Interview with an Older Adult: Community Health Concerns
Taylor Wolf
Oklahoma State University
Abstract
The focus of this paper is to provide a better understanding of an older adult’s community health concerns. For the purpose of this assignment I will be changing my participants name to Sally in order to protect her privacy. The construction of this interview was intended to be as informal as possible. The interview took place in small coffee shop called “The Coffee House” located Tulsa, Oklahoma. The interview was at a small coffee shop because the participant was familiar with it. My hope was that these familiarities would make the participant feel more relaxed about the interview process. The
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She said one time she had severe arthritis in her toe and younger boyfriend had to roll her around the art exhibit. She said it was terrible and hated the feeling of everyone looking at her in a wheel chair, she felt like she was being judged. It was the only time she had felt uncomfortable about her age was when she was in a wheelchair. When I asked her about mental state within her community she talked about how it was not really a big issue from what she could see and said “but of course mental health is hidden.” She claimed that has experienced little negativity towards her about her age or from what she can recall except for the time she had arthritis in her toe. I expected her to have a great deal of negativity causing shame and stigma; this was not the case with Sally. I thought there would be prejudgment and generalizations from others when she goes places because of her age. Sally has built strong connections for the many years that she has been living in Tulsa, Oklahoma and has been involved in communities that are very accepting of her which could be a reason why she has not experienced a lot of negativity about her age. In the interview she told me that she thinks most people probably know someone or have someone close to them that is older so they might even respect her
On the night of Saturday, February 1, 2014, I sat down with my grandfather, David Latta, to conduct an interview with him. He currently lives in Clarkston, Michigan, in the newly refurbished basement in my mother's house, along with my step-father, sister, and her son. One could say that my mother's household is quite the crowded nest, with four generation living under one roof. The perspective my grandfather obtains from living in such an atmosphere, is not only something I kept in mind while conducting this interview, but something that guided my questions.
Medcohealth. Women and Aging: Our lives due change (2002). Retrieved November 18, 2002 from the World Wide Web: http://www.medcohealth.com
The older person that I interviewed was my great-grandfather, Kay Wilson. He is eighty-three years old and is currently retired, living at home. Wilson was born on February 27, 1934 and raised in Sylacauga, AL by his mother. His father was not active in his life, but his grandparents were his main caretakers growing up.
To deal with the issue of an aging population, an awareness campaign about the health issues that commonly affect aged people should be run by the government and non-governmental agencies. In addition, awareness should be created among the young to accommodate the elderly; at home as well as at work places...
In the early 1940’s Marie was born into a small tight knit family living in a small rural Kentucky town. Marie is now in her seventies and has led a very interesting life traveling the country, raising four children, and shaping her chosen profession. Our interview sessions were conducted over a period of time, as Marie is very active and has little “free time” to spare.
The focus of this paper is to compare and contrast a well elder and a frail elder while using Occupational Therapy Practice Framework language. For this assignment I chose to conduct a semi structured interview using the Canadian Occupational performance Measure (COPM) to gather information about my chosen elders perceived problems and priorities. For this assignment I will be using pseudonyms in order to protect the privacy of both individuals.
Touhy, T. A., & Jett, K. (2012). Toward healthy aging: Human needs & nursing response (8th ed.). St. Louis, MO: Elsevier/Mosby.
Mrs. Maxine represents my archetypal view of the healthy "seasoned citizen." Maxine is a Caucasian female born in rural, Mullens, West Virginia in 1926. She is the only child of a Southern Baptist, "middle class" family. Joseph Hammond, her father, was a farmer. Her mother, Ruby, was a "full-time parent" and prided herself on "running the house." Maxine explained that farmers wife's were routinely responsible for the day-to-day operations of the household. Her Southern Baptist faith was complements of her parents and minister grandfather.
Miller, Carol A. (2012). Nursing for Wellness in Older Adults. (sixth edition). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins.
