Assisted living, elderly women and sense of self: communicating the impact of reduction of long-standing activities

Through the use of in-depth interviews this study examines elderly women's communication about transitioning to assisted living and personal sense of self. A combination of communication and aging theory and socio historical factors aid in understanding the communication elderly women use to describe themselves within the context of life events prior to and after becoming an assisted living resident. Findings reveal that decrease in long-standing feminine sphere (traditionally female household) tasks due to the transition to assisted living is the major factor leading to the inability to communicate the sense of self. Inability to adjust and accept the downsizing of feminine sphere activities leads to several mental, physical and social implications.     

“Ghosts From the Past”: The Re-Emergence of Internalized Religious Stigma Following Diagnosis of HIV Among Northern Irish Gay Men

ABSTRACT

This article explores how previous exposure to religious homonegativity features in the sense-making process following HIV diagnosis in a homogenous sample of six gay men living in Northern Ireland. Interpretive phenomenological analysis was used to identify two key overarching themes: Negotiating authenticity in unsafe space, which relates to the experience of negotiating same-sex attraction within religious environments, and Re-emergence of religious shame in diagnosis, which relates to the way in which the men made sense of diagnosis from the position of having been exposed to religious homonegativity earlier in their lives. Findings demonstrate how the men negotiated their sexual orientation within religious contexts and how a reconstruction of God was necessary to preserve an authentic sense of self. Despite reaching reconciliation, HIV was initially appraised within a retributive religious framework that served to temporarily reinforce previously learned shame-based models of understanding this aspect of the self.     

重视非正式支持,提高老年人生活质量

主观感受是衡量老年人生活质量的最终指标。由于非正式支持能够满足老年人紧急援助、情感交流、安全心理的需要 ,在我国重家庭重亲情的环境中 ,构成了老年人心理的主要依托 ,从而成为影响老年人主观感受并进一步影响老年人生活质量的重要方面     

Older Women with Cardiovascular Disease: Perceptions of Initial Experiences and Long-Term Influences on Daily Life

ABSTRACT

In 2004, we conducted qualitative interviews with 29 White women diagnosed with cardiovascular disease (CVD) living in Southwest Virginia, aged 69 to 92 years (M age = 79.2 years; SD = 6.8); time since diagnosis ranged from 1 to 50 years (M = 14.3; SD = 11.2). We explored the women's initial illness episode and the influence of CVD on their current daily functioning, family activities and relationships, and social engagement. The women were slow to seek help for CVD symptoms. Postrecovery, 62% of women perceived their heart disease as influencing change in their daily lives. The influence of CVD varied depending on how congruent behavior changes were with their sense of self.     

Uncovered and disrespected. A qualitative study of Jordanian women’s experience of privacy in birth

BackgroundPrivacy is related to a person’s sense of self and the need to be respected and it is a key factor that contributes to women’s satisfaction with their birth experiences.AimTo examine the meaning of privacy for Jordanian women during labour and birth.MethodA qualitative interpretive design was used. Data were collected through face-to-face semi-structured interviews with 27 Jordanian women. Of these women, 20 were living in Jordan while seven were living in Australia (with birthing experience in both Jordan and Australia). Thematic analysis was used to analyse the data.ResultsThe phrase ‘there is no privacy’ captured women’s experience of birth in Jordanian public hospitals and in some private hospital settings. Women in public hospitals in Jordan had to share a room during their labour with no screening. This experience meant that they were, “lying there for everyone to see”, “not even covered by a sheet” and with doctors and others coming in and out of their room. This experience contrasted with birth experienced in Australia.ConclusionsThis study explicates the meaning of privacy to Jordanian women and demonstrates the impact of the lack of privacy during labour and birth. Seeking a birth in a private hospital in Jordan was one of the strategies that women used to gain privacy, although this was not always achieved. Some strategies were identified to facilitate privacy, such as being covered by a sheet; however, even simple practices are difficult to change in a patriarchal, medically dominated maternity system.     

The Psychosocial Meaning of Menopause: Women's Experiences

ABSTRACT

This paper reports on a qualitative study of womens' experiences with menopause from a psychosocial perspective. Women give voice to the impact of menopause upon their sense of self and significant relationships in their lives. This study raises questions about the meaning of the reluctance of women and others to discuss menopause in a helpful, meaningful way.     

