Title

Place integration among older persons experiencing barriers in the physical home environment

Start Time

26-10-2007 3:45 PM

End Time

26-10-2007 4:15 PM

Abstract

There is an agreement within occupational therapy, occupational science and environmental gerontology that persons in context should be understood as a continuously transaction of multiple aspects. However empirical studies of such transactions are rare. The concept of place integration has been developed by Cutchin to cover this gap. Place integration can be defined as the actions taken to reintegrate person and place when the place is experienced as problematic. This paper presents an empirical study on aging in place using Cutchin's concept of place integration as an analytic tool. In line with Cutchin's reasoning aging in place can be understood as a process of place integration that is never complete. The amount of older people with functional limitations living in their own home are increasing in many countries as a consequence of the policies of ageing in place and a demographic change towards an ageing population. People ageing in place often experience environmental barriers in their home which has to be handled in order to manage daily life activities. In Sweden home modification services are provided to make it possible for persons with functional limitations to live independently in their home. The aim of this study was to explore the process of place integration mediated by home modification services in four older persons. Data was collected with open ended interviews and observations in the participant’s home environment at repeated occasions. The studied period lasted from before the modification had been installed until there was some stability in the situation that varied from eight to seventeen months. Preliminary findings show that the participants struggled to perform everyday activities in accordance with their values in the continuum of their everyday life. To be able to execute everyday choices was highly valued by all the participants. Further the participants adjusted their actions and expectations to unpredictable events in the service organization. The findings highlights that persons ageing in place are actors in their ongoing spiral of place integration. Furthermore the findings stress the importance of recognizing persons' values to understand human occupation.

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Oct 26th, 3:45 PM Oct 26th, 4:15 PM

Place integration among older persons experiencing barriers in the physical home environment

There is an agreement within occupational therapy, occupational science and environmental gerontology that persons in context should be understood as a continuously transaction of multiple aspects. However empirical studies of such transactions are rare. The concept of place integration has been developed by Cutchin to cover this gap. Place integration can be defined as the actions taken to reintegrate person and place when the place is experienced as problematic. This paper presents an empirical study on aging in place using Cutchin's concept of place integration as an analytic tool. In line with Cutchin's reasoning aging in place can be understood as a process of place integration that is never complete. The amount of older people with functional limitations living in their own home are increasing in many countries as a consequence of the policies of ageing in place and a demographic change towards an ageing population. People ageing in place often experience environmental barriers in their home which has to be handled in order to manage daily life activities. In Sweden home modification services are provided to make it possible for persons with functional limitations to live independently in their home. The aim of this study was to explore the process of place integration mediated by home modification services in four older persons. Data was collected with open ended interviews and observations in the participant’s home environment at repeated occasions. The studied period lasted from before the modification had been installed until there was some stability in the situation that varied from eight to seventeen months. Preliminary findings show that the participants struggled to perform everyday activities in accordance with their values in the continuum of their everyday life. To be able to execute everyday choices was highly valued by all the participants. Further the participants adjusted their actions and expectations to unpredictable events in the service organization. The findings highlights that persons ageing in place are actors in their ongoing spiral of place integration. Furthermore the findings stress the importance of recognizing persons' values to understand human occupation.