scholarly journals The Husband: Navigating the Relational Challenge Of Her Institutionalization Or His Widowerhood

2021 ◽  
pp. 0192513X2199319
Author(s):  
Laura K. Soulsby ◽  
Edward H. Thompson ◽  
Kate M. Bennett
Keyword(s):  
Sense Of Self ◽  
Comparative Method ◽  
Relational Identity ◽  
Ontological Security ◽  
Term Care ◽  
Self Presentation ◽  
Identity Maintenance ◽  
Constant Comparative Method ◽  
Secure Place

Marital status is central to one’s identity. Using interview data from US husband caregivers and British widowers, we explore how men’s relational identity as husband is maintained despite challenges as, and after, marriage ends. These data, analyzed using the constant comparative method associated with constructionist grounded theory, corroborate that the work of being married is key to identity maintenance for husbands and that the married relationship and its associated responsibilities affirm a sense of self as a man. Marriage shelters men, providing a secure place for that self-perception as a man. But a wife’s institutionalization in long-term care or widowerhood threatens the ontological security offered through marriage and prompts identity work. We extend the literature in finding that (former) husbands attempt to retain their long-term relational identity and thus remain sheltered by marriage. They reconstruct masculinity-affirming identities through activities that help them harbor their self-presentation as a (former) husband.

scholarly journals Comparison of the lived experiences of family caregivers of patients with dementia and of patients with cancer in Indonesia

2017 ◽  
Vol 30 (6) ◽  
pp. 903-914 ◽  
Author(s):  
Martina Sinta Kristanti ◽  
Yvonne Engels ◽  
Christantie Effendy ◽  
Astuti ◽  
Adi Utarini ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Lived Experiences ◽  
Comparative Method ◽  
Tertiary Hospital ◽  
Social Health ◽  
Term Care ◽  
Face To Face ◽  
Patients With Cancer ◽  
Constant Comparative Method

ABSTRACTBackground:Dementia, even more than cancer, demands long-term care. While in Indonesia cancer is accepted as a disease requiring caregiving, dementia is still considered "a normal condition." These differences might affect the experiences of caregivers, especially those relating to social health, the subject of our study. We aim to describe and compare the lived experiences of family caregivers of patients with cancer (PWC) with those of patients with dementia (PWD) in Yogyakarta, Indonesia, and to explore the role of their social health in these experiences.Method:A qualitative design was applied. In-depth face-to-face interviews were conducted with PWC and PWD caregivers in two outpatient clinics of a tertiary hospital. The constant comparative method was applied to analyze the data that were interpreted using the concept of social health to explore the experiences of the caregivers. We used Atlas.ti software.Results:Three themes were identified: problems with caregiving, dealing with problems, and beliefs in caregiving. We found more similarities than differences in the experiences of caregivers in both groups. Half of the categories were related to social health: challenges, consequences, hiding, social support, and the caregiver's approach. The organization of dementia care is characterized by simplicity and direct ties between medical specialists, PWD, and caregivers, whereas cancer care encounters coordination problems.Conclusions:Family caregivers of both groups mostly had similar experiences of the caregiving process. Gaining a better understanding of the specific experiences of caregivers, and their social health, opens new avenues for interventions to improve their quality of life.

Vancouver Dietitians’ Perspectives on Their Roles in Long-term Care

2010 ◽  
Vol 71 (1) ◽  
pp. e12-e17 ◽  
Author(s):  
Heather L. Wassink ◽  
Gwen E. Chapman
Keyword(s):  
Long Term Care ◽  
Comparative Method ◽  
Multidisciplinary Teams ◽  
Structured Interviews ◽  
Term Care ◽  
Nutritional Care ◽  
Constant Comparative Method ◽  
Primary Focus ◽  
Personal Success

Purpose: In this study, we sought insight into the clinical practice experiences of dietitians working independently (i.e., as the only dietitian in a facility) in long-term care (LTC). We hoped to learn about their work roles and identify specific factors that facilitate their success. Methods: Grounded theory methods were used. Data were collected through 11 semi-structured interviews. Verbatim transcripts were analyzed using a constant comparative method, which included coding, memo writing, and ongoing discussion between the two researchers. Results:When speaking about their roles, participants identified both specific tasks they had to complete and broader roles they fulfilled. Many of these roles focused on relationships with co-workers and building effective multidisciplinary teams. Effective teamwork was linked with dietitians’ personal feelings of success in providing resident-focused nutritional care in the LTC setting. Conclusions: The LTC dietitians’ various roles were generally self-appointed, and they focused more on the purpose of their work than on tasks. A primary focus of these roles was the multidisciplinary team and the promotion of effective teamwork, especially, but not exclusively, as it applies to the provision of nutritional care. Successful teamwork was linked to dietitians’ reports of personal success in their work.