A Proactive Approach to Aging Well for Women Over 45

ABSTRACT

This paper reports on an exploratory two-group, pre- and posttest design study, which employed data triangulation with a convenience sample (n = 120) of women over 45 years aged between 45 and 83 years, living and/or working within the South East Sydney and Illawarra areas of New South Wales. Sixty-nine women recorded the Health Check Log (HCL) (33 were health professionals) to assess and monitor their health over 12 months. The majority found the HCL greatly assisted in monitoring and maintaining their health, and the analyses of the SF-36 health survey suggest that women 45 years and over may benefit by regular use of the HCL.     

Homing blogs as ambivalent spaces for feminine agency

This article discusses a form of lifestyle blogging where women blog about their homes and everyday lives. In these homing blogs, self-representations are characteristically spatially demarcated within the private sphere of the home. As these repeated representations of women in their homes take place in the public space of the internet, homing blogs work towards naturalizing the home as a women’s sphere. Written and commented on mostly by other women, homing blogs represent a feminine form of self-expression and communication that functions as a discursive expression of ongoing social, economic, and cultural changes in affluent Western societies. In this article, Finnish versions of these homing blogs are analysed in the cultural and political context of contemporary Finland, and discussed as a form of intimate publics that reverses the gender politics of other historical, semi-public spaces for the exercise of women’s agency, such as the salon.     

Witnessing a body in decline: Men’s and women’s perceptions of an altered physical appearance

ABSTRACT

There has been a tendency within the literature to ignore how men and women who are very ill and at the end of life perceive and experience their visibly altered bodies. This article aims to provide new insights about this matter. A qualitative research approach was adopted. In-depth interviews were conducted with 10 hospice patients, 20 family members, and 20 members of hospice staff. Findings reveal that because of masculine and feminine norms, physical appearance is more a matter of concern to women than to men who are close to death. This contradicts theories that suggest that patients experience a disinvestment on their sense of masculinity and femininity alongside the process of bodily deterioration and decay prior impending potential death.     

Playmates and Polygamists

This paper explores the feminine reclamation of polygamy seen in female-oriented American television shows Big Love, The Girls Next Door, and Sister Wives in terms of their commentary on contemporary gender roles in neoliberal society. Reception discourses suggest these programs respond to feminine frustrations with the burdens of work and domesticity and the isolation associated with hyper-individualist late capitalist society. Using textual strategies associated with feminine media forms and contemporary feminine culture, such as the investment in the female group, the female gaze at the female body, and the reclamation of feminine history, these shows demonstrate femininity's capacity to critique as well as support mainstream society. Still, femininity's tendency to merge escapism and cultural critique, seen in all three shows, points to the difficulty of considering it progressive or regressive, instead suggesting that it should be considered as a different conceptual and social space, as a varied set of structures, practices, reading protocols, and an ethics of self that patriarchal cultures cannot easily co-opt.     

Gender Differences in Activity of Daily Living of the Elderly in Rural China: Evidence from Chaohu

ABSTRACT

Using data from a sample survey, “Well-being of the elderly in Anhui province, China,” this paper studies the effects of health, economic and family factors on the activities of daily living (ADLs) as measures of disability for elderly men and women. The objective is to explore reasons for gender differences in ADLs in rural China. Our results suggest that higher incidence rates of chronic diseases, lower cognitive ability, as well as heavier household and daily care burdens of females, are the main factors leading to a higher prevalence of ADL disability for the female elderly.     

Assisted Living and the Aging Trajectory

ABSTRACT

Assisted living (AL) is a caregiving option between independent living and nursing home placement. This study explores women residents' experience of AL in four Midwestern facilities, using interview and field research methods. We found that most residents wanted to stay in AL rather than move to a nursing home; they looked backward nostalgically toward home, and complied with staff rules and directives in order to remain in place. In contrast to nursing homes, AL allows residents to experience continuities with self and home: a private room, some of their own belongings, and access to relationships and activities associated with self and home. Given the expanded lifespan and growing popularity of AL, it is becoming a new stage in the trajectory of women's aging.     

