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Settling in or just settling? Exploring older adults' narratives of relocation to assisted living. https://open.library.ubc.ca/cIRcle/collections/ubctheses/24/items/1.0362883
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Since 2001, assisted living (AL) has become a popular type of housing plus supportive care for older adults in British Columbia. Values associated with AL typically include independence, choice, self-direction, and autonomy, which position it as an attractive alternative to traditional residential care models or ‘nursing homes.’ This study examined the relocation stories of older adults who had moved to AL, as well as documents related to advertising and regulating AL in this province. The findings show that there are some tensions between the guiding values of AL and how services are carried out in facilities. While participants were generally satisfied with the personal care services they received, they were less content with meals and the social and recreational opportunities offered. Participants’ insights were used to generate recommendations that could improve the relocation and settling in process older adults.
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Respecting the autonomy of disabled people is an important ethical issue for providers of long-term care. In this influential book, George Agich abandons comfortable abstractions to reveal the concrete threats to personal autonomy in this setting, where ethical conflict, dilemma and tragedy are inescapable. He argues that liberal accounts of autonomy and individual rights are insufficient, and offers an account of autonomy that matches the realities of long-term care. The book therefore offers a framework for carers to develop an ethic of long-term care within the complex environment in which many dependent and aged people find themselves. Previously published as Autonomy and Long-term Care, this revised edition, in paperback for the first time, takes account of recent work and develops the author's views of what autonomy means in the real world. It will have wide appeal among bioethicists and health care professionals.
Transitions and the life course: Challenging the constructions of 'growing old' explores and challenges dominant interpretations of transitions as they relate to ageing and the life course. It takes a unique perspective that draws together ideas about late life as expressed in social policy and socio-cultural constructs of age with lived experience. The book is aimed at academics and students interested in social gerontology, policy studies in health and social care, and older people's accounts of experience.
Due to societally imposed stigmatization, lesbian and gay (LG) older adults fear and prolong accessing long-term care (LTC) even though they need LTC at higher rates. Interventions that decrease negative attitudes towards LG older adults among LTC staff is a first step in addressing this problem. In this study, the influence of intergroup contact (IGC) on LTC staff members’ attitudes towards LG was explored through the use of storytelling as a training mechanism. An embedded mixed-method approach was employed to collect and analyze responses of sixty LTC staff who participated in a storytelling event. Participants completed pretests, posttests, and participated in audio recorded group discussions. Findings showed that storytelling had a significant (p = .001) and positive effect (d = .57) on participants attitudes toward LG. Qualitative analysis revealed 90 codes, 13 process codes, and 4 themes: Making meaning of stories, seeking understanding, application to LTC setting, and debating. When guided by IGC theory, storytelling has potential for positively influencing attitudes of LTC staff members towards LG older adults. There is a need for longitudinal work to further test this model.