scholarly journals Perspectives of Non-Pharmacy Professionals in Long-Term Care Facilities on Pharmacist-Involved Medication Management in South Korea: A Qualitative Study

2019 ◽  
Vol 16 (11) ◽  
pp. 1977 ◽  
Author(s):  
Arim Kwak ◽  
Euni Lee ◽  
Jung Mi Oh ◽  
Eunhee Ji ◽  
Kyungim Kim
Keyword(s):  
South Korea ◽  
Financial Stability ◽  
Long Term Care ◽  
Comparative Method ◽  
Medication Management ◽  
Sampling Strategy ◽  
Snowball Sampling ◽  
Term Care ◽  
Care Facilities

Despite a rapid increase in both the number of long-term care facilities (LTCFs) and their residents in recent years, the concept of pharmacist-involved medication management is relatively new in South Korea. The objective of this study was to identify the perspectives of non-pharmacy professionals regarding the development of pharmacist-involved medication management in LTCFs. Employing a snowball sampling strategy, this study relied on semi-structured, one-on-one, in-depth interviews with twelve non-pharmacy professionals in LTCFs. The inductive thematic analysis and the constant comparative method were employed for the analysis. Participants revealed the need for pharmacist-involved medication management systems in LTCFs at the intrinsic and environmental levels. Through pharmacist-involved medication management, participants desired “medication review/reconciliation” and “pharmaceutical education/counseling”. The barriers to be overcome included “the authorization of pharmacists’ roles”, “the financial stability of LTCFs”, “role awareness among coworkers”, and “the professional development of pharmacists”. In this study, we advanced our understanding of non-pharmacy professionals’ perceptions of pharmacist-involved medication management in LTCFs. The results of this study can be applied in other Asian countries where the development of pharmacist-involved medication management for the institutionalized elderly is relatively new.

scholarly journals Communicative Coping and Friendship Among Persons Living With Dementia: Findings From Long-Term Care

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 359-359
Author(s):  
Pamela Saunders
Keyword(s):  
Long Term Care ◽  
Sense Of Self ◽  
Coping Behavior ◽  
Cognitive Status ◽  
Friendship Networks ◽  
Residential Setting ◽  
Term Care ◽  
Friendship Formation ◽  
Different Types

Abstract The study of identity is central to many disciplines, however there is a special link that connects language and discourse to identities. The way people speak reveals a lot about who they are. Through discourse and communication individuals convey and negotiate their sense of self (de Fina, 2020). Regardless of cognitive status, persons living with dementia (PLWD) use language to construct for themselves a social identity of being included in friendship networks (de Medeiros et al., 2011). This paper uses data from the Friendship Study to examine the use of such communicative coping behavior (CCB) for friendship formation. Ethnographic observations of PLWD were conducted in a Long-Term Care residential setting. Sociolinguistic discourse analysis of verbatim transcripts with reference to the CCB Checklist (Saunders et al., 2016) reveal evidence of CCB use. Results suggest that different types of CCBs were used to construct identity and negotiate friendship challenges in different contexts.

The Development of Relationships Between Families and Staff in Long-term Care Facilities: Nurses' Perspectives

2002 ◽  
Vol 21 (2) ◽  
pp. 217-228 ◽  
Author(s):  
James Gladstone ◽  
Evelyn Wexler
Keyword(s):  
Long Term Care ◽  
Social Power ◽  
Comparative Method ◽  
Final Decision ◽  
Structural Factors ◽  
Open Communication ◽  
Term Care ◽  
Care Facilities ◽  
The Way

ABSTRACTThe objective of this study was to explore the way in which relationships develop between family members and staff working in long-term care facilities. In-depth, qualitative interviews were conducted with 17 registered nurses. Data were analysed inductively using the constant comparative method. Findings showed that RNs perceive their relationships with families to develop in four stages: the “initial greeting,” sizing up,” “making a tentative decision,” and “reaching a final decision”. Several contextual factors were associated with the way in which relationships developed, including structural factors, family recognition of staff efforts, open communication, and professional identity. Findings suggest that relationships can best be understood from an interpretive perspective and that an analysis of family-staff relationships should consider the influence of social power.

