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Spousal Caregiving in the Institutional Setting: Task Performance

Published online by Cambridge University Press:  29 November 2010

Margaret M. Ross ,
Carolyn J. Rosenthal  and
Pamela G. Dawson
Margaret M. Ross
Affiliation:
University of Ottawa
Carolyn J. Rosenthal
Affiliation:
McMaster University
Pamela G. Dawson
Affiliation:
University of Toronto
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Abstract

The purpose of this study was to investigate the phenomenon of spousal caregiving following the institutionalization of elderly husbands. Theoretically, the study was informed by the interpretive perspective in sociology and the concept of career. Methodologically, the study employed a longitudinal and prospective design and combined quantitative and qualitative approaches. The data were drawn from a larger study designed to explore the transition to quasi-widowhood. This article reports on one aspect of spousal caregiving following the admission of husbands to a long term care setting, i.e. the performance of tasks. In this study, wives carried out a substantial number and wide variety of tasks related to personal, instrumental, relational and recreational care. They viewed visiting as their most important task but also highly valued providing companionship, love and support, doing little things for their husbands and monitoring their health and well-being. Typically, wives carried out tasks they viewed as falling within their domain of responsibility. Task performance occurred within a context of meaning that served to explain, in part, their continued involvement in caregiving following the admission of husbands to a long term care setting. Implications of this study point to the need for collaboration in caregiving between wives and staff, to support and enhance the quality of care provided by elderly wives who are coping with the institutionalization of their husbands.

Résumé

Cette étude examine le phénomène des soins donnés par l'épouse à la suite du placement en établissement de son conjoint âgé. En théorie, l'étude puise dans la perspective d'interprétation sociologique et dans le concept de carriére. Son aspect méthodologique repose sur un cadre longitudinal et prospectif et réunit les approches quantitatives et qualitatives. Les données sont tirées d'une etude plus vaste qui explorait la transition vers un état de quasi-veuvage. L'article traite d'un aspect des soins suivant l'admission de l'époux en centre de soins à long terme, soit de l'accomplissement des tâches. Aux termes de l'etude, les épouses effectuent un nombre substantiel et varié de tâches reliées aux soins personnels, instrumentaux, relationnels et récréatifs. Elles considêrent les visites comme la plus importante de leur tâche mais accordent également une valeur importante à la présence, á l'amour et à l'appui, aux petites choses qu'elles font pour leur mari et à la surveillance de leur santé et de leur bien-être. Généralement, elles exécutent des tâches qu'elles jugent du ressort de leurs responsabilités. La réalisation des tâches se place dans un contexte servant à expliquer, en partie, leur engagement continu dans la fourniture des soins apràs l'admission de leur époux en établissement de soins de longue durée. La portée de cette étude souligne le besoin de collaboration entre les épouses soignantes et le personnel dans une perspective de maintien et d'augmentation de la qualityé des soins accorded par les épouses aînées dont le conjoint est placé en établissement.

Keywords

Spousal CaregivingInstitutionalizationTask PerformanceSoins au conjointplacement en établissementexécution des tâches
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 16 , Issue 1 , Printemps/Spring 1997 , pp. 51 - 69
Copyright
Copyright © Canadian Association on Gerontology 1997

