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Updated: Oct 26, 2025
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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
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Older Adults' Goals and Expectations When Using Long-Term Services and Supports
Jasmine L Travers1, Karen B Hirschman2, Mary D Naylor2
1New York University, New York City, USA.
Summary
Older adults receiving long-term services and supports (LTSS) desire to maintain function, health, independence, and quality of life. Key goals include optimizing circumstances, achieving purpose, and feeling secure while aging well.
Area of Science:
- Gerontology
- Health Services Research
- Sociology of Aging
Background:
- Research on aging well often overlooks the specific goals and expectations of older adults utilizing long-term services and supports (LTSS).
- Understanding these perspectives is crucial for aligning services with individual needs and promoting successful aging.
Purpose of the Study:
- To explore and define the goals and expectations of older adults newly receiving LTSS.
- To provide qualitative insights into the lived experiences of individuals navigating long-term care.
Main Methods:
- Interviewer-guided surveys were conducted with 464 older adults newly receiving LTSS.
- Participants were from home and community-based, assisted living, and nursing home settings across Philadelphia, New Jersey, and New York.
Main Results:
- Twelve subthemes emerged regarding LTSS goals: maintaining function, optimizing health, preserving status quo, transitioning, achieving independence, preserving cognitive and psychosocial health, finding purpose, increasing quality of life, receiving social support, increasing engagement, relieving burden, and ensuring security/safety.
- These findings highlight a multifaceted approach to aging well, encompassing physical, mental, social, and emotional well-being.
Conclusions:
- The study provides essential context for understanding LTSS utilization among older adults.
- Aligning LTSS with these diverse goals can enhance the experience of aging well and improve overall outcomes for recipients.
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