Loneliness Among Older Adults Receiving Home Care: A Phenomenological-Hermeneutical Study

Area of Science:

• Gerontology
• Sociology
• Healthcare Studies

Background:

• Norway's aging population faces increased loneliness among older adults living alone and receiving home care.
• Loneliness, a subjective experience of unmet social needs, impacts older adults' emotional well-being, self-worth, and overall health.
• Factors like partner loss, reduced mobility, and decreased social participation exacerbate loneliness in this demographic.

Purpose of the Study:

• To explore the lived experiences of loneliness among older patients receiving home care while living alone.
• To understand the subjective impact of loneliness on the well-being and quality of life of elderly home care recipients.

Main Methods:

• Qualitative study involving in-depth interviews with twelve older patients (aged 74-98).
• Phenomenological-hermeneutical analysis, guided by Lindseth and Norberg's framework, was used for data interpretation.
• Exploration of patient perspectives on loneliness within the context of home care services.

Main Results:

• Participants described loneliness as an overwhelming, painful feeling, characterized by a lack of connection despite physical presence.
• Themes included 'An overwhelming and painful feeling,' 'A presence without connection,' and 'Experiencing a sense of alienation.'
• Poor mobility and shrinking social networks significantly intensified feelings of loneliness for most participants.

Conclusions:

• Effective home care must extend beyond practical and medical support to address the holistic needs of older adults, emphasizing respect and understanding.
• Stable staffing, predictable visits, conversational time, and acts of kindness are crucial for preventing loneliness and enhancing well-being.
• Municipal healthcare services should prioritize relationship-building, communication skills, and flexible organizational structures to support dignified aging and combat loneliness.