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References

Bennett, C. (1980). Nursing homes: What is and what it could be. New York: Tiresias.Google Scholar
Berg, B.L. (1989). Qualitative Research Methods for the Social Sciences. Toronto: Allyn & Bacan.Google Scholar
Blumer, H. (1969). Symbolic interactionism: Perspective and method. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
Bowers, B. (1988). Family perceptions of care in a nursing home. The Gerontologist, 28(3), 361–368.CrossRefGoogle ScholarPubMed
Brody, E., Dempsey, N., & Pruchno, R. (1990). Mental health of sons and daughters of the institutionalized aged. The Gerontologist, 30, 212–219.CrossRefGoogle ScholarPubMed
Cohen, C., Gold, D., Shulman, K., Wortley, J., McDonald, G., & Wargon, M. (1993). Factors determining the decision to institutionalize dementing individuals: A prospective study. The Gerontologist, 33(6), 714–720.CrossRefGoogle ScholarPubMed
Dobrof, R. (1981). Guide to practice. In Dobrof, R. & Litwak, E. (Eds.), Maintenance of the family ties of long term patients: Theory and practice. Washington, DC: Government Printing Office, DHHS Publication Number (ADM) 81–400.Google Scholar
Driedger, L., & Chappell, N. (1987). Aging and Ethnicity: Toward An Interface. Toronto: Butterworths.Google Scholar
Duncan, M., & Morgan, D. (1994). Sharing the caring: Family caregivers' views of their relationships with nursing home staff. The Gerontologist, 34(2), 235–245.CrossRefGoogle ScholarPubMed
Fengler, A., & Goodrich, N. (1979). Wives of elderly disabled men: The hidden patients. The Gerontologist, 19(2), 175–183.CrossRefGoogle ScholarPubMed
Gerber, L. (1983). Ethnicity still matters. Socio-demographic profiles of the ethnic elderly in Ontario. Canadian Ethnic Studies, 15, 60–80.Google Scholar
Glaser, B., & Strauss, A. (1965). Awareness of Dying. Chicago: Aldine.Google Scholar
Greenfield, W. (1984). Disruption and reintegration: Dealing with familial response to nursing home placement. Journal of Gerontological Social Work, 8, 15–21.CrossRefGoogle Scholar
Hess, B., ↦ Soldo, B. (1985). Husband and wife networks. In Sauer, W. & Coward, R., Social Support Networks. New York: Springer.Google Scholar
Hughes, E.C. (1971). Cycles, turning points and careers. In Hughes, E.C. (Ed.), The Sociological Eye. New York: Aldine Atherton.Google Scholar
Johnson, C. (1985). State regulation of long term care: A decade of experience with intermediate sanctions. Law, Medicine, and Health Care, 13(4), 173–188.CrossRefGoogle ScholarPubMed
Johnson, C., & Catalano, D. (1981). Childless elderly and their family support. The Gerontologist, 21, 610–618.CrossRefGoogle Scholar
Lewis, J., & Meredith, B. (1988). Daughters caring for mothers: The experience of caring and its implications for professional helpers. Aging and Society, 8, 1–21.CrossRefGoogle Scholar
Lieberman, M., & Kramer, J. (1991). Factors affecting decisions to institutionalize the demented elderly. The Gerontologist, 31(3), 371–374.CrossRefGoogle ScholarPubMed
Litwak, E. (1981). Theoretical bases for practice. In Dobrof, R. & Litwak, E. (Eds.), Maintenance of family ties of long term care patients: Theory and guide to practice. Department of Health and Human Services, Publication No. (ADM)81–400. Washington, DC: United States Government Printing Office.Google Scholar
Manis, J., & Meltzer, B. (1978). Symbolic interaction (3rd ed.). Boston: Allyn and Unwin.Google Scholar
Marshall, V.W. (1979). No exit: A symbolic interactionist perspective on aging. International Journal of Aging and Human Development, 9(4), 345–358.CrossRefGoogle Scholar
Marshall, V.W. (1980). Last Chapters: A Sociology of Aging and Dying. Monterey, CA: Brooks Cole.Google Scholar
Montgomery, J., & Kosloski, K. (1994). A longitudinal analysis of nursing home placement for dependent elders cared for by spouses versus adult children. Journal of Gerontology, 49(2), S62–S64.CrossRefGoogle Scholar
Ontario Ministry of Citizenship and Culture. (1981). Mother tongue atlas of metropolitan Toronto (Vol. 2). Toronto: Ontario Ministry of Citizenship and Culture.Google Scholar
Powell, L., & Courtrice, K. (1983). Alzheimer's disease: A guide for families. Reading, MA: Addison-Wesley.Google Scholar
Rosenthal, C.J., & Dawson, P. (1991). Wives of institutionalized elderly men: The first stage in the transition to quasi-widowhood. Journal of Aging and Health, 315–334.CrossRefGoogle Scholar
Rosenthal, C., Marshall, V., & Sulman, J. (1993). Depressive symptoms in family caregivers of long-stay patients. The Gerontologist, 33(2), 249–257.CrossRefGoogle ScholarPubMed
Ross, M. (1991). Spousal caregiving in later life: An objective and subjective career. Health Care for Women International, 12, 123–135.CrossRefGoogle ScholarPubMed
Rubin, A., & Shuttlesworth, G. (1983). Engaging families as support resources in nursing home care: Ambiguity in the subdivision of tasks. The Gerontologist, 23(6), 632–636.CrossRefGoogle ScholarPubMed
Rubinstein, R. (1990). Themes in the meaning of caregiving. Journal of Aging Studies, 3(2), 119–138.CrossRefGoogle Scholar
Schwartz, A., & Vogel, M. (1990). Nursing home staff and residents' families role expectations. The Gerontologist, 30(1), 49–53.CrossRefGoogle ScholarPubMed
Sharp, T. (1990). Relatives' involvement in caring for the elderly mentally ill following long-term hospitalization. Journal of Advanced Nursing, 15, 67–73.Google ScholarPubMed
Shuttlesworth, G., Rubin, A., & Duffy, M. (1982). Families versus institutions: Incongruent role expectations in the nursing home. The Gerontologist, 22(2), 200–208.CrossRefGoogle ScholarPubMed
Statistics Canada, (1987). Family Income: Census Families. Ottawa: Ministry of Supply and Services.Google Scholar
Zarit, S., & Whitlatch, C. (1993). Institutional placement: Phases of transition. The Gerontologist, 32(5), 665–672.CrossRefGoogle Scholar