Two lives in transition: Agency and context for assisted living residents

Morgan, Leslie A.; Eckert, Jochen; Piggee, Tommy; Frankowski, Ann Christine

doi:10.1016/j.jaging.2005.07.004

Cited by 28 publications

(29 citation statements)

References 16 publications

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“…Additionally, a number of factors may influence a new resident's ability to adapt to this new environment. Moving into an assisted living facility also has implications for an individual's sense of personal agency because residents' identities may become delimited to their functionality or health status, such as being identified as a wanderer (Morgan, Eckert, Piggee, & Frankowski, 2006).…”

mentioning

confidence: 99%

Exploring “Home” Through Residents’ Lenses: Assisted Living Facility Residents Identify Homelike Characteristics Using Photovoice

Lewinson

Robinson-Dooley

Grant

2012

Journal of Gerontological Social Work

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An increasing number of older adults are moving into assisted living facilities when living independently becomes difficult. These facilities afford older adults a home-like environment with opportunities for social activity and a minimal level of professional care, although relocation can negatively impact well-being. Because it is important to study home environments of aging adults, 10 residents of an assisted living facility were engaged in Photovoice to explore perceptions of the facility as home. Through photographic expression, residents identified environment enhancements for home at an assisted living facility. Findings of this study have implications for program planning at long-term care facilities.

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mentioning

confidence: 99%

Exploring “Home” Through Residents’ Lenses: Assisted Living Facility Residents Identify Homelike Characteristics Using Photovoice

Lewinson

Robinson-Dooley

Grant

2012

Journal of Gerontological Social Work

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“…The purpose of the larger study was to determine how resident and staff experiences in assisted living differ from other residential settings, and to identify whether assisted living is successful in maintaining autonomyindependence, privacy, and quality of life for older adults. Autonomy is one of the most important themes in recent qualitative and quantitative research on ALFs (Carder 2002;Morgan et al 2006;Moss and Moss 2007;Sikorska-Simmons 2006).…”

Section: Methods and Settingsmentioning

confidence: 99%

“…With adequate human subjects protections in place, however, interviewing institutionalized populations may provide important information about the institutional experience (Adler and Adler 2002). Residents of ALFs may or may not be autonomous and independent enough to be able to choose to be interviewed (see also Carder 2002;Morgan et al 2006). The residents interviewed for this study were competent to provide consent and volunteered to do so.…”

Section: Interviewing the Elderly In Assisted Living Facilitiesmentioning

confidence: 99%

Interviewing Elderly Residents in Assisted Living

Warren

Williams

2008

Qual Sociol

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The interpretation of interview data requires an understanding of its context. In this study, the context was Assisted Living (AL). Twenty-one interviews were conducted with elderly residents of 4 Midwestern Assisted Living Facilities (ALFs). Institutional fear and loneliness associated with ALF living framed residents' interpretation of and responses to the interview questions. Residents feared transfer to a nursing home, and they experienced the loneliness of being cut off from their homes and put into the care of busy staff members. Their framing of and responses to questions (both qualitative and quantitative) reflected this context, and included the invocation of impairments, the reluctance to criticize staff, and the refusal to complain about the ALF or their present situation.

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“…June Turner, our protagonist, was exceptionally lucid and candid with us in recounting her earlier life and her ongoing efforts to maintain autonomy and agency at Lake Home (Morgan et al, 2006 ). In articulating the more general process of resisting and accommodating daily constraints, June became, for us, what Morgan et al (2006) term a "focal case."…”

Section: The Research Setting Problem and Approachmentioning

confidence: 97%

“…Other researchers, whom we follow, have used qualitative data to explore the subjective process of adaptation. Morgan et al (2006) have analyzed ethnographic and narrative data to reveal how the expression of personal choice and agency in RC/AL is shaped by residents' particular biographies, including their social networks, events that precipitated moving from home and community, and earlier constraints on autonomy prior to entry into RC/AL. This argument echoes Gubrium's narrative study (1993), in which he found the meaning of nursing home residency to be highly variable and contingent, shaped by older adults' routines, roles, relationships, and health trajectories before entering nursing care.…”

mentioning

confidence: 99%

June’s Troubled Transition: Adjustment to Residential Care for Older Adults With Dementia

Jaffe

Wellin²

2008

Care Management Journals

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In research on dementia care and housing transitions, only rarely are residents themselves present as active informants. This is a costly omission, inasmuch as manifestations of dementia, perceptions of care settings, and residents' experience of such transitions are both complex and highly variable. In this article, drawn from a larger study of the social organization of care in residential care/assisted living (RC/AL), we develop a detailed, ethnographic narrative that combines first-person reflections by, and observational data on, a single resident--a focal case. The account suggests that for older adults with mild to moderate dementia, awareness of serious impairment among coresidents can be both distressing and stigmatizing. We further argue that assumptions about and attributions of dementia by staff members, compounded by immediate demands of caregiving, may create a self-fulfilling prophecy resulting in residents' resistance and withdrawal. The case also suggests that, to the extent this interactional dynamic is present, distinctive goals in RC/AL, such as enhanced self-determination among residents, are undermined.

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Two lives in transition: Agency and context for assisted living residents

Cited by 28 publications

References 16 publications

Exploring “Home” Through Residents’ Lenses: Assisted Living Facility Residents Identify Homelike Characteristics Using Photovoice

Exploring “Home” Through Residents’ Lenses: Assisted Living Facility Residents Identify Homelike Characteristics Using Photovoice

Interviewing Elderly Residents in Assisted Living

June’s Troubled Transition: Adjustment to Residential Care for Older Adults With Dementia

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