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The process and consequences of institutionalizing an elder

C Dellasega1, K Mastrian

  • 1School of Nursing, Pennsylvania State University, University Park, USA.

Western Journal of Nursing Research
|April 1, 1995
PubMed
Summary

Placing an elderly relative in long-term care conflicted with caregivers' self-image. Peer validation was helpful, while professional advice was often inadequate, making the decision feel personal.

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Area of Science:

  • Gerontology
  • Sociology
  • Family Studies

Background:

  • Family caregivers often experience role conflict when placing elderly relatives in long-term care facilities.
  • The decision-making process for nursing home placement is complex and emotionally charged for families.

Purpose of the Study:

  • To examine the decision-making process for placing an elderly loved one in a long-term care facility.
  • To explore the immediate consequences of this placement decision for family members.

Main Methods:

  • Qualitative study utilizing in-depth interviews with 7 family members who recently placed an elderly relative.
  • Content analysis of interview transcripts to identify common themes.

Main Results:

  • Caregivers' self-perception as ideal caregivers conflicted with nursing home placement.
  • Professional advice was often perceived as inadequate or detrimental.
  • The decision was predominantly an individual (
  • I
  • ) rather than a collective (
  • we
  • ) process.
  • Peer validation emerged as a significant helpful factor during and after placement.

Conclusions:

  • Nursing home placement decisions are deeply personal and can conflict with caregiver identity.
  • The support systems and advice structures surrounding family caregivers require re-evaluation.
  • Informal social support, particularly peer validation, plays a crucial role in navigating this difficult transition.

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