Taking home-based services into everyday life; older adults’ participation with service providers in the context of receiving home-based services

ParticipantsAgeImpairmentsHabitation^aWalking aid/deviceHome-based servicesCare intensity^b1Anne (F)79Hip operated, stiffnessSingle-unit dwelling, aloneRollator inside/outside, wheelchair for transportation outsideBathing/shower, on/off with support/medical stockings, getting rid of garbage, fetching post/mail, cleaning, safety alarmMiddle2Peter (M)86Chronic pain in neck and shoulders, stiffnessSingle flat in assisted-living block, aloneRollator when shoppingHome nursing care (×1), cleaning, safety alarmLow3Christine (F)76Dizziness, frequent fallerSingle flat in senior housing block, aloneRollator inside/wheel chair outsideHome nursing care (×4), personal care, inspection call, cleaning, safety alarmHigh4Tor (M)72Neurological diseaseSingle flat in senior housing block, aloneRollator outsideHome nursing care (×2), inspection call, cleaning, safety alarmMiddle5Mary (F)82Hip-operated, knee-operated, painSingle flat in assisted living block, aloneRollator inside/outsideSwitch on/off the stove, private cleaning, safety alarmLow6Elisabeth (F)84Hip-fracture operated, visually impairedSingle flat in block, aloneRollator inside/outsideOn/off with support/medical stockings, private cleaning, safety alarmLow7Carla (F)85Brittle bonesSingle unit dwelling, aloneRollator inside, wheelchair outsideHome nursing care (×4), personal care, fetching post/mail, meals on wheels, cleaning, safety alarmHigh8Marianne (F)72Visually impaired, reduced walking abilitySingle unit dwelling, with husbandRollator inside/outsidePersonal care (×2), physiotherapy (×4 per week), private cleaning, safety alarmMiddle9Ingrid (F)89Dizziness, fatigueSingle flat in joint senior ownership, aloneRollator on holdHome nursing care (×1), safety alarmLow10Lisa (F)87Neurological disease, frequent fallerSingle unit dwelling, aloneRollator inside/outsidePersonal care (×2), cleaning, meals on wheels, preparing breakfast/lunch, physiotherapy (×2 per week), safety alarmMiddle

[i] ^aAssisted living block: Included freehold flats. A small group of on-call staff (3–4 persons) were available in the block. Assignment of home-based services followed the same rules as for others, independent of housing. Home-based service organization were placed physically elsewhere than the assisted living block.

[ii] ^bCare intensity: Based on IPLOS (Individual Needs of Nursing or Care Services Statistics, Norway), estimating an arithmetic mean of a group of five variables: social functioning, attendance of health, housekeeping, personal care, and cognitive functions. Giving the scores: some/restricted (low), medium/great (middle), comprehensive (high) need of assistance.

[iii] Note: Senior housing block: Included freehold flats. Home-based services were localised in connection with these dwellings, but had the same rules for assignment of services as for older adults living in other housings. Both assisted living block and senior housing block had common areas for social activities.

Table 2.

Core category with main and subcategories.

Taking home-based services into everyday lifeBalancing agency – a process of giving, taking and letting goSocialising with the service providers

Expecting joint responsibility for appropriate service delivery
Being understanding and indulgent
Making one's mark

Small talking
Linking to society

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DOI: https://doi.org/10.1080/15017419.2013.795913 | Journal eISSN: 1745-3011

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Language: English

Page range: 46 - 61

Submitted on: Jan 28, 2013

Accepted on: Apr 11, 2013

Published on: May 1, 2015

Published by: Stockholm University Press

In partnership with: Paradigm Publishing Services

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© 2015 Aud Elisabeth Witsø, Borgunn Ytterhus, Kjersti Vik, published by Stockholm University Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 17 (2015): Issue 1