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An ethnographic study of stigma and ageism in residential care or assisted living
Author(s)Debra Dobbs, J Kevin Eckert, Bob Rubinstein
Journal titleThe Gerontologist, vol 48, no 4, August 2008
Pagespp 517-526
Sourcehttp://www.geron.org
KeywordsAgeism ; Care homes ; Nursing homes ; Dementia ; Qualitative Studies ; United States of America.
AnnotationEthnography and other qualitative data-gathering and analytical techniques were used to gather data from 309 participants (residents, family and staff) from 6 residential care or assisted living (RC-AL) settings in Maryland. Data were analysed using grounded theory techniques for emergent themes. Four themes emerged that related to stigma in RC-AL: ageism in long-term care; stigma as related to disease and illness; sociocultural aspects of stigma; and RC-AL as a stigmatising setting. Some strategies used in RC-AL settings to combat stigma include family member advocacy on behalf of stigmatised residents, assertion of resident autonomy, and administrator awareness of potential stigmatisation. Findings suggest that changes could be made to the structure as well as the process of care delivery to minimise the occurrence of stigma in RC-AL settings. Structural changes include an examination of how best, given the resident case mix, to accommodate care for people with dementia (e.g. separate units or integrated care). Processes of care include staff recognition of resident preferences and strengths, rather than their limitations. (RH).
Accession NumberCPA-080929205 A
ClassmarkB:TOB: KW: LHB: EA: 3DP: 7T

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