Participation in advanced age: enacting values, an adaptive process
| Autor: | Lynn Summerfield-Mann, Pamela Eakin, Paul Sugarhood |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
030506 rehabilitation
Health (social science) Social Psychology Process (engineering) media_common.quotation_subject Public Health Environmental and Occupational Health Psychological intervention Context (language use) National health service Grounded theory 03 medical and health sciences 0302 clinical medicine Arts and Humanities (miscellaneous) International Classification of Functioning Disability and Health Geriatrics and Gerontology 0305 other medical science Psychology Older people Social psychology 030217 neurology & neurosurgery Autonomy media_common |
| Zdroj: | Ageing and Society. 37:1654-1680 |
| ISSN: | 1469-1779 0144-686X |
| DOI: | 10.1017/s0144686x16000568 |
| Popis: | The concept of participation, introduced through models such as the International Classification of Functioning, Disability and Health, has become increasingly important in health and social care. However, it has not been consistently defined or operationalised, and there is very limited research into participation in the context of advanced age and disability. This article reports a study which explored participation from the perspectives of community-living people aged over 80 years with physical rehabilitation needs. Using a grounded theory methodology, 11 participants aged 81–96 years were recruited from a National Health Service Trust in the United Kingdom. The main finding was that participation was experienced as the enacting of values. Values provided the motivation for specific ways of participating in life, guided actions and behaviours, and were the means through which participation was interpreted. Commonly enacted values were: connecting with others; maintaining autonomy; affirming abilities; doing the best you can; being useful; maintaining self-identity; and pursuing interests. A process was evident whereby participation was challenged by deteriorating health and losses and the participants adapted (or not) to overcome these challenges. To promote participation in advanced age, health and social care policy and practice must consider the values important to older people. Interventions should be congruent with these values and promote strategies through which they can be enacted. |
| Databáze: | OpenAIRE |
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