When Frail Older People Relocate in Very Old Age, Who Makes the Decision?
Decision making
Dementia
Oldest old
Relocation
Journal
Innovation in aging
ISSN: 2399-5300
Titre abrégé: Innov Aging
Pays: England
ID NLM: 101703706
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
received:
09
11
2018
entrez:
11
4
2020
pubmed:
11
4
2020
medline:
11
4
2020
Statut:
epublish
Résumé
Older people are likely to transition to a new home closer to family who can provide assistance or to long-term residential care as their health declines and their care needs increase. A minority choose to move to "age-friendly" housing before the onset of disability, but the majority prefer to "age in place" and defer moving until health crises compel a transition. Older people living with dementia are likely to move into residential care, but not much is known about the role they play in decision making around these moves. This qualitative study addresses this gap in knowledge by examining how a rare cohort of "older old" people, most with some level of cognitive impairment, were involved in decisions surrounding assistance seeking and moving to a care home. Thematic analysis of qualitative interview data from Cambridge City over-75s Cohort (CC75C) study participants aged 95 years and older, who had moved in later life, and their proxy informants ( Moves at such an old age were made due to a complexity of push and pull factors which had layered dynamics of decision making. In most cases ( "Older old" people are sometimes unable to make their own decisions about moving due to the urgency of health crisis and cognitive decline. There is a need to support relatives to discuss moving and housing options at timely junctures before health crises intervene in an effort to optimize older people's participation in decision making.
Sections du résumé
BACKGROUND AND OBJECTIVES
OBJECTIVE
Older people are likely to transition to a new home closer to family who can provide assistance or to long-term residential care as their health declines and their care needs increase. A minority choose to move to "age-friendly" housing before the onset of disability, but the majority prefer to "age in place" and defer moving until health crises compel a transition. Older people living with dementia are likely to move into residential care, but not much is known about the role they play in decision making around these moves. This qualitative study addresses this gap in knowledge by examining how a rare cohort of "older old" people, most with some level of cognitive impairment, were involved in decisions surrounding assistance seeking and moving to a care home.
RESEARCH DESIGN AND METHODS
METHODS
Thematic analysis of qualitative interview data from Cambridge City over-75s Cohort (CC75C) study participants aged 95 years and older, who had moved in later life, and their proxy informants (
RESULTS
RESULTS
Moves at such an old age were made due to a complexity of push and pull factors which had layered dynamics of decision making. In most cases (
DISCUSSION AND IMPLICATIONS
CONCLUSIONS
"Older old" people are sometimes unable to make their own decisions about moving due to the urgency of health crisis and cognitive decline. There is a need to support relatives to discuss moving and housing options at timely junctures before health crises intervene in an effort to optimize older people's participation in decision making.
Identifiants
pubmed: 32274424
doi: 10.1093/geroni/igz030
pii: igz030
pmc: PMC7127322
doi:
Types de publication
Journal Article
Langues
eng
Pagination
igz030Informations de copyright
© The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America.
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