An interview was arranged with an older adult to discuss issues related to aging. The interview was designed to gain appreciation and understanding of an older adult. One theory of aging came into mind when I thought about this topic. Erik Erikson Life-Course and Personality Development theory, “Erikson described the task of old age as balancing the search for integrity and wholeness with a sense of despair.” NS is the older adult that I conducted the interview with. I’ve decided to pick NS to interview because she is very positive about life and her age. Everything that I have come across about aging is negative such as depression, isolation, and illness.
The older adult interviewed for the purpose of this assignment was Alice Margaret Cox, the interviewers grandmother. Alice was born on February 17th, 1932 in Brown County, Minnesota. Alice was the daughter of Rose Veldman and had three brothers and three sisters. In 1942, Hikel Veldman, after marrying Rose, legally adopted Alice and her six siblings. He brought four children of his own, making a family of 13. After the family was adopted, the majority of their childhood to early adult life was spent living in Hollandale, Minnesota. Alice spent the majority of her life farming and now helps out part time at a family owned thrift store. Alice currently resides in Lake City Minnesota, in her home of twenty plus years. Only four of the eleven
Attitudes are the foundation of quality of care for older adults. Among health care professionals, discrimination and stereotypical behaviors are very prevalent, even though more often than not these individuals do not realize their actions are ageist. “Ageism hinders people from seeing the potential of aging, anticipation their own aging, and being responsive to the needs of older people” (McGuire, Klein & Shu-Li, 2008, p. 12). Attitudes are directly correlated with how individuals age and whether individuals stay health and live longer (McGuire, Klein & Shu-Li, 2008, p. 12). The care that older adults receive from healthcare professionals is directly influenced by that provider’s attitude about growing older. All too often, health care providers rely on a patient’s chronological age rather than their functional age when determining their needs and what interventions are prescribed. Another issue lies in providers viewing the complaints of older patients as a part of “normal aging”, therefore potentially missing life-threatening problems that may have been easily resolved. “Age is only appropriate in health treatment as a secondary factor in making medical decisions, and it should not be used as a stand-alone factor” (Nolan, 2011, p. 334).
An important step to decrease an ageist attitude is to take a step back and recognize biases and preconceived ideas that one has about older adults (DeBrew, 2015). Recognizing biases in combination with furthering one’s education about the effects of aging and the specific needs of older adults will help increase compassionate care. To allow for effective interventions it is important that the nurse understand that illness and infection manifest differently in older adults than they do in the younger population (DeBrew, 2015). In addition, through ethnographic study it was found that when nurses spend time doing activities with older adults it helps strengthen relationships and sense of community between care providers and elderly patients (DeBrew, 2015). According to the article, “occupational therapists who worked with older adults felt ‘stigmatized’ by their peers because their work was viewed as less challenging and requiring less skill and intellect than caring for other populations” (DeBrew, 2015). To promote compassionate patient care it is important that nurses and other professionals get support from their peers to confirm that their work is not insignificant and looked down upon. Finally, include the older adult while creating the plan of care to show them that they are a valued part of their healthcare
Older adults are a very knowledgeable population and have had a lot of life experiences. As people age, things start to change physically, mentally, and socially. It’s important to understand the process of aging, so that older adults can be taken care of properly. I interviewed P.R. who is a 71-year-old male that lives alone in his home. P.R. is a retired coal miner, and is currently living off his social security and savings. He lives close to both his daughter and son, who frequently help him out with things that are needed. P.R. was able to give me a lot of insight about specific challenges that he has experienced in his life that is associated with aging. I will be discussing challenges that P.R experienced physically, mentally,
Aging and being old was dominated by negative characteristics and conditions such as illness, depression, and isolation for a long time (Eibach, Mock, & Courtney, 2010). At first glance the terms “success” and “aging” seem to be in conflict to each other. When asking people about aging, their answers have many facets that are also found in psychological definitions: successful aging is seen as health, maturity and personal growth, self-acceptance, happiness, generativity, coping, and acceptance of age-related limitations. In the psychological sense successful aging is also often seen as the absence of age-associated characteristics (Strawbridge, Wallhagen, & Cohen, 2002). It seems that successful aging means is not aging.