Working With Resistance and Encouraging Buy-In to New Programs

2011 ◽  
Vol 16 (1) ◽  
pp. 18-21
Author(s):  
Sara Joffe
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Optimal Outcomes ◽  
Speech Language Pathologist

In order to best meet the needs of older residents in long-term care settings, clinicians often develop programs designed to streamline and improve care. However, many individuals are reluctant to embrace change. This article will discuss strategies that the speech-language pathologist (SLP) can use to assess and address the source of resistance to new programs and thereby facilitate optimal outcomes.

Traumatic Brain Injury: A Trauma Surgeon's Perspective

2012 ◽  
Vol 22 (3) ◽  
pp. 82-89
Author(s):  
Oscar D. Guillamondegui
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Multidisciplinary Approach ◽  
Trauma Team ◽  
The United States ◽  
Long Term Outcomes ◽  
Term Care ◽  
Injured Brain ◽  
The Moment

Traumatic brain injury (TBI) is a serious epidemic in the United States. It affects patients of all ages, race, and socioeconomic status (SES). The current care of these patients typically manifests after sequelae have been identified after discharge from the hospital, long after the inciting event. The purpose of this article is to introduce the concept of identification and management of the TBI patient from the moment of injury through long-term care as a multidisciplinary approach. By promoting an awareness of the issues that develop around the acutely injured brain and linking them to long-term outcomes, the trauma team can initiate care early to alter the effect on the patient, family, and community. Hopefully, by describing the care afforded at a trauma center and by a multidisciplinary team, we can bring a better understanding to the armamentarium of methods utilized to treat the difficult population of TBI patients.

Feeding Dependency Issues in the Long-Term Care Environment

2001 ◽  
Vol 10 (1) ◽  
pp. 19-24
Author(s):  
Carol Winchester ◽  
Cathy Pelletier ◽  
Pete Johnson
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Environment

Communication Disordered: Program Implementation in Long-Term Care

2016 ◽  
Vol 1 (15) ◽  
pp. 64-67
Author(s):  
George Barnes ◽  
Joseph Salemi
Keyword(s):  
Program Implementation ◽  
Long Term Care ◽  
Family Satisfaction ◽  
Regulatory Compliance ◽  
Care Staff ◽  
Term Care ◽  
Staff Members ◽  
Change Policy

The organizational structure of long-term care (LTC) facilities often removes the rehab department from the interdisciplinary work culture, inhibiting the speech-language pathologist's (SLP's) communication with the facility administration and limiting the SLP's influence when implementing clinical programs. The SLP then is unable to change policy or monitor the actions of the care staff. When the SLP asks staff members to follow protocols not yet accepted by facility policy, staff may be unable to respond due to confusing or conflicting protocol. The SLP needs to involve members of the facility administration in the policy-making process in order to create successful clinical programs. The SLP must overcome communication barriers by understanding the needs of the administration to explain how staff compliance with clinical goals improves quality of care, regulatory compliance, and patient-family satisfaction, and has the potential to enhance revenue for the facility. By taking this approach, the SLP has a greater opportunity to increase safety, independence, and quality of life for patients who otherwise may not receive access to the appropriate services.

Issues of Capacity and Decision-Making in the Context of Delirium

2015 ◽  
Vol 24 (4) ◽  
pp. 140-145
Author(s):  
Kevin R. Patterson
Keyword(s):  
Decision Making ◽  
Patient Autonomy ◽  
Care Setting ◽  
Cognitive Change ◽  
Treatment Team ◽  
Precipitating Factors ◽  
Term Care ◽  
Decision Making Capacity ◽  
Fundamental Consideration

Decision-making capacity is a fundamental consideration in working with patients in a clinical setting. One of the most common conditions affecting decision-making capacity in patients in the inpatient or long-term care setting is a form of acute, transient cognitive change known as delirium. A thorough understanding of delirium — how it can present, its predisposing and precipitating factors, and how it can be managed — will improve a speech-language pathologist's (SLPs) ability to make treatment recommendations, and to advise the treatment team on issues related to communication and patient autonomy.

Sign in / Sign up

Export Citation Format

Share Document