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Related Experiment Video

Updated: Aug 23, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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What Makes Dependency on Homecare Bearable? A Phenomenological Study.

Bente Martinsen1, Annelise Norlyk1, Astrid Gramstad2

  • 1Department of Public Health, Research Unit for Nursing and Healthcare, Aarhus University, Aarhus, Denmark.

Western Journal of Nursing Research
|November 5, 2022
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Summary

Older adults can find meaning in homecare dependency through acceptance, independence, negotiation, and gratitude. Respectful, individualized care is crucial for well-being and dignity in aging.

Keywords:
care dependencyhomecareinterviewsphenomenology

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Area of Science:

  • Gerontology
  • Sociology
  • Phenomenology

Background:

  • Homecare dependency represents a significant life transition for older adults.
  • Adapting to homecare involves complex existential challenges.

Purpose of the Study:

  • To explore the existential aspects of homecare dependency in older age.
  • To identify factors that make dependency on homecare more bearable.

Main Methods:

  • Phenomenological approach utilized.
  • Semi-structured interviews conducted with 15 older adults in Denmark and Norway.
  • Analysis employed Max van Manen's "Phenomenology of practice".

Main Results:

  • Four emergent themes: acceptance of the situation, maintaining independence, negotiating for quality care, and gratitude towards caregivers.
  • Dependency can be eased by fostering autonomy and positive caregiver relationships.
  • Individualized and respectful homecare is essential.

Conclusions:

  • Homecare dependency necessitates a focus on the older adult's existential experience.
  • Care practices should empower older adults and mitigate feelings of subordination.
  • Further research into supportive homecare models is warranted.