Aging, care and dependency in multimorbidity: how relationships affect elderly women’s homecare and health service use

Mohammad Hamiduzzaman; Stacy Torres; Amber JoAnn Fletcher; M Rezaul Islam; Jennene Greenhill

doi:10.26443/ijwpc.v9i1.331

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Aging, care and dependency in multimorbidity: how relationships affect elderly women’s homecare and health service use

Journal article

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Aging, care and dependency in multimorbidity: how relationships affect elderly women’s homecare and health service use

Mohammad Hamiduzzaman, Stacy Torres, Amber JoAnn Fletcher, M Rezaul Islam and Jennene Greenhill

The international journal of whole person care, Vol.9(1), pp.31-32

20/01/2022

DOI: https://doi.org/10.26443/ijwpc.v9i1.331

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Abstract

Aging

Multimorbidity

Elderly care

Relationships

Relationships are multidimensional, and we know little about the facets of relationships in the way elderly patients’ with multimorbidity utilise homecare and health services. Gerontology literatures emphasize the importance of place of care, inequalities, availability of health services and affordability. However, the diversity of relationships and associated dependency in elderly care remain underassessed. A qualitative study involving a demographic survey and interviews was conducted to explore relationship experiences of elderly women with multimorbidity in homecare and health services utilization. Civil Surgeon of Sylhet District in Bangladesh was contacted to recruit participants for the study, and this resulted in 33 interviews [11 staff and 22 elderly women with multimorbidity]. Three domains of Axel Honneth’s Theory of Recognition and Misrecognition [i.e. intimate, community and legal relationships] were used to underpin the study findings. Data was analysed using critical thematic discourse method. Four themes were emerged: nature of caregiving involved; intimate affairs [marital marginalization, and parent-children-in law dynamics]; alienation in peer-relationships and neighbourhood [siblings’ overlook, neighbourhood challenges, and gender inequality in interactions]; and legal connections [ignorance of rights, and missed communication]. A marginalization in family relationships, together with poor peer supports and a misrecognition from service providers, resulted in a lack of care for elderly women with multimorbidity. Understanding the complexities of elderly women’s relationships may assist in policy making with better attention to their health and well-being support needs. Staff training on building relationships, and counselling services for family and relatives are essential to improve the quality of care for the women.

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Title: Aging, care and dependency in multimorbidity: how relationships affect elderly women’s homecare and health service use
Creators: Mohammad Hamiduzzaman - University of Newcastle Australia
Stacy Torres - University of California
Amber JoAnn Fletcher - University of Regina
M Rezaul Islam - University of Dhaka
Jennene Greenhill - University of Western Australia
Publication Details: The international journal of whole person care, Vol.9(1), pp.31-32
Publisher: McGill University Library
Identifiers: 991013097828402368
Copyright: This work is licensed under a Creative Commons Attribution 4.0 International License. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. Creative Commons, (https://creativecommons.org/licenses/by/4.0/).
Academic Unit: Nursing; Faculty of Health
Language: English
Resource Type: Journal article

Aging, care and dependency in multimorbidity: how relationships affect elderly women’s homecare and health service use

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