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Home: The place the older adult can not imagine living without
University of Skövde, School of Life Sciences.ORCID iD: 0000-0003-3970-1288
University of Rhode Island.
Åbo Academy University, Vasa.
2011 (English)In: BMC Geriatrics, ISSN 1471-2318, Vol. 11, no 10Article in journal (Refereed) Published
Abstract [en]

Background: Rapidly aging populations with an increased desire to remain at home and changes in health policy that promote the transfer of health care from formal places, as hospitals and institutions, to the more informal setting of one's home support the need for   further research that is designed specifically to understand the experience of home among older adults. Yet, little is known among health care providers about the older adult's experience of home. The aim of this study was to understand the experience of home as experienced by older adults living in a rural community in Sweden.

Methods: Hermeneutical interpretation, as developed by von Post and Eriksson and based on Gadamer's philosophical hermeneutics, was used to interpret interviews with six older adults. The interpretation included a self examination of the researcher's experiences and   prejudices and proceeded through several readings which integrated the text with the   reader, allowed new questions to emerge, fused the horizons, summarized main and sub-themes and allowed a new understanding to emerge.

Results: Two main and six sub-themes emerged. Home was experienced as the place the older adult could not imagine living without but also as the place one might be forced to leave. The older adult's thoughts vacillated between the well known present and all its comforts and the unknown future with all its questions and fears, including the underlying   threat of loosing one's home.

Conclusions: Home has become so integral to life itself and such an intimate part of the older adult's being that when older adults lose their home, they also loose the place closest   to their heart, the place where they are at home and can maintain their identity, integrity and way of living. Additional effort needs to be made to understand the older adult's experience of home within home health care in order to minimize intrusion and maximize care. There is a need to more fully explore the older adult's experience with health care providers in the home and its impact on the older adult's sense of "being at home" and their health and overall well-being.

Place, publisher, year, edition, pages
BioMed Central, 2011. Vol. 11, no 10
National Category
Geriatrics
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-5397DOI: 10.1186/1471-2318-11-10Scopus ID: 2-s2.0-79952693736OAI: oai:DiVA.org:his-5397DiVA: diva2:478818
Available from: 2012-01-17 Created: 2012-01-17 Last updated: 2015-03-16Bibliographically approved
In thesis
1. Older adults' conceptions of home and experiences of living with long-term musculoskeletal pain at home
Open this publication in new window or tab >>Older adults' conceptions of home and experiences of living with long-term musculoskeletal pain at home
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Worldwide there are an increasing number of older adults, many of whom desire to age in place, remaining at home. This makes home increasingly important for health care delivery. Long-term musculoskeletal pain often accompanies old age and is one of the most prevailing and disabling health problems among community dwelling older adults. However, limited research exists on older adults' conceptions of home and their experiences of living with musculoskeletal pain at home. Nurses need this kind of understanding for individualized and holistic care of older adults living at home.

Three studies were conducted. The Hybrid Model for Concept Development was used to define the concept of home and its meaning in the lives of three older women. Home consisted of three components, place, relationship and experience and was defined as a place to which one is attached, feels comfortable and secure and has the experience of dwelling. Secondly, hermeneutical text interpretation was used to understand the experience of home from interviews with six older adults. Home was intimate and integral to one's sense of being and life itself. Participants could not really imagine living without it. There was an underlying tension and fear of being forced to leave home one day. Lastly, qualitative interviews with 19 older adults, phenomenography and content analysis, were used to describe differences and commonalities in the experience of living with long-term musculoskeletal pain at home. Four ways of dealing with daily life were identified: ignore, struggle, adjust and resign. Participants learned how to endure pain in their daily life. Common themes included: taking the pain as it comes, one day at a time; balancing the pain with activity, thoughts and emotions; self talking; trying to be less of a burden to family and others; capturing, enjoying and valuing moments of pleasure. Three major concepts in symbolic interactionism: role, negotiation and meaning making illuminated findings. Increased understanding of home among older adults and the enduring associated with living with long-term musculoskeletal pain may enhance the quality of life at home, preserve and promote the older adult's sense of being at home, health and overall well-being and maximize care and minimize intrusion.

Place, publisher, year, edition, pages
University of Rhode Island, 2012. 289 p.
Keyword
Home, Home health care, Musculoskeletal pain, Nursing, Older adults, Qualitative research
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-7010 (URN)978-91-628-8514-4 (ISBN)
Supervisors
Note

Joint PhD program in nursing. University of Skövde and University of Rhode Island.

Dissertation committee:

Schwartz-Barcott, Donna L.,University of Rhode Island

Burbank, Pat M., University of Rhode Island

Bergh, Ingrid H. E., University of Skövde

Martensson, Lena B., University of Skövde

Coppa, Denise A., University of Rhode Island

Clark, Phillip G., University of Rhode Island

Available from: 2013-01-15 Created: 2013-01-15 Last updated: 2015-03-16Bibliographically approved

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