Acceptable and unacceptable risk: balancing everyday risk by family members of older cognitively impaired adults who live alone.
For individuals providing care for older people the issue of risk is a well-established concern, especially in the context of the older person's declining functional abilities and cognitive skills. Recently in expert discussions of health care, the issue of risk has been subsumed under the discourse...
| Publicado en: | Health, Risk & Society Vol. 15; no. 5; pp. 402 - 416 |
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| Autores principales: | , |
| Formato: | research Journal Article |
| Publicado: |
Taylor & Francis Ltd
Aug2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104212892&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104212892 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13698575 35X jtl: Health, Risk & Society issn: 13698575 maglogo: N pubinfo: dt: Aug2013 vid: 15 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 104212892 89866679 10.1080/13698575.2013.801936 104212892 ppf: 402 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Acceptable and unacceptable risk: balancing everyday risk by family members of older cognitively impaired adults who live alone. aug: au: Cott, Cheryl A. Tierney, Mary C. affil: Department of Physical Therapy , University of Toronto , Ontario , Toronto , Canada sug: subj: Cognition Disorders In Old Age Home Environment Attitude to Risk Family Attitudes Human Ontario Aged Grounded Theory Semi-Structured Interview Qualitative Studies Scales Male Female Self Care Psychological Tests Severity of Illness Aged: 65+ years Male Female ab: For individuals providing care for older people the issue of risk is a well-established concern, especially in the context of the older person's declining functional abilities and cognitive skills. Recently in expert discussions of health care, the issue of risk has been subsumed under the discourse of patient safety with the assumption that risk is intrinsic to certain situations and therefore can be measured by professionals and ultimately prevented. Less attention has been paid to the risk perceptions of older persons and their families and friends. We undertook the study on which this article is based in Toronto, Ontario, Canada between 2005 and 2007. We used grounded theory to identify the process whereby family and friends recognise and balance risk of older persons with cognitive impairment who live alone. Twenty pairs of older adults with cognitive impairment and their primary family members or friends were interviewed using in-depth, semi-structured interviews. The model of acceptable and unacceptable risk began with family members' perceptions that the older person was living with an acceptable level of risk, but then noticing red flags that eventually led to the perception of unacceptable risk. They employed risk-balancing strategies such as making changes in the physical environment, increasing surveillance, becoming more involved in the older person's care or redefining their definitions of acceptable risk in order to return the perceived risk to an acceptable level. Meanings of risk were constantly redefined as new situations arose and risk-balancing strategies were implemented. Throughout family members constantly balanced the risks of physical harm with the risks of undermining the older person's independence and self-esteem. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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