[Experiences of uncertainty about the future, poverty risks, and precarious living situations in nursing homes].

IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-03-01 Epub Date: 2023-09-20 DOI:10.1007/s00391-023-02231-x
Stefanie Richter
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Abstract

The living situation of people in nursing homes, with a specific vulnerability to care-related impoverishment, is underresearched. This article deals with experiences of uncertainty, poverty and a precarious life situation of care home residents in later life. The data basis is supplied by an ethnographic study of ageing and living with chronic health conditions. A range of precarious living situations are outlined on the basis of real cases. Insights gleaned include: people with diverse sociobiographical backgrounds can be affected by insecurity, poverty and precarious life situations as a result of becoming dependent on help and the transition to care homes. Not knowing whether available funds will suffice to cover rising costs until the end of life is a common form of uncertainty about the future. The threat of poverty or becoming dependent on state benefits can exacerbate experiences of loss associated with institutional care, losing autonomy, opportunities for participation, and options for shaping one's life and can further destabilize the overall condition. This anguish remains largely invisible; structural problems are individualized.

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[对未来的不确定性、贫困风险和养老院不稳定的生活状况的经历]。
养老院中的人的生活状况,特别容易受到护理相关贫困的影响,却被低估了。本文讲述了养老院居民在晚年生活中的不确定性、贫困和不稳定的生活状况。数据基础由一项关于老龄化和慢性健康状况的民族志研究提供。根据真实案例概述了一系列不稳定的生活状况。收集到的见解包括:由于依赖帮助和向养老院过渡,具有不同社会传记背景的人可能会受到不安全、贫困和不稳定生活状况的影响。在生命结束之前,不知道可用资金是否足以支付不断上涨的成本是对未来不确定性的一种常见形式。贫困或依赖国家福利的威胁可能会加剧与机构护理相关的损失、失去自主权、参与机会和塑造生活的选择,并可能进一步破坏整体状况的稳定。这种痛苦在很大程度上是看不见的;结构性问题是个性化的。
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来源期刊
CiteScore
2.00
自引率
16.70%
发文量
126
审稿时长
6-12 weeks
期刊介绍: The fact that more and more people are becoming older and are having a significant influence on our society is due to intensive geriatric research and geriatric medicine in the past and present. The Zeitschrift für Gerontologie und Geriatrie has contributed to this area for many years by informing a broad spectrum of interested readers about various developments in gerontology research. Special issues focus on all questions concerning gerontology, biology and basic research of aging, geriatric research, psychology and sociology as well as practical aspects of geriatric care. Target group: Geriatricians, social gerontologists, geriatric psychologists, geriatric psychiatrists, nurses/caregivers, nurse researchers, biogerontologists in geriatric wards/clinics, gerontological institutes, and institutions of teaching and further or continuing education.
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