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Exploring the meaning of quality of life for assisted living residents: A photo-elicitation study
Institution:1. Department of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing Institute of Geriatrics, No. 45 Changchun Street, Beijing 100053, China;2. National Clinical Research Center for Geriatric Disorders, Beijing, China;3. Key Laboratory for Neurodegenerative Disease of the Ministry of Education, Beijing Key Laboratory for Parkinson''s Disease, Parkinson Disease Center of Beijing Institute for Brain Disorders, Beijing, China;4. Clinical Center for Parkinson''s Disease, Capital Medical University, Beijing, China;5. Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China;1. Duquesne University, Pittsburgh, PA 15282, USA;2. University of Illinois at Chicago, Chicago, IL, USA;1. The Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill;2. School of Social Work, University of North Carolina at Chapel Hill;3. Gillings School of Global Public Health, University of North Carolina at Chapel Hill;4. Department of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill;1. Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Fukuoka Japan;2. Konan Women''s University, School of Nursing and Rehabilitation, 6-2-23, Morikita-machi, Higashinada-ku, Kobe, Hyogo, Japan.;3. Clinic of Tsuruta Orthopedic Surgery, 1241-6 Katsu Ushizumachi, Saga, Japan;4. Division of Nursing, Saga University, 5-1-1 Nabeshima Saga, Japan;5. Orthopaedic Surgery, Saga University, 5-1-1 Nabeshima Saga, Japan;1. Vanderbilt University School of Nursing (VUSN), 461 21st Ave. South, Godchaux Hall 420, Nashville 37240, TN, United States;2. Vanderbilt University Medical Center (VUMC), Nashville, TN, United States
Abstract:Assisted living is a popular alternative to residential care, promoting independence and enabling self-care through a supportive living environment. Practitioner understanding of quality of life (QoL) experiences are vital to facilitate good physical and mental health in assisted living. An idiographic case study approach explored resident experiences by combining photo-elicitation and interpretive phenomenological analysis. QoL was understood through three themes: facilitation of identity coherence and transition, the essential nature of socialising, and perceptions of a supportive environment. Assisted living has the potential to act as a bearer for cues of identity continuity with nostalgic devices facilitating environment transition and limiting biographical disruption. Furthermore, opportunities for social contact offer a protective function for residents adapting to negative life challenges such as bereavement. To foster health and QoL in withdrawn residents’ facilities should develop peer support programmes with benefits for both mentor and mentee.
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