Placing Person-Centred Care
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Authors
Plumb, Kyle
Date
2020-03-30
Type
thesis
Language
eng
Keyword
Geographical Gerontology , Relational Place , Long-Term Care
Alternative Title
Abstract
While the recent adoption of a person-centred approach to long-term care in Canada has done much to address the shortcomings of its biomedical predecessors (particularly bringing to light the social-psychological aspects of living with dementia), it has not resulted in notable increases in quality of life for those who live in long-term care facilities. The aim of this dissertation is to contribute a relational and place-sensitive perspective of person-centred care that highlights where the approach could be better aligned with its experience and ultimately informs a higher quality of life for people living in long-term care environments. To do so, empirically expressed tensions in the lived experiences of long-term care facilities espousing person-centred care are considered through the lens of a relational landscapes of long-term care framework derived from the burgeoning field of geographical gerontology. A qualitative, community-based, multi-site case study methodological design guided the collection of interviews with residents, staff and family members in three long-term care facilities designed to elicit their lived experiences. Observation periods in each facility contributed to my own perspective of the care environments. Tensions expressed within each of the empirically emergent themes that shaped the lived experiences of participants (atmosphere, flexibility and relationship-building) were considered as they relate to the core concepts of home(place), care and personhood to expand person-centered care and contribute to (while simultaneously arising through) the landscapes of long-term care framework. Specifically, the expansion of conceptions of home as a functional, familiar potential beyond its locational aspects; of care to incorporate a broader range of relationships and the potential of the built environment to foster these relationships; and of personhood as a de-centred process rather than a uni-directional outcome were found to be the potential nucleus of an expansion of person-centred care that addresses its experiential and conceptual tensions. Conceptually, the contribution of this research is an advancement of relational understandings of place and care in the long-term care context.
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CC0 1.0 Universal
ProQuest PhD and Master's Theses International Dissemination Agreement
Intellectual Property Guidelines at Queen's University
Copying and Preserving Your Thesis
This publication is made available by the authority of the copyright owner solely for the purpose of private study and research and may not be copied or reproduced except as permitted by the copyright laws without written authority from the copyright owner.
CC0 1.0 Universal