Older Women Discuss Planning for Future Care Needs

Girling, Laura; Morgan, Leslie A.

doi:10.1177/0898264314529330

Cited by 13 publications

(20 citation statements)

References 36 publications

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“…Money spent on care was seen as money wasted, as people expressed a preference for death over a life with care. Similar aversion to receiving paid care has been found in US contexts (Girling & Morgan, 2014;Peters & Pinkston, 2002), including a particular aversion to imagining an ageing, dependent self that is at odds with the American ideal (DaDalt et al, 2016;San Antonio & Rubinstein, 2004). Such aversions also speak to the broader concept of 'discounting the future' in favour of the present, particularly when that future is neither desirable nor certain (Broome, 2004;Lawless et al, 2013).…”

Section: Planning For Future Care Costsmentioning

confidence: 61%

Financial advice for funding later life care: A scoping review of evidence from England

Heavey¹,

Baxter²,

Birks

2019

JLTC

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Context: Ageing populations across the world make the provision of long-term care a global challenge. A growing number of people in England are faced with paying for later life social care costs, but do little to plan for these costs in advance. Recent legislation in the form of the Care Act 2014 gave local authorities new responsibilities to provide information on how people can access independent financial advice on matters relating to care needs. Objectives: This scoping review aimed to identify existing evidence about people's engagement with financial advice in relation to paying for later life care in England. Methods: Electronic and manual searching identified seventeen papers reporting empirical evidence on the topic, published between 2002 and 2017. Findings: We found evidence of low numbers accessing regulated financial advice. Barriers included limited consumer awareness, preferences for other sources of advice such as friends and family, and poor signposting and referrals by local authorities. Most papers indicated that financial advice would be useful in helping people to plan for care costs. Robust research evidence on this topic is limited, with particular gaps in evidence about stakeholders' experiences of the barriers to, and usefulness of, financial advice about paying for long-term care in later life. Limitations: The paper does not include a formal quality assessment of the included research papers. Our interpretation of study findings was hindered by lack of methodological transparency in some papers and lack of studies focusing specifically on the topic of financial planning for long-term care. Implications: An improved evidence base could assist financial advisers specialising in this area and local authorities that are now obliged to signpost people to such advice. With better evidence they would be better placed to explain to members of the public the financial and non-financial implications of obtaining financial advice about care costs. It might also enable those organisations to overcome barriers and facilitate access to appropriate advice.

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Section: Planning For Future Care Costsmentioning

confidence: 61%

Financial advice for funding later life care: A scoping review of evidence from England

Heavey¹,

Baxter²,

Birks

2019

JLTC

View full text Add to dashboard Cite

show abstract

“…No clear patterns for informal or formal care emerged, leading the authors to caution against assuming families are the preferred source of future care. In another study with predominantly childless White European and African American older women, most women engaged at some level in future care planning but used various approaches (Girling & Morgan, 2014). Some older women overtly expressed their preference for care while others exhibited avoidant behaviors or were wishful thinkers, hoping for a positive outcome despite no intentional planning.…”

Section: Service Usementioning

confidence: 99%

Older Adults in Rural Appalachia

Weaver

Roberto

Blieszner

2017

Int J Aging Hum Dev

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Little is known about how rural-dwelling older adults anticipate and plan for future care needs. Using a mixed-method explanatory design, structural equation modeling ( n = 535) revealed significant associations between concerns about using services on preference for type of help; preference was associated with likelihood of using future services. Content analysis of interview data from 19 older adults who needed but were not receiving help revealed how they conceptualize their need for assistance and anticipated future care arrangements. Nine older adults were not thinking about future care needs. While most older adults articulated preferences for informal help, they indicated some openness to formal assistance. Preferences did not always align with expectations for the future. Rather, concerns about burdening family and friends outweighed concerns about community services and influenced expectations of using formal services. Understanding rural older adults' expectations for future care arrangements is necessary for advancing policy and implementing successful services options.

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“…Issues linked to lack of planning included (a) not perceiving that care would be needed, (b) belief that FCN cannot be anticipated, (c) lack of resources needed to make concrete plans, (d) depending on others, and (e) belief that thinking about FCN would reduce present well-being. A recent qualitative study carried out by Girling and Morgan (2014) identified similar barriers to planning.…”

mentioning

confidence: 94%

Hoping for the Best or Planning for the Future: Decision Making and Future Care Needs

et al. 2015

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Research has shown that relatively few older adults make plans for future care needs. In this study, we explore the thinking processes involved in planning or failing to plan for the future. Interviews were carried out with 39 older adults ( M age = 81 years) who were experiencing disability and illness but who lived in their own home. Guiding questions for the interview focused on present living circumstances, but for the present qualitative analysis, all references to the future, and to future residence changes, were extracted. This approach allowed us to observe how older adults spontaneously address issues of future planning when not constrained to do so. Results supported the use of a positivity bias, as well as a risk-aversive decision-making style. These older adults seemed to be prioritizing present emotional well-being by avoiding thoughts of future risks and thereby eschewing proactive coping.

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Older Women Discuss Planning for Future Care Needs

Cited by 13 publications

References 36 publications

Financial advice for funding later life care: A scoping review of evidence from England

Financial advice for funding later life care: A scoping review of evidence from England

Older Adults in Rural Appalachia

Hoping for the Best or Planning for the Future: Decision Making and Future Care Needs

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