Older people moving to residential care in Aotearoa New Zealand: Considerations for social work at practice and policy levels

Delia Margaret McKenna, Barbara Staniforth

Abstract


INTRODUCTION: This exploratory study, undertaken in 2013, sought to examine how older people, living in Auckland New Zealand who did not have family living locally, experienced the move from living at home, through a hospital admission to living in residential care.

METHOD: Nine qualitative, semi-structured interviews were conducted with participants while in hospital and following discharge to a residential care facility.  Data were analysed thematically.

RESULTS: For most, this move was a major, traumatic event in their lives. Participants identified both hindering and supportive factors through this process.

CONCLUSION: The process of transition from hospital is helped by older people being involved in decision making, and having adequate time and prior information. An assisted living facility that enables autonomy, has flexibility, and services in place to meet on-going physical and psycho-social needs supports the settling-in process. Continuity of social work interventions, advocacy and reviews of policy may also be useful. 


Keywords


Key words: Assisted living facilities, hospitalisation, social work, transitioning

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References


Age Concern New Zealand. (2008). Elder Abuse—A qualitative study of neglect cases referred to Age Concern Elder Abuse and Neglect Services during the period 1 July to 30 June 2006. Wellington. NZ: Author. Retrieved from http://www.ageconcern.org.nz/sites/ageconcern/files/This%20Month%20-%20November%20%202013_0.pdf

Age Concern New Zealand. (2013). Age Concern’s recommendations to Government. Wellington, NZ: Author. Retrieved from http://www.ageconcern.org.nz/sites/ageconcern/files/This%20Month%20-%20November%20%202013_0.pdf.

Atkinson, A., Tilse, C., & Schlecht, N. (2000). Moving to a hostel: The perceptions of older people who move from hospital to hostel (“low level”) care. Australian Social Work. March, 53(1), 9–13. doi:10.1080/03124070008415551

Attig, T. (2004). Disenfranchised grief revisited: Discounting hope and love. Omega, 49(3), 197–215. doi:10.2190/P4TT-J3BF-KFDR-5JB1

Barba, B. E.,Tesh, A. S., & Courts, N. F. (2002). Promoting thriving in nursing homes: The Eden Alternative. Journal of Gerontological Nursing, 28(3), 7–13.

Barrett, C. B. (2008). My people. A project exploring the experiences of gay, lesbian, bisexual, transgender and intersex seniors in aged-care services. Victoria: Matrix Guild. Retrieved from http://www.matrixguildvic.org.au

Braun, V., & Clarke, V. (2003). Using thematic analysis in psychology. Qualitative Research in Psychology, 2, 77–101.

Brownie, S., & Horstmanshof, L. (2012). Creating the conditions for self-fulfilment for aged care residents. Nursing Ethics, 19, 777–786. doi:10.1177/0969733011423292

Cooney, A. (2011). “Finding home”: A grounded theory on how older people “find home” in long-term care settings. International Journal of Older People Nursing, 7, 188–199. doi:10.1111/j.1748-3743.2011.00278.x

Crimes Amendment Act No. 3. (2011). Retrieved from http://www.legislation.govt.nz/act/public/2011/0079/latest/whole.html

Currer, C. (2007). Loss and social work. Exeter, England: Learning Matters.

Doka, K. (2002). Disenfranchised grief: New directions, challenges, and strategies for practice. Champaign, IL: Research Press.

Help Age International. (2012). Ageing in the twenty-first century. A celebration and a challenge. London, England: Author. Retrieved from https://www.unfpa.org/sites/default/files/pub-pdf/Ageing%20report.pdf

Henderson, J., Xiao, L., Siegloff, L., Kelton, M., & Paterson, J. (2008). Older people have lived their lives: First year nursing students’ attitude towards older people. Contemporary Nurse: a Journal for the Australian Nursing Profession, 30(1), 32–45.

Jorgensen, D. M. (2006). Factors influencing entry to residential care among older people (Unpublished doctoral thesis). University of Auckland. Auckland, NZ. Retrieved from http://www.library.auckland.ac.nz/

Kane, R., Priester, R., & Neumann, D. (2007). Does disparity in the way disabled older adults are treated imply ageism? The Gerontologist, 47(3), 271–279. doi:10.1093/geront/47.3.271

Koenig, T., Hee Lee, J., Feilds, N., & MacMillan, K. (2011). The role of the gerontological social worker in assisted living. Journal of Gerontological Social Work, 54(5), 494–510. doi:10.1080/01634372.2011.576424

Koenig, T., Hee Hee, J., MacMillan, K. R., Fields, N. L., & Spano, R. (2013). Older adult and family member perspectives of the decision-making process involved in moving to assisted living. Qualitative Social Work, 13(3), 335–350. doi:10.1177/1473325013475468

Link, B., & Phelan, J. C. (2001). Conceptualising stigma. Annual Review of Sociology, 27, 363–385. doi:10.1146/annurev.soc.27.1.363

Marshall, E., & MacKenzie, L. (2008). Adjustment to residential care: The experience of newly admitted residents to hostel accommodation in Australia. Australian Occupational Therapy Journal, 55(2), 123–132. doi:10.1111/j.1440-1630.2007.00687.x

Minchiello, M. V., Somerville, M., McConaghy, C., McParlane, J., & Scott, A. (2005). The challenges of ageism. In V. Minichiello & L. Coulson (Eds.), Contemporary issues in gerontology: Promoting positive ageing (pp. 1–33). Crow’s Nest, NSW: Allen & Unwin.

Ministry of Health. (2001). The New Zealand health of older people strategy. Wellington, NZ: Author.

Ministry of Social Development. (2001). The New Zealand positive aging strategy: Towards a society for all ages. Wellington, NZ: Author.

Peterson, D. (2007). Reviewing self-stigma literature: What Debbie Peterson discovered, Like Minds Whakaitia Te Whakawhiu I Te Tangata, April/May, 29, 6. Retrieved from http://d20wqiibvy9b23.cloudfront.net/resources/resources/000/000/634/original/Like_Minds__Like_Mine_-_Internalised_Stigma.pdf?1468379908

Regehr, C., & Sussman, T. (2004). Intersections between grief and trauma: Toward an empirically based model for treating traumatic grief. Brief Treatment and Crisis Intervention, 4, 289–309. doi:10.1093/brief-treatment/mhh025

Thein, N., D’Souza, G., & Sheehan, B. (2011). Expectations and experience of moving to a care home: Perceptions of older people with dementia. Dementia, 10(1), 7–18. doi:10.1177/1471301210392971

Thornton, G. (2012). Aged residential care service review. Wellington, NZ: Thornton New Zealand. Retrieved from http://www.grantthornton.co.nz/assets/documents/home/aged-residential-care-service-review.pdf

United Nations Population Fund (UNFPA) and Help Age International. (2012). Ageing in the twenty-first century: A celebration and a challenge. New York, NY: Author. Retrieved from http//www.unfpa.org/public/home/

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DOI: http://dx.doi.org/10.11157/anzswj-vol29iss1id215

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