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Feeling Respected as a Person: a Qualitative Analysis of Frail Older People’s Experiences on an Acute Geriatric Ward Practicing a Comprehensive Geriatric Assessment

1
Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden
2
Centre of Aging and Health-AGECAP, University of Gothenburg, 40530 Gothenburg, Sweden
3
Department of Geriatrics, The Sahlgrenska University Hospital, 40530 Gothenburg, Sweden
4
Department of Occupational Therapy and Physiotherapy, The Sahlgrenska University Hospital, 40530 Gothenburg, Sweden
*
Author to whom correspondence should be addressed.
Geriatrics 2019, 4(1), 16; https://doi.org/10.3390/geriatrics4010016
Received: 18 December 2018 / Revised: 18 January 2019 / Accepted: 24 January 2019 / Published: 25 January 2019
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Abstract

Comprehensive geriatric assessment (CGA) practices multidimensional, interdisciplinary, and diagnostic processes as a means to identify care needs, plan care, and improve outcomes of frail older people. Conventional content analysis was used to analyze frail older people’s experiences of receiving CGA. Through a secondary analysis, interviews and transcripts were revisited in an attempt to discover the meaning behind the participants’ implied, ambiguous, and verbalized thoughts that were not illuminated in the primary study. Feeling “respected as a person” is the phenomenon participants described on a CGA acute geriatric ward, achieved by having a reciprocal relationship with the ward staff, enabling their participation in decisions when engaged in communication and understanding. However, when a person was too ill to participate, then care was person-supportive care. CGA, when delivered by staff practicing person-centered care, can keep the frail older person in focus despite them being a patient. If a person-centered care approach does not work because the person is too ill, then person-supportive care is delivered. However, when staff and/or organizational practices do not implement a person-centered care approach, this can hinder patients feeling “respected as a person”. View Full-Text
Keywords: geriatric; frail older people; person-centered care; participation; communication; understanding geriatric; frail older people; person-centered care; participation; communication; understanding
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Westgård, T.; Wilhelmson, K.; Dahlin-Ivanoff, S.; Ottenvall Hammar, I. Feeling Respected as a Person: a Qualitative Analysis of Frail Older People’s Experiences on an Acute Geriatric Ward Practicing a Comprehensive Geriatric Assessment. Geriatrics 2019, 4, 16.

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