These have now been corrected to match the numbers in the rest of the Article. Author M.-S. Li's name has been corrected to M. Yi and affiliation 7 has also been corrected to add 'Mahidol University, Bangkok' after 'Faculty of Nursing'.
This article synthesizes literature for better understanding of the concept of transitional palliative care (TPC) within the context of older people moving from hospital to the community with life-limiting conditions and palliative care needs. The constructs gleaned from the synthesis connote that transitional care is more than only an act of transfer as older adults experience multiple transitions in our health care environment. It is a process of adjustment and adaptation for older adults to accommodate the changes as a result of the illness experience. The transition from cure to palliative care is one of the ongoing tensions because our health care system favors goals directed toward cure instead of comfort. The concept of a shift to palliation is also not enabled in a structure that a “one-size-fits-all” notion applies. The authors argue that current forms of TPC ignore influences of multifaceted health and social factors, which impact choices of older persons and their families.
This article discursively discusses our position on culture adopting a translational paradigm and on focused ethnography (FE) that helps us construct our evolving understanding of the older people, their illness experience, and dying and death. This work reveals our struggle to understand our position (philosophy) and our use of a methodology to inquire about a phenomenon that is plagued by ageism and the "one-size-fits-all" mentality in health care. We assert that these problems of ageism and standardization together ignore the contextual and cultural realities of older people's experience in health and in dying situations. In our attempt to find the best fit between what we ask (research question) and how we answer (methodology) the question, we discovered with certainty that our own understanding of what counts as "cultural" and how FE will help us define such a culture is uncertain until we clarify our own ideological stance regarding the phenomenon in question.
Keywords culture, ethnography, older people
What Is Already Known?This paper discursively discusses our position on culture adopting a translational paradigm and on focused ethnography that help us construct our evolving understanding of the older people, their illness experience and dying and death. This work reveals our struggle to understand our position (philosophy) and our use of a methodology to inquire about a phenomenon that is wrapped with debacles of ageism and the 'one-size-fitsall' mentality in health care.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.