COMMUNITY CONTINUING CARE FOR OLDER PEOPLE: ETHNOGRAPHY RESEARCH
Keywords:
Older people, continuing care, community nurses, critical ethnographyAbstract
Many countries, including Thailand, are entering an aging society. Older people have various problems and needs that affect their health in terms of social, economic, environmental, and medical aspects. Critical ethnography was employed herein to understand the community’s continuing care for older people. This study was conducted with the key informants being 59 older people and caregivers and 41 related people. Participant observation, in-depth interviews, and focus group discussions were used to collect the data. Content analysis was employed to analyze the data. The results showed that there were 6 dimensions of continuing care in the community for older people: 1) Potential development, 2) Improvement of a suitable environment for the older people, 3) Development of the service system, 4) Establishment of funds or welfare, 5) Development of information for problem solving, and 6) Development of rules and regulations to support the implementation. Moreover, it was found that the activities of the community’s continuing care for older people affected 7 groups of older people: 1) older people in general, 2)the home-bound older people, 3)the bed-bound older people, 4) older people with disabilities, 5) older people who were abandoned or living alone, 6) older people with chronic illnesses, and 7) people who were preparing to become older people. The activities covered 5 aspects: 1) social, 2) economic, 3) environmental, 4) health care, and 5) political which can all be the guidelines for community nurses and multidisciplinary teams in providing continuing care for older people to improve their quality of life.
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