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Factors related to care pattern in Swedish oldest old
Jönköping University, School of Health Science, HHJ, Institute of Gerontology.
(English)Manuscript (Other academic)
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-1433OAI: oai:DiVA.org:hj-1433DiVA: diva2:3459
Available from: 2007-11-09 Created: 2014-08-04 Last updated: 2010-01-13Bibliographically approved
In thesis
1. Care Trajectories in the Oldest Old
Open this publication in new window or tab >>Care Trajectories in the Oldest Old
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis demonstrates relations among health, social network, ADL and patterns of care in the oldest old guided by a resource theoretical model.

The analyzed data are based on two studies: the Nona study, a longitudinal study of 157 individuals aged 86 to 94 years, and the H70 study, a longitudinal study of 964 individuals aged 70 at baseline. Data were collected by interviews and to some extent in the H70 study, medical exams and medical records.

The results demonstrate that perceived resources seem to affect patterns of care to a higher extent than the more objective resources in the sample of the oldest old. On the other hand, sociodemographic variables such as gender, marital status and SES, in addition to the more objective resources of having children nearby and the number of symptoms of illness predicted institutionalization during a subsequent 30-year period from the age of 70. The proportion of elderly persons’ institutionalization was further significantly higher than that generally found in cross-sectional studies. ADL was one of the strongest predictors for both use of formal care and institutionalization in both samples, indicating an effective targeting of the formal care system in Sweden. The care at end of life in the oldest old is challenged by the problems with progressive declines in ADL and health, which makes it hard to fit in the dying oldest old in the palliative care system. There is a need to increase the knowledge and the possibility for care staff to support and encourage social network factors and for decision-making staff to consider factors beyond ADL.

Place, publisher, year, edition, pages
Jönköping: Hälsohögskolan, 2007. 97 p.
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 3
Keyword
Oldest-old, Health, Social network, ADL, Care, Institutionalization, End-of-life
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-1027 (URN)978-91-85835-02-7 (ISBN)
Public defence
2007-11-29, Kurt Johanssonaulan, Hälsohögskolan i Jönköping, 10:00 (English)
Opponent
Supervisors
Available from: 2007-11-09 Created: 2007-11-09 Last updated: 2011-10-24Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf