Aging in rural communities: Older persons’ narratives of relocating in place to maintain rural identity

Weil, Joyce

doi:10.4148/1936-0487.1076

Cited by 9 publications

(5 citation statements)

References 37 publications

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“…Some older adults chose to move to rural areas as they seek retirement with enjoyable landscapes, and closer connections to places and community values, 44 while others remain due to economic‐social‐racial disparities (e.g., immigrant status, race, ethnicity, disability status, gender, and socio‐economic status). Nevertheless, oral health disparities will continue to increase if there is no appropriate distribution and parallel growth in dental providers and dental clinics to accommodate the increased demand for dental treatment, especially for older adults 21,45 …”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, oral health disparities will continue to increase if there is no appropriate distribution and parallel growth in dental providers and dental clinics to accommodate the increased demand for dental treatment, especially for older adults. 21,45 Kossioni, Levy, and Best reported limited availability of dental faculty to train students in geriatric dental care. 33,38,40 In the US, only 20% of dentists had geriatric certification in 2007.…”

Section: Barriers and Value To Implementing Geriatric Oral Health Car...mentioning

confidence: 99%

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Training and educational programs that support geriatric dental care in rural settings: A scoping review

Chandel

Alulaiyan

Farraj

et al. 2022

Journal of Dental Education

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Purpose/Objectives: Access to dental care for older adults is challenging, especially for those living in rural areas. People living in rural areas are less likely to visit the dentist, have greater oral health needs, and face significant oral health disparities. Given the projected increase in the older adult population, the aim of this study was to conduct a scoping review (SR) to identify the current landscape of geriatric dental training in rural healthcare settings. Methods: Four guiding concepts (i.e., dental workforce, education/training, rural setting, and older adult population) were searched in PubMed, Embase (Elsevier), Dental and Oral Sciences Source (EBSCO), and ERIC (EBSCO) following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. EndNote and Covidence were used for de-duplication algorithms and title/abstract screening. Results: Seventy-nine citations were identified for the final full-text review based on inclusion and exclusion criteria, and ten articles were eligible for data extraction as applicable to the research question. Three themes emerged from the review: geriatric dentistry inclusion within dental school curricula, clinical training at rural/remote locations, and improving geriatric oral health knowledge through interprofessional training. Conclusion:This SR highlights the limited number of currently trained geriatric dentists, as well as, the paucity of dental programs/curricula offered to produce competent dental geriatricians with an advanced skill set for practicing in rural settings. Our review indicates the need to expand the dental workforce, curricula, and training to better position dentists to serve the older and underserved population in rural and remote areas.

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Section: Discussionmentioning

confidence: 99%

Section: Barriers and Value To Implementing Geriatric Oral Health Car...mentioning

confidence: 99%

Training and educational programs that support geriatric dental care in rural settings: A scoping review

Chandel

Alulaiyan

Farraj

et al. 2022

Journal of Dental Education

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“…Rapid change might possibly endanger a sense of local belonging in older age. This sense of belonging may be lost not only as a result of forced relocation (Weil ), but also through changes in the place that evoke feelings of estrangement, powerlessness, and exclusion (Scharf and Bartlam ; O’Shea et al . ; Dahlberg ).…”

Section: Approaching Ageing In Changing Ruralities Through the Concepmentioning

confidence: 99%

Ageing in the Changing Countryside: The Experience of Rural Czechs

Galčanová

Staveník

2019

Sociologia Ruralis

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Gerontological research has extensively focused on the experiences of people ageing within changing social contexts. However, accounts from the context of the European post-socialist transformation are missing. In addition, there is a lack of theoretical understanding concerning how older people experience ageing as part of the dynamic process of rural change. In this article, we present the perspectives of older Czech rural residents on living and ageing in the changing countryside. Based on 20 qualitative interviews with older adults, we show how they interpret contemporary changes in three major areas: politics and economy, infrastructure and technology, and local population and community life. Embedded in a constructionist approach, we aim to understand how their interpretations of current changes are related to their views on the past, to their self-positioning within current and past changes and their sense of local and social belonging. We introduce the concept of biographical contextualisation, which grasps the temporal horizon of meaning-making with regard to contemporary changes in rural life.

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“…To coincide with the case study of Emma Manygoats, the team designed a half-day site visit with presentations and resident interviewing at a continuum-of-care facility that is a community partner of one of the faculty. Though the facility was in non-rural area, many of the residents had moved to the facility in town from rural settings and self-define as "rural" or maintain their rural identities (Weil, 2017). The nursing home administrator greeted the students, and the activity director provided a tour.…”

Section: Summer Intensivementioning

confidence: 99%

“…Aging in rural Colorado has distinctive issues and presents unique situations in terms of access to health care. While many rural older persons positively identify as rural and see the benefits of living rurally (Weil, 2017), older rural adults have greater rates of physical impairment and frailty and more mobility concerns than non-rural older people (Mattson, 2011;Prasad et al, 2014). Living in rural areas as one ages often means less availability of and access to medical services and a lack of health care providers (Ponzetti, 2003;Milbourne, 2012).…”

Section: Introduction: An Increase In Older Persons Living In Rural Areasmentioning

confidence: 99%

Interdisciplinary partnerships for rural older adults’ transitions of care

Weil

Milbrath

Sharp

et al. 2018

QAOA

Self Cite

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Purpose-Integrated transitions of care for rural older persons are key issues in policy and practice. Interdisciplinary partnerships are suggested as ways to improve rural-care transitions by blending complementary skills of disciplines to increase care's holistic nature. Yet, only multidisciplinary efforts are frequently used in practice and often lack synergy and collaboration. The purpose of this paper is to present a case of a partnership model using nursing, gerontology and public health integration to support rural-residing elders as a part of building an Adult-Gerontology Acute Care Nurse Practitioner program. Design/methodology/approach-This paper uses the Centre for Ageing Research and Development in Ireland/O'Sullivan framework to examine the creation of an interdisciplinary team. Two examples of interdisciplinary work are discussed. They are the creation of an interdisciplinary public health course and its team-based on-campus live simulations with a panel and site visit. Findings-With team-building successes and challenges, outcomes show the need for knowledge exchange among practitioners to enhance population-centered and person-centered care to improve health care services to older persons in rural areas. Practical implications-There is a need to educate providers about the importance of developing interdisciplinary partnerships. Educational programming illustrates ways to move team building through the interdisciplinary continuum. Dependent upon the needs of the community, other similarly integrated partnership models can be developed. Originality/value-Transitions of care work for older people tends to be multi-or cross-disciplinary. A model for interdisciplinary training of gerontological practitioners in rural and frontier settings broadens the scope of care and improves the health of the rural older persons served.

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Aging in rural communities: Older persons’ narratives of relocating in place to maintain rural identity

Cited by 9 publications

References 37 publications

Training and educational programs that support geriatric dental care in rural settings: A scoping review

Training and educational programs that support geriatric dental care in rural settings: A scoping review

Ageing in the Changing Countryside: The Experience of Rural Czechs

Interdisciplinary partnerships for rural older adults’ transitions of care

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