Transition and Adaptation to the Continuing Care Retirement Community From a Life Course Perspective: Something Old, Something New, and Something Borrowed

2016 ◽  
Vol 37 (3) ◽  
pp. 267-288 ◽  
Author(s):  
Liat Ayalon

The study examined the accounts of older adults and their adult children concerning the transition to the continuing care retirement community (CCRC) and the adjustment to it, using a life course perspective. Up to three waves of interviews, consisting of a total of 187 interviews with older adults and their adult children, were conducted between 6 months and 6 years from the transition to the CCRC. Thematic analysis was employed using comparisons across groups of interviewees (older adults and adult children) and waves of interviews (up to three waves) to identify core categories of meaning. Time perception was an organizing principle across interviews. Both older adults and their adult children perceived themselves as moving forward and backward in time following the transition to the CCRC and future expectations for deterioration. The study emphasizes the linked-lives of older adults and their adult children.

2016 ◽  
Vol 28 (11) ◽  
pp. 1867-1877 ◽  
Author(s):  
Liat Ayalon

ABSTRACTBackground:The present study evaluated views of continuing care retirement community (CCRC) residents and their adult children concerning the nursing unit (NU) within the CCRC.Methods:Qualitative interviews with older adults and their adult children were conducted. Analysis consisted of 187 interviews with older adults and their adult children over a period of up to six years. Analysis relied on constant comparisons within the same interview, over interviews of the same person over time, and between CCRC residents and their adult children. Major themes were identified to construct a coherent storyline.Results:The NU was viewed as a different universe that should be avoided at all costs. This was attributed to: (1) the association of the NU with one's impending decline and dependence and (2) beliefs about substandard care in the NU.Conclusions:The findings point to the ambivalence expressed by CCRC residents and their adult children concerning the NU, even though to some degree, the NU represents the main reason for the transition to a CCRC.


2014 ◽  
Vol 27 (4) ◽  
pp. 611-620 ◽  
Author(s):  
Liat Ayalon

ABSTRACTBackground:The continuing care retirement community (CCRC) is a long term care alternative available to older adults who are independent upon entrance. The present study evaluated perceptions of old age and aging among new CCRC residents and their adult children.Methods:A qualitative study with 34 dyads of older adults and their adult children (34 adult children and 36 older adults) was conducted. Interviews were analyzed using constant comparisons within and across interviews. Dyadic analysis of older adults-adult children interviews was followed.Results:Three major themes concerning the perception of old age and aging emerged: (a) expectations for multiple losses that occur in old age; (b) different views and definitions of old age as being composed of various dimensions including chronological age, mental age, physical age and appearance and (c) diverse perceptions of the CCRC as a luxurious hotel vs. the “last stop.”Conclusions:A more balanced portrayal of old age and the CCRC might result in an easier acceptance of these concepts among older adults and their adult children.


2018 ◽  
Vol 7 (1) ◽  
pp. 83 ◽  
Author(s):  
Dennis Hunt ◽  
Sareen S. Gropper ◽  
Kelly A. Miller ◽  
Barbara Tymczyszyn ◽  
Deborah Chapa

Muscle mass, strength, and function have been shown to decline with aging, and if of sufficient magnitude can result in sarcopenia. This study’s objective was to determine the prevalence of low muscle mass in a group of adults living in a “premier” Florida residential continuing care retirement community. The sample consisted of 80 older adults, ranging from young old (65-74 years) to the oldest old (85+ years) with the oldest participant being 94 years. Skeletal muscle mass was assessed via bioelectrical impedance analysis. Skeletal muscle index values were calculated and compared with established cut-off values to classify each individual’s muscle mass as normal or low (sarcopenic). The prevalence of sarcopenia among the males was 66% and among females was 73%. When examined by age, 56% of those in their 70s, 73% of those in their 80s, and 79% of adults in their 90s had low muscle mass indicative of sarcopenia. This study found a higher prevalence for sarcopenia in females and males, especially among the oldest groups, than previously reported in a nationally representative sample of adults. This study’s findings also suggest the need for further studies examining whether the prevalence of low muscle mass among adults in either classification varies with socioeconomic status and ethnicity. Continuing care retirement communities may provide excellent environments for the screening, diagnosis, and implementation of exercise and nutritional programs for residents to help prevent or attenuate sarcopenia’s deleterious effects. Nurse practitioners must incorporate screening for sarcopenia in their wellness package for their patients. Screening, nutritional education and support and exercise prescriptions are vital to prevent associated decline from sarcopenia.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 585-585
Author(s):  
Rose Ann DiMaria-Ghalili ◽  
Justine Sefcik

Abstract COVID-19 and social distancing heralded an unprecedented change in the way older adults and health care providers live, work, socialize and manage their health. Early “calls-to-action” included the call for researchers to chronicle the impact of the COVID-19 pandemic on care of older adults to inform models of care and best practices in the new normal. This symposium explores the impact of COVID-19 on the health of older adults across the care continuum and healthcare delivery augmented by technology. The perspectives of older adults living in the community and providers who care for this population are highlighted. Additionally, there is a focus on the most vulnerable, those living in skilled care facilities and continuing care retirement communities. Fisher analyzes the key themes in 37 COVID-19 video communiques over 11 months at a continuing care retirement community. Sefcik explores coping strategies including outdoor activities among community-dwelling older adults. DiMaria-Ghalili examined patterns of physical and mental health, technology usage and loneliness in older adults, including those living in the community and a continuing care retirement community. Using longitudinal data and COVID-19 supplemental survey data from the National Health and Aging Trends Study, Huh-Yoo discusses disparities in online patient-provider communication and implications for the Post-COVID era. Coates discusses the facilitators and barriers perceived by interdisciplinary providers deploying telehealth during the COVID-19 pandemic and implications for healthcare delivery in older adults. The symposium will conclude with a discussion by Dr. Sefcik on the implications for research, practice and policy in the post COVID-19 era.


2014 ◽  
Vol 19 (3) ◽  
pp. 279-289 ◽  
Author(s):  
Paul Sacco ◽  
Karen Burruss ◽  
Cristan A. Smith ◽  
Alexis Kuerbis ◽  
Donna Harrington ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 382-382
Author(s):  
Chaya Koren ◽  
Liat Ayalon

Abstract Moving to a continuing care retirement community (CCRC) and living apart together (LAT) as a repartnering form, represent new late-life beginnings. A larger qualitative study on LAT relationships constructed in the CCRC identified envy and jealousy yet they were not examined in-depth. Envy is wanting something we lack whereas jealousy is fear of losing something that is ours to another. These emotions are rarely explored in the context of older adults’ relationships. Our aim is to examine experiences of envy and jealousy from perspectives of residents aged 79 to 96 and staff, heuristically using Goffman’s framework on (semi)-totalitarian institutions. 30 semi structured qualitative interviews were conducted in three CCRCs in Israel with 10 LAT residents, 10 residents not LAT, and 10 CCRC staff members including social workers. Analysis was conducted based on principles of thematic analysis and triangulation. Findings refer to kinds of envy, ignoring envy, and the development and consequences of jealousy and/or envy related to LAT in the CCRC. Conclusions address how semi-totalitarian CCRC features influence envy and jealousy experiences including implications for assisting social workers, older adults and their family members to adjust to life in the CCRC and assist CCRC management and staff to address possible consequences of envy and jealousy.


2000 ◽  
Vol 22 (5) ◽  
pp. 559-579 ◽  
Author(s):  
Phyllis Moen ◽  
Mary Ann Erickson ◽  
Donna Dempster-McClain

Sign in / Sign up

Export Citation Format

Share Document