1. Non-capable residents: is the experience of dependence understood in nursing homes? A qualitative study.
- Author
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Palacios-Ceña D, Gómez-Calero C, Cachón-Pérez JM, Brea-Rivero M, Gómez-Pérez D, and Fernández-de-las-Peñas C
- Subjects
- Aged, Aged, 80 and over, Cognition Disorders epidemiology, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prevalence, Retrospective Studies, Spain epidemiology, Activities of Daily Living psychology, Caregivers psychology, Cognition Disorders therapy, Geriatric Assessment methods, Nursing Homes standards, Qualitative Research
- Abstract
Objective: The aim of the present study was to describe how dependence was experienced by Spanish nursing home residents with functional limitations., Methods: A qualitative phenomenological approach was followed. An initial purposeful sampling of Spanish residents in for-profit nursing homes in the southern area of Madrid was carried out. Theoretical sampling was also implemented in order to gain a more in-depth understanding of dependence. The inclusion criteria for nursing home residents were: aged 60 years old or older, having a functional impairment (Barthel Index <90), and lack of any cognitive impairment (Mini-Mental State Examination-Folstein >19) and able to communicate verbally in Spanish. Data were collected using unstructured and semi-structured interviews. The interviews were tape recorded and fully transcribed. Data collection was concluded once theoretical saturation was reached, and the data were analyzed using the Giorgi proposal., Results: A total of 30 residents (15 female and 15 male) with a mean age of 83 years were included. Two main themes that describe the significance of dependence in nursing homes emerged from the data: (i) remaining "capable", with one subtheme named "building the difference", where residents described their own dependence classification of "non-capable" residents; and (ii) "sharing life", with two subthemes named "living together with non-capable residents" and "sharing the environment". Being considered as "non-capable" is labelling the resident forever., Conclusions: The dependence experience of Spanish nursing home residents might help us gain a deeper insight into their expectations about functional limitations, as well as to understand the change in the relationship between residents considered "non-capable", caregivers and the other residents., (© 2013 Japan Geriatrics Society.)
- Published
- 2014
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