Sarcopenia and Decreased Muscle Strength in the Elderly Woman: Resistance Training as a Safe and Effective Intervention

ABSTRACT

A principle component of age-related weakness and frailty in women is sarcopenia. This decrease in skeletal muscle mass is a progressive syndrome that will affect the quality of life for elderly women by decreasing the ability to perform many activities of daily living. Strength training is known to be an effective means of increasing muscular strength and size in many populations, and can be utilized successfully to significantly improve muscle strength, muscle mass and functional mobility in elderly women up to the age of 96 years. Such exercise can minimize the syndrome of physical frailty due to decreased muscle mass and strength. Any rehabilitation or exercise program for the elderly woman would benefit from the inclusion of such a training regime.     

Disruptions of self,place and mobility: digital nomads in Chiang Mai,Thailand

ABSTRACT

This article considers the growing lifestyle trend of digital nomadism, whereby individuals leverage digital technology to combine work, leisure and hypermobile travel interests. Based primarily on ethnographic fieldwork in Chiang Mai, Thailand, I examine the lifestyle and mobility pathways of digital nomads through two distinct yet coexisting notions of disruption. On one level disruption is viewed as a radical expression of flexibility, fluidity and newness, that evokes a sense of breaking free from a traditional past. At the same time, I consider disruption on more subtle terms, addressing ways in which historical formations pertaining to work and tourism feed into and unsettle understandings of self, place and mobility. In this article, I examine the role of a work-leisure distinction, colonial imaginaries of place and emerging norms of hypermobility in complicating attempts by digital nomads to establish a coherent sense of self, work and productivity in and across tourism destinations. These seemingly fluid lifestyle practices, I suggest, promote a continual preoccupation with boundaries, as digital nomads try to make sense of work, identity and newness amid an in/visible and intersecting constellation of mobility pathways involving Western backpackers, Chinese tourists, resident foreigners, visiting family and friends, and other nomads.     

Factors Associated with Long-Term Benzodiazepine Use Among Elderly Women and Men in Quebec

ABSTRACT

The goal of this study was to compare factors associated with long-term benzodiazepine use by elderly women and men (n = 1701) who participated in the Quebec Health Survey (QHS). Data from the 1998 QHS were linked with data from the administrative files of the Régie de l'assurance maladie du Québec. Results showed that elderly women were more at risk than men for long-term benzodiazepine use. Results of the multivariate logistic regression did not show a significant difference between women and men on any of the risk factors studied. Other factors such as elderly and physician attitudes deserve further study to explain differences in long-term benzodiazepine use between elderly women and men.     

Midwives’ experiences of providing maternity care to women and families during the COVID-19 pandemic in Northern Italy

ProblemThe COVID-19 pandemic has significantly challenged maternity provision internationally. Rapid and radical changes were implemented, with midwives facing anxiety and moral distress if not able to provide optimal and woman-centred care in line with professional values.BackgroundHealthcare professionals’ stress and burnout are commonly reported during other global emergencies, which may eventually contribute to reduced quality of care. There is lack of evidence of the challenges faced by midwives in Italy during the COVID-19 pandemic.AimTo explore midwives’ experiences of providing care to women and families during the COVID-19 pandemic.MethodsQualitative interpretive phenomenological approach, using semi-structured interviews and thematic analysis. The sample included 15 midwives. Ethical approval was obtained.FindingsFour themes were identified: 1) adjusting to the ever-evolving organisation of care; 2) physical, psychological and relational challenges; 3) support network; 4) deferred sense of awareness.DiscussionMidwives faced professional and personal challenges during the pandemic, displaying feelings of fear, anxiety, uncertainty, discomfort, lack of support and knowledge with potential long-term effects. Adjusting to the continuous, rapid and drastic re-organisation of maternity services was particularly challenging. Factors facilitating a safe, supportive and empowering workplace included support from colleagues and managers, access to appropriate PPE, reliable guidelines, good communication and emotional support. Positive aspects of personal and professional development included communication skills, establishment of trusting relationships, sense of empowerment and teamwork.ConclusionIn the context of a pandemic, optimisation of midwives’ physical, emotional and psychological wellbeing should be considered. Timely and comprehensive guidelines and appropriate resources should be provided to assist midwives in facilitating family-centred respectful maternity care and preserving childbirth as a bio-psychosocial event.     

