Home, sick: Implications of health care delivery in the home

Conceptualizing place in the care of older people: the contributions of geographical gerontology

“…This has influenced contemporary work in geographical gerontology, with calls for critical thinking about the significance of changing social and physical contexts of ageing and older persons (Estes, 1991; Laws, 1993, 1995; Harper & Laws, 1995). For example, qualitative research using in‐depth interviews and participant observation reveals how political emphases on ‘ageing in place’ and care at home for older people affect the meaning of individual homes as places as well as the recipients and providers of that care (Teeland, 1998; Twigg, 1999, 2000; England, 2000; McKeever, 2001). Notably, receiving care at home impacts on the daily rhythms of all members of a household.…”

“…, 1988; Stoller, 1988; Parker, 1992; Baldock & Ungerson, 1994; Hirst, 2001). Demographic and socio‐economic changes, including increasing proportions of older people in general populations, greater life expectancy, and improved health and independence amongst older people, have also contributed to a growing emphasis on community‐based care and care in homes (Teeland, 1998).…”

Exploring the meaning of home for family caregivers of people with dementia

“…the living room becoming a bedroom), home may cease to be a place of safety, control, sanctuary and privacy and may become a place of disability, intrusion and insecurity. The personal and homely atmosphere can thus change instead into a medicalised space (Tamm, 1999;Teeland, 1998), disrupting autonomy, identity and wellbeing, and compromising the value and meaning of home for both the individual and the family (Hawkins & Stewart, 2002), sometimes even upsetting familiar rhythms at home (Betrabet Gulwadi, 2013). Inhabitants may experience a 'dis-location' from home as it becomes a work place, like a hospital ward, when formal care is needed daily (Milligan, 2003) and increasingly loses its privacy, which is an essential aspect of the meaning of home (Teeland, 1998).…”

Home: The place the older adult can not imagine living without

“…Byrd [ 22 ] investigated the concept of home visiting since it has become a central nursing intervention within home health care. Over the last 30 years, home as an arena where health care is given and received has increased enormously due to a rapidly aging population and a desire to remain at home [ 9 , 23 ] as well as change in health policy with a transfer of care from formal places such as hospitals and institutions to more informal settings such as home [ 11 , 12 , 24 - 26 ].…”