older ill persons’ and their adult children’s experiences with primary healthcare: A reflective lifeworld research approach

2020 ◽  
pp. 205715852096675
Author(s):  
Helle E. Andersen ◽  
Bente Hoeck ◽  
Dorthe S. Nielsen ◽  
Jesper Ryg ◽  
Charlotte Delmar
Keyword(s):  
Primary Healthcare ◽  
Lived Experiences ◽  
Older Persons ◽  
Healthcare Professionals ◽  
Aging In Place ◽  
Healthcare Systems ◽  
Research Approach ◽  
Frail Older Persons ◽  
At Home

Aging in place puts ill and frail older persons in a vulnerable situation, and relatives, especially adult children, are expected to assume caring responsibilities. Healthcare professionals, like homecare nurses, play a key role in providing care to older persons needing support to live at home. However, the quality of primary home care has been questioned. The aim of this study was to describe older persons living at home and their adult children’s lived experiences with caring responsibility assumed by healthcare professionals. We used a reflective lifeworld research approach and analyzed 23 interviews and eight diaries. The COREQ checklist was followed. The findings revealed that caring responsibility is tantamount to being professionally competent and balancing immanent power to either promote or inhibit important areas of the older persons’ and their adult children’s lifeworld. Blurred lines of caring responsibility between the participants, the healthcare professionals, and the healthcare systems occurred and indicated that there were errors of commission and omission regarding the safety of older persons in their own homes.

Aspirin misuse at home according to START and STOPP in frail older persons

2012 ◽  
Vol 3 ◽  
pp. S22-S23 ◽  
Author(s):  
O. Dalleur ◽  
B. Boland ◽  
A. Spinewine
Keyword(s):  
Older Persons ◽  
Frail Older Persons ◽  
At Home

scholarly journals Older people living at home: experiences of healthy ageing

2021 ◽  
Vol 22 ◽  
Author(s):  
Astrid Fjell ◽  
Kristin Ådnøy Eriksen ◽  
Monica Hermann ◽  
Anne-Marie Boström ◽  
Seiger Berit Cronfalk
Keyword(s):  
Health Care ◽  
Older People ◽  
Older Persons ◽  
Health Care Services ◽  
Healthy Ageing ◽  
Group Discussions ◽  
Care Services ◽  
Manifest Content ◽  
Professional Perspective ◽  
At Home

Abstract Aim: The purpose of this study was to investigate how old persons perceived their life to be, how they viewed the ageing process and their need of health care and societal support. Background: The purpose of WHO’s Healthy Ageing strategy and development of age-friendly environments is to support physiological and psychosocial changes in old persons by facilitating basic needs. Interventions to operationalize these needs in older people living at home are often developed from a professional perspective and to a small extent involves the perceptions, experience and expectations of the older persons. Method: This qualitative study has an explorative design using focus group discussions to collect data. In all, 34 persons between 69 and 93 years of age participated in seven group discussions. The interviews were analyzed using inductive manifest content analysis. Findings: The main results suggest that most old persons enjoyed life and wished it to continue for as long as possible. Important was to sustain networks and to feel useful. Unexpected changes were described as threats and the need to use health care services was associated with illness and being dependent. The result is presented in three categories with sub-categories: ‘Embracing life’, ‘Dealing with challenges’ and ‘Considering the future’.

Self-determination among frail older persons – a desirable goal older persons’ conceptions of self-determination

2014 ◽  
Vol 15 (2) ◽  
pp. 90-101 ◽  
Author(s):  
Christina Ekelund ◽  
Lena Mårtensson ◽  
Kajsa Eklund
Keyword(s):  
Older People ◽  
Older Persons ◽  
Well Being ◽  
Self Determination ◽  
Western Society ◽  
Legal Rights ◽  
Content Type ◽  
Frail Older Persons ◽  
Decision Making Processes ◽  
People First

Purpose – Self-determination is governed by ethical and legal rights in western society. In spite of that, older people are still restricted by others in their decision-making processes. The purpose of this paper is to explore older persons’ different conceptions of self-determination. Design/methodology/approach – A qualitative phenomenographic interview study on frail older persons (n=15). Findings – Three categories emerged, showing the variations of conception of self-determination as experienced by frail older people: first, self-determination changes throughout life; second, self-determination is being an agent in one's own life; and third, self-determination is conditional. In summary, while self-determination is changeable throughout life, and older persons want to be their own agents, and struggle to be that, certain conditions must be met to make it possible for them to be able to exercise self-determination. Practical implications – Suggestions for supporting and strengthening frail older persons’ self-determination, and indirectly their well-being and health: to have a person-centered approach, treat them with dignity and respect and give them opportunities to influence and to feel involved; to improve their health literacy by, for example, supporting them with enough knowledge to be able to exercise self-determination; to make them feel safe and secure in relationships, such as with family and caregivers. Originality/value – This study explores frail older persons’ own conceptions of self-determination to be able to gain knowledge of how professionals can support them so that they may experience self-determination in life.

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