Smoking cessation care during pregnancy: A qualitative exploration of midwives’ challenging role

ProblemThe majority of South Australian pregnant women who smoke do not quit during pregnancy. Additionally, the prevalence of smoking is higher among pregnant women living in socially disadvantaged areas.BackgroundUnderstanding challenges in midwives’ provision of smoking cessation care can elucidate opportunities to facilitate women’s smoking cessation.AimWe aimed to understand midwives’ perspectives on current practices, perceived barriers and facilitators to delivery of smoking cessation care, and potential improvements to models of smoking cessation care.MethodsAn exploratory qualitative research methodology and thematic analysis was used to understand the perspectives of midwives in five focus groups.FindingsFour themes were generated from the data on how midwives perceived their ability to provide smoking cessation care: Tensions between providing smoking cessation care and maternal care; Organisational barriers in the delivery of smoking cessation care; Scepticism and doubt in the provision of smoking cessation care; and Opportunities to enable midwives’ ability to provide smoking cessation care.DiscussionA combination of interpersonal, organisational and individual barriers impeded on midwives’ capacities to approach, follow-up and prioritise smoking cessation care. Working with women living with disadvantage and high rates of smoking, the midwife’s role was challenging as it balanced delivering smoking cessation care without jeopardising antenatal care.ConclusionProviding midwives with resources and skills may alleviate the sense of futility that surrounds smoking cessation care. Provision of routine training and education could also improve understandings of the current practice guidelines.     

Older Women,Their Children,and Grandchildren: A Feminist Perspective on Family Relationships

SUMMARY

Using gerontological and feminist frameworks, we explored the relationships older women have with their children and grandchildren. In-depth, qualitative interviews were conducted with 34 women, ranging in age from 55 to 88. From our analyses of the women's perceptions of their family relationships, two themes were prevalent: the centrality of children and the peripherality of grandchildren in their everyday lives. The women had varying degrees of involvement with their children and grandchildren, and these relationships contributed to their sense of self and family. Their relationships were not stagnant, but were continually reshaped as both the women and their family members proceeded through the life course.     

“Coming Out” of Prison: An Exploratory Study of LGBT Elders in the Criminal Justice System

ABSTRACT

This two-phase qualitative study explores the experiences of 10 formerly incarcerated LGBT elders’ experiences prior to, during, and after release from prison. A core theme of self and the social mirror emerged from the data that represented LGBT elders ongoing coming-out process of unearthing their “true selves” despite managing multiple stigmatized identities or social locations, such as being LGBT, elderly, HIV positive, formerly incarcerated, and a racial/ethnic minority. These findings further our awareness of an overlooked population of LGBT who are older and involved in the criminal justice system. Recommendations that incorporate suggestions from formerly incarcerated LGBT elders for services and policy reform are presented.     

The Elderly and the Extended Household in Portugal: An Age-Period-Cohort Analysis

Portugal, a southern European country, is expected to exhibit a relatively large proportion of extended households. However, following some general trends associated with large social transformations, Portugal is also expected to have an increasingly larger proportion of nuclear families. We use data from the eight waves of ECHP (European Community Household Panel), covering the years from 1994 to 2001, to establish whether these expectations are justified. Among the nuclear households that include elderly members, we isolate those corresponding to single-person households, since they are particularly relevant for policy purposes. Separate analyses are carried out for the elderly with health problems and for those with no health problems, in order to detect different patterns of living arrangements. We also project the living arrangements until 2005, based on an age-period-cohort analysis. We find that the extended households are a very significant form of living arrangement with reference to the Portuguese elderly, and a living arrangement whose importance is not declining over time. In particular, the oldest old constitutes the group that tends to be found living most frequently in extended households, while those with health problems start much earlier than those with no health problems to live in extended households as they grow older. The proportion of individuals aged 65+ living alone has somewhat decreased, but the proportion of this type of household largely increases with age.