Women With Disabilities' Experiences in Long-Term Care: A Case for Social Justice

被引：15

作者：

Magasi, Susan ^{[1
,2
]}

Hammel, Joy ^{[3
]}

机构：

[1] N Shore Univ Hlth Syst, Manhasset, NY USA

[2] Northwestern Univ, Dept Phys Med & Rehabil, Feinberg Sch Med, Evanston, IL 60201 USA

[3] Univ Illinois, Dept Occupat Therapy, Chicago, IL USA

来源：

AMERICAN JOURNAL OF OCCUPATIONAL THERAPY | 2009年 / 63卷 / 01期

关键词：

disability; human rights; life change events; long-term care; social environment; social support; socioeconomic factors;

D O I：

10.5014/ajot.63.1.35

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

OBJECTIVE. The purpose of this study was to explore women with disabilities' perceptions of their lived experiences in nursing homes. METHOD. This 16-month ethnography used multiple qualitative methods, including participant observations, thematic qualitative interviews, and focus groups to examine the perceptions of life in nursing home for 6 women with disabilities who had returned to community living and their significant others (n = 13). RESULTS. Nursing homes were living situations of last resort for women with disabilities. Life in the nursing home was characterized by lost choice, control, and occupational engagement; social isolation; social control; the political economy of the nursing home; and active resistance. DISCUSSION. Occupational therapy practitioners practicing from a social justice paradigm have a responsibility to ensure that client goals to live in the least restrictive environments possible are realized. Implications for long-term-care referral practices, advocacy-based interventions, and partnership with the disability community are discussed,

引用

页码：35 / 45

页数：11

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