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“Fear Runs Deep:” The Anticipated Needs of LGBT Older Adults in Long-Term Care.
- Source :
- Journal of Gerontological Social Work; Nov/Dec2018, Vol. 61 Issue 8, p887-907, 21p
- Publication Year :
- 2018
-
Abstract
- Objectives: Older lesbian, gay, bisexual, and transgender (LGBT) adults are a vulnerable yet resilient population who face unique stressors as they foresee health decline. This paper presents the results of a study about community-dwelling LGBT older adults’ anticipated needs and fears related to nursing homes and assisted living. Methods: This qualitative study collected data through seven focus groups. The sample (N = 50) consisted of LGBT-identified adults age 55 and over. We used an inductive, thematic analysis approach to data analysis. Results: Participants seek an inclusive environment where they will be safe and feel connected to a community. They fear dependence on healthcare providers, dementia, mistreatment, and isolation. Importantly, these fears can lead to identity concealment and psychological distress, including suicide ideation. Discussion: This study adds to the existing literature about the worries of older LGBT adults as they anticipate long-term care. The results suggest that older LGBT adults seek LGBT-inclusive residential care settings that encompass two distinct yet related aspects of LGBT-affirmative care: the procedural (e.g. culturally competent skills and knowledge of practitioners) and the implicit (e.g. the values and mission of the organization). This paper identifies implications for practice, policy, and training. [ABSTRACT FROM AUTHOR]
- Subjects :
- BASIC needs
CAREGIVERS
CONGREGATE housing
DEMENTIA
FEAR
FOCUS groups
HEALTH promotion
INTERVIEWING
LONG-term health care
RESEARCH methodology
MEDICAL quality control
MEDICAL care costs
NURSING care facilities
PATIENT safety
QUESTIONNAIRES
RESEARCH funding
PSYCHOLOGICAL stress
SUICIDE
QUALITATIVE research
GOVERNMENT policy
JUDGMENT sampling
LGBTQ+ people
THEMATIC analysis
RESIDENTIAL care
INDEPENDENT living
MEDICAL coding
Subjects
Details
- Language :
- English
- ISSN :
- 01634372
- Volume :
- 61
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- Journal of Gerontological Social Work
- Publication Type :
- Academic Journal
- Accession number :
- 133199948
- Full Text :
- https://doi.org/10.1080/01634372.2018.1508109