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Published on: January 11, 2020
Dementia and Cognitive Impairment in the Farming Community. A Preliminary Qualitative Study of Carers' Perceptions of
Patrick Golemo1, Kerri-Lynn Peachey1, Tony Lower1
1School of Rural Health, Faculty of Medicine and Health, The University of Sydney, Orange, New South Wales (NSW), Australia.
Objective:
To explore the risks and barriers to care of informal carers of farmers living on-farm with dementia and cognitive impairment.
Methods:
Seven individual semi-structured telephone interviews were conducted between June and July 2025. Purposive sampling included carers to discuss their perceptions of caring for people with dementia living on farms.
Design:
Qualitative study, grounded theory with iterative thematic analysis.
Setting:
Rural Australia.
Participants:
Informal carers.
Main Outcomes:
Risks and barriers to care.
Results:
Six themes were noted in the interviews: (1) Geographic isolation; (2) Physical hazards and farm responsibilities; (3) Interpersonal relationship conflict; (4) Inadequate government support; (5) Lack of local healthcare resourcing; and (6) Positive aspects of the farm environment. Participants discussed strategies for care, such as enlisting additional familial support. Some of these themes were unique to the farm context.
Conclusion:
Carers of farmers with dementia highlighted a combination of risks and barriers to care that often interact synergistically with each other, leading to unmet needs for care. Carers highlighted a need for tailored solutions to care in the unique farm context. Integrating the farm environment with accessible assistance off farm appeared to be a strong desire among carers.
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