Managing decline in assisted living: The key to aging in place
Managing decline in assisted living: The key to aging in place
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DOI：
10.1093/geronb/59.4.s202
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发表时间：
2004-07-01
影响因子：
6.2
通讯作者：
Combs, BL
中科院分区：
文献类型：
--
作者：
Ball, MM;Perkins, MM;Combs, BL
目标.本研究调查的过程中，老年人在辅助生活设施（ALFs），并寻求获得深入了解的影响因素，这种现象在各种ALF contexts. Methods。采用定性方法对5个ALF进行为期1年的研究。数据收集方法包括参与者观察;对提供者、居民和居民家庭进行非正式和深入的访谈;以及审查居民和设施记录。采用扎根理论方法进行分析。居民保持辅助生活的能力主要是居民和设施管理下降的能力之间的“适合”的功能。多个社区，设施和居民因素影响的能力，管理下降，和居民设施的配合是艺术的结果和下降管理过程的影响。居民和设施的风险也是一个干预因素和下降管理的后果。调查结果指出，在ALFs和设施，居民和家庭的协调努力，在居民下降的管理需要老化的复杂性。调查结果进一步强调了居民充分了解自己的需求和设施满足这些需求的能力的必要性。
Objectives. This study investigates the process of aging in place in assisted living facilities (ALFs) and seeks to gain an in-depth understanding of the factors influencing this phenomenon in a variety of ALF contexts.Methods. Qualitative methods were used to study five ALFs for 1 year. Data collection methods included participant observation; informal and in-depth interviewing of providers, residents, and residents' families; and review of resident and facility records. Analysis was conducted using the grounded theory approach.Results. The ability of residents to remain in assisted living was principally a function of the "fit" between the capacity of both residents and facilities to manage decline. Multiple community, facility, and resident factors influenced the capacity to manage decline, and resident-facility fit was both art outcome and an influence on the decline management process. Resident and facility risk also was an intervening factor and a consequence of decline management.Discussion. Findings point out the complexity of aging in place in ALFs and the need for a coordinated effort by facilities, residents, and families in the management of resident decline. Findings further highlight the necessity of residents being well informed about both their own needs and the capacity of a facility to meet them.