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Receiving physical assistance as a dependent older person – the meanings of experiences Passed

Tuesday May 14, 2024 16:30 - 16:42 G4

Moderator: Anna-Karin Edberg
Presenter: Pirkko Tolmunen

Track: People of old age

When a person gets old, frail and dependent, physical assistance is usually needed with daily life activities. Assisting older patients physically can be seen as the fundamental nursing care. For nurses, it is important to understand what physical assistance moments mean to older patients to be able to offer Person-Centred Care. The aim of the study is to describe and understand older patients’ perspective of receiving physical assistance with their daily life activities. The research question of the present study is: What are the meanings of older patients’ experiences about physical assistance moments? A cross-sectional qualitative study design was used with a targeted selection of older patients who were in rehabilitative hospital care. Face to face semi structured interviews were conducted with 16 older patients in southern Finland. They were 67-96 years old and needed various degrees of physical assistance. The interviews were recorded and transcribed verbatim. The narratives describing physical assistance moments were selected from the interviews and after that the narratives were analysed inductively with means of narrative analysis. Five different meanings of experiences were found in the participants’ narratives about physical assistance moments: Trust in the care one is exposed to, Being at the mercy of others, Receiving nurturing care and Feeling desolated. Older patients seemed to find a sense of contentment mainly from the provision of tailored and timely physical assistance and by the respect afforded to them by their nurses. How nurses encounter and communicate while performing physical assistance is therefore utterly important. Physical assistance that nurses give to older patients is not only a physical deed, but need to be founded in a deeper understanding and contemplating about older patients’ life worlds, nurses’ own behaviour, ethical issues and what creates trust and hope for dependent older patients. Keywords: Older patients, physical assistance, narrative 

Language

English

Seminar type

Pre-recorded + On-site

Lecture type

Orals

Conference

GCPCC

Authors

Pirkko Tolmunen, Kristina Lämås, Lisbeth Fagerström, Heli Vaartio-Rajalin

Lecturers

Profile image for Anna-Karin Edberg

Anna-Karin Edberg Moderator

Professor
Kristianstad University

I work as a Professor in Nursing at Kristianstad University and am the Director of Postgraduate Education in Personcentredness for Health and Wellbeing. My research field mainly concerns care of older people, personcentredness, existential lonelines and palliative care.

Pirkko Tolmunen Presenter

Doktorand/PhD student
Åbo Akademi University

I am R.N., M.Sc, and doctoral student in Åbo Akademi University in Finland. Further, I am an Anthroposophic Nurse Specialist and Eurythmy Therapist. My research area is physical assistance (PA) as part of nursing care especially in older person care context. For example the following questions have arosen about this phenomenon: What giving and receiving PA means to nurses and dependent (older) patients? What kind of PA is Person-Centred Care? is PA nurses' and assistants/practical nurses' assignment area or not? Why is understanding body, embodyment, and intercorporeality important for nurses?