University Research Papers
Permanent URI for this collectionhttps://ir.wgtn.ac.nz/handle/123456789/17917
University research outputs made available publicly on the ResearchArchive. These are non-thesis outputs.
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Browsing University Research Papers by Subject "Aged care"
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Item Restricted Humane Caring: Quality of Life Issues for Those Elderly People Wanting to Remain in Their Own Environment.(Te Herenga Waka—Victoria University of Wellington, 2001) Watson, Susan; Martin, MargiIt is a truism ...the older people get the more unique they become because ... every day they live and learn. Many elderly people who want to remain in their own environment have this lived experience of becoming uniquely who they are to call upon when making a decision concerning their future and where they want to live during their last years. They know that their environment is a part of them and without it they will flounder and lose control. My concern is that there are many families and health professionals who choose, for various reasons, not to support these elderly people in their decision to remain within their own environment. Through my weaving with their stories I have learned to remain in focus among the maze of phenomena and have discovered that I and am able to objectively explore This concern which I have identified as that of Humane Caring: and captured in the title of my thesis ... Quality of life issues for those elderly people who want to remain in their own environment. This thesis explores the issues surrounding the elderly remaining in their own environment and why remaining 'At home' becomes so essential for them. There are many elderly people who have moved to residential care settings on the advice of others and have paid the price; that of freedom. There are many valid reasons why the elderly cannot and do not always remain in their own environment. I have explored and identified these within the context of my work with aged people which I consider need to be recognized when planning for the future care of the elderly people in New Zealand.Item Restricted Parallel Journeys: Perceptions of Palliative Care(Te Herenga Waka—Victoria University of Wellington, 2001) Hammond, Suzanne; Martin, MargiThe delivery of palliative care within contemporary society is discussed, with particular reference to Aotearoa New Zealand in the light of the recent publication of The New Zealand Palliative Care Strategy (2001). The viewpoint taken is largely descriptive rather than prescriptive, being based on a literature survey of international research and academic theory, which is also informed by the author’s professionally gained knowledge. Four different perspectives, comprising a mix of providers and recipients of care are investigated: those of central government planning; specialist palliative care units; aged-care complexes; and patients, family and whanau. As an area of healthcare which current demographic projections indicate will become increasingly significant, the provision of palliative care to residents of and patients within aged-care complexes receives special attention. A metaphor of “parallel travellers” on “parallel journeys” is used to provide a thematic basis to the paper. The lived experiences and perceptions of each group of “parallel travellers” are explored. Difficulties in defining and evaluating palliative care, the implications of mainstreaming, the scope of palliative care provision, the educative role of specialist palliative care providers and the current focus on mechanistic outcome measures are discussed. It is contended that the values and goals, both explicit and implicit, of the four specified groups may not at present be sufficiently congruent to optimise the effective provision of palliative care from the point of view of all concerned. While adequate resourcing and a genuinely collaborative approach among healthcare providers are both acknowledged to be critical, the potential for palliative care nurse practitioners to be appointed to the role of “care co-ordinator” alluded to within The New Zealand Palliative Care Strategy (2001), is also seen as pivotal. Insights from a postmodern perspective are offered as one possible way of achieving greater congruence.