Hospital to home : perceived need for care and support

Falls are a major health problem for older women. In British Columbia, women aged 75 years and older comprise 85% of the total number of individuals admitted to hospital with a fall. Falls result in physical and psychological consequences. A review of the literature indicates that most studies on f...

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Main Author: Galloway, Sharon Eleanor
Language:English
Published: University of British Columbia 2010
Online Access:http://hdl.handle.net/2429/29708
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spelling ndltd-UBC-oai-circle.library.ubc.ca-2429-297082018-01-05T17:45:15Z Hospital to home : perceived need for care and support Galloway, Sharon Eleanor Falls are a major health problem for older women. In British Columbia, women aged 75 years and older comprise 85% of the total number of individuals admitted to hospital with a fall. Falls result in physical and psychological consequences. A review of the literature indicates that most studies on falls are epidemiological in nature. There are no studies that deal with the consequences of the fall and their effect on the older woman's perceptions of her need for care and support after hospitalization for a fall. The purpose of this study is to describe the need for care and support as perceived by women aged 75 years and older returning home to live alone after a hospitalization for a fall. Phenomenology is the chosen research method. This method describes human experience as it is lived. Subjects were recruited through the liaison nurses and home care coordinators from the Health Department. Eight women participated in the repeated interviews guided by trigger questions. Certain themes emerged from data analysis and were coded accordingly. These themes were verified, validated, and/or discounted in subsequent interviews. The findings indicated that the elderly women perceived the fall as both a significant and unpredictable event in their life. It resulted in a change of routine as they returned home to live alone. In response to this change, the women described threats to their self-esteem, particularly to their feelings of independence, activity, and autonomy. A variety of behaviours were used to cope with the threats to their self-esteem. Use of social support was one behaviour used by all the women. In describing this behaviour, reciprocity was important in the friendships of elderly women. This study also concluded that there were numerous difficulties in using social supports from a formal program. The implications for nursing research, practice, and education were discussed in light of these findings. Applied Science, Faculty of Nursing, School of Graduate 2010-11-01T20:27:19Z 2010-11-01T20:27:19Z 1991 Text Thesis/Dissertation http://hdl.handle.net/2429/29708 eng For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use. University of British Columbia
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description Falls are a major health problem for older women. In British Columbia, women aged 75 years and older comprise 85% of the total number of individuals admitted to hospital with a fall. Falls result in physical and psychological consequences. A review of the literature indicates that most studies on falls are epidemiological in nature. There are no studies that deal with the consequences of the fall and their effect on the older woman's perceptions of her need for care and support after hospitalization for a fall. The purpose of this study is to describe the need for care and support as perceived by women aged 75 years and older returning home to live alone after a hospitalization for a fall. Phenomenology is the chosen research method. This method describes human experience as it is lived. Subjects were recruited through the liaison nurses and home care coordinators from the Health Department. Eight women participated in the repeated interviews guided by trigger questions. Certain themes emerged from data analysis and were coded accordingly. These themes were verified, validated, and/or discounted in subsequent interviews. The findings indicated that the elderly women perceived the fall as both a significant and unpredictable event in their life. It resulted in a change of routine as they returned home to live alone. In response to this change, the women described threats to their self-esteem, particularly to their feelings of independence, activity, and autonomy. A variety of behaviours were used to cope with the threats to their self-esteem. Use of social support was one behaviour used by all the women. In describing this behaviour, reciprocity was important in the friendships of elderly women. This study also concluded that there were numerous difficulties in using social supports from a formal program. The implications for nursing research, practice, and education were discussed in light of these findings. === Applied Science, Faculty of === Nursing, School of === Graduate
author Galloway, Sharon Eleanor
spellingShingle Galloway, Sharon Eleanor
Hospital to home : perceived need for care and support
author_facet Galloway, Sharon Eleanor
author_sort Galloway, Sharon Eleanor
title Hospital to home : perceived need for care and support
title_short Hospital to home : perceived need for care and support
title_full Hospital to home : perceived need for care and support
title_fullStr Hospital to home : perceived need for care and support
title_full_unstemmed Hospital to home : perceived need for care and support
title_sort hospital to home : perceived need for care and support
publisher University of British Columbia
publishDate 2010
url http://hdl.handle.net/2429/29708
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