Caring for Our Elders: Multicultural Experiences with Nursing Home Placement

By Particia J. Kolb | Go to book overview
Save to active project

4
CHANGING HEALTH,
CHANGING RELATIONSHIPS

I took her to the bank and to pay bills as she got older. She had a big, big heart. I'd
leave the job and take her on my lunch hour. There was no one else to do it, and I was
close at hand. I could jump in my car and be there in forty minutes…. It became more
and more…. She asked me to take care of her. It chopped off my life at a point when
I was getting a little older, when I wanted to drop a hook in the water.

—A resident's nephew, four years after his aunt's admission

As LIFE CONTINUED for the residents and their relatives and friends, all of the residents reached a time when they needed assistance because of changes in their physical and/or cognitive functioning. This chapter focuses upon the changes in those relationships when the resident had debilitating conditions that did not result in immediate placement but in the need for assistance with instrumental activities of daily living (IADLs) and/or activities of daily living (ADLs) at home. As indicated in chapter 2, IADLs include household chores, home repairs /maintenance, gardening/lawn care, errands, and transportation, and ADLs are personal care activities, including dressing, bathing, eating, and toileting. The most prevalent diagnoses for the residents at the time that they were admitted to the nursing home were strokes (CVAs) and problems related to cognitive loss, conditions that are most likely to occur as people become older and that can result in chronically impaired functioning (see chapter 1).

The severity of debilitating health conditions and the availability of family, friends, and agency services were critical variables for the residents in their efforts to remain at home. Some experienced long-term changes in their health that affected their lives and the lives of their relatives or friends for many years before they were admitted to a nursing home, and others remained in good health until a few months before admission or until a sudden change mandated admission. Eight of the African American and Jewish residents functioned without assistance with IADLs or ADLs until almost immediately before a hospitalization that preceded admission to the nursing home. All of the Latina/o residents and forty-two of the African American and Jewish residents experienced illnesses that resulted in the need for

-69-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited page

Bookmark this page
Caring for Our Elders: Multicultural Experiences with Nursing Home Placement
Settings

Settings

Typeface
Text size Smaller Larger
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen
/ 192

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?