"We have become prisoners of our own age": From a continuing care retirement community to a total institution in the midst of the COVID-19 outbreak.
Identifieur interne : 000664 ( Main/Exploration ); précédent : 000663; suivant : 000665"We have become prisoners of our own age": From a continuing care retirement community to a total institution in the midst of the COVID-19 outbreak.
Auteurs : Liat Ayalon [Israël] ; Sharon Avidor [Israël]Source :
- Age and ageing [ 1468-2834 ] ; 2021.
Abstract
BACKGROUND AND OBJECTIVES
During the COVID-19 pandemic in Israel, people residing in continuing care retirement communities (CCRC) found themselves under strict instructions to self-isolate, imposed by the CCRC managements before, during, and after the nationwide lockdown. The present study explored the personal experiences of CCRC residents during the lockdown.
RESEARCH DESIGN AND METHODS
In-depth interviews were conducted with 24 CCRC residents from 13 different CCRCs. Authors performed a thematic analysis of interview transcripts, using constant comparisons and contrasts.
RESULTS
Three major themes were identified: a).
US VS. THEM: OTHERS ARE WORSE OFF
Older residents engaged in constant attempts to compare their situation to that of others. The overall message behind these downward comparisons was that the situation is not so bad, as others are in a worse predicament; b).
US VS. THEM: POWER IMBALANCE
This comparison emphasized the unbalanced power-relations between older adults and the staff and management in the setting; and c).
“WE HAVE BECOME PRISONERS OF OUR OWN AGE.”
Interviewees described strong emotions of despair, depression and anger, which were intensified when the rest of society returned back to a new routine, while they were still under lockdown.
DISCUSSION AND IMPLICATIONS
The measures imposed on residents by managements of CCRCs during the lockdown, and the emotional responses of distress among some of the residents, revealed that CCRCs have components of total institutions, not normally evident. This underscores the hidden emotional costs of the lockdown among those whose autonomy was compromised.
DOI: 10.1093/ageing/afab013
PubMed: 33481987
Affiliations:
Links toward previous steps (curation, corpus...)
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The present study explored the personal experiences of CCRC residents during the lockdown.</p></div><div type="abstract" xml:lang="en"><p><b>RESEARCH DESIGN AND METHODS</b></p><p>In-depth interviews were conducted with 24 CCRC residents from 13 different CCRCs. Authors performed a thematic analysis of interview transcripts, using constant comparisons and contrasts.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Three major themes were identified: a).</p></div><div type="abstract" xml:lang="en"><p><b>US VS. THEM: OTHERS ARE WORSE OFF</b></p><p>Older residents engaged in constant attempts to compare their situation to that of others. The overall message behind these downward comparisons was that the situation is not so bad, as others are in a worse predicament; b).</p></div><div type="abstract" xml:lang="en"><p><b>US VS. THEM: POWER IMBALANCE</b></p><p>This comparison emphasized the unbalanced power-relations between older adults and the staff and management in the setting; and c).</p></div><div type="abstract" xml:lang="en"><p><b>“WE HAVE BECOME PRISONERS OF OUR OWN AGE.”</b></p><p>Interviewees described strong emotions of despair, depression and anger, which were intensified when the rest of society returned back to a new routine, while they were still under lockdown.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION AND IMPLICATIONS</b></p><p>The measures imposed on residents by managements of CCRCs during the lockdown, and the emotional responses of distress among some of the residents, revealed that CCRCs have components of total institutions, not normally evident. 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The present study explored the personal experiences of CCRC residents during the lockdown.</AbstractText><AbstractText Label="RESEARCH DESIGN AND METHODS" NlmCategory="METHODS">In-depth interviews were conducted with 24 CCRC residents from 13 different CCRCs. Authors performed a thematic analysis of interview transcripts, using constant comparisons and contrasts.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Three major themes were identified: a).</AbstractText><AbstractText Label="US VS. THEM: OTHERS ARE WORSE OFF" NlmCategory="UNASSIGNED">Older residents engaged in constant attempts to compare their situation to that of others. The overall message behind these downward comparisons was that the situation is not so bad, as others are in a worse predicament; b).</AbstractText><AbstractText Label="US VS. THEM: POWER IMBALANCE" NlmCategory="UNASSIGNED">This comparison emphasized the unbalanced power-relations between older adults and the staff and management in the setting; and c).</AbstractText><AbstractText Label="“WE HAVE BECOME PRISONERS OF OUR OWN AGE.”" NlmCategory="UNASSIGNED">Interviewees described strong emotions of despair, depression and anger, which were intensified when the rest of society returned back to a new routine, while they were still under lockdown.</AbstractText><AbstractText Label="DISCUSSION AND IMPLICATIONS" NlmCategory="UNASSIGNED">The measures imposed on residents by managements of CCRCs during the lockdown, and the emotional responses of distress among some of the residents, revealed that CCRCs have components of total institutions, not normally evident. This underscores the hidden emotional costs of the lockdown among those whose autonomy was compromised.</AbstractText><CopyrightInformation>© The Author(s) 2021. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. 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