The role of autonomy in explaining mental ill-health and depression among older people in long-term care settings

Boyle, Geraldine

doi:10.1017/s0144686x05003703

Cited by 55 publications

(56 citation statements)

References 39 publications

(34 reference statements)

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“…Mobility difficulties limit older adults' possibilities to move outside home (Wilkie et al, 2006) and thus restrict life-space mobility and also pose a great threat to person's sense of autonomy (Portegijs et al, 2014). With respect to sense of autonomy in participation outdoors, people who perceive greater control over their lives have shown lower rates of depressive symptoms, even where they might have physical impairments (Boyle, 2005;Jang et al, 2002). An alternative explanation for the present results is that older adults with depressive symptoms are less willing to move outside their home (Cohen-Mansfield et al, 2010;Penninx et al, 1998;Rosqvist et al, 2009), and consequently experience reduced life-space mobility.…”

Section: Lsa-c Ces-d Score Agementioning

confidence: 98%

Life-space mobility and dimensions of depressive symptoms among community-dwelling older adults

Polku

Mikkola

Portegijs

et al. 2014

Aging & Mental Health

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Section: Lsa-c Ces-d Score Agementioning

confidence: 98%

Life-space mobility and dimensions of depressive symptoms among community-dwelling older adults

Polku

Mikkola

Portegijs

et al. 2014

Aging & Mental Health

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“…A more relevant consideration is the level of risk from sexual exploitation by other residents (either with or without dementia) who may have no qualms about engaging in sex with someone who has mistaken them for a spouse or partner. The level of risk, however, must be weighed appropriately against the significant risks negation of autonomy presents to emotional and mental well-being, such as depression and withdrawal,60 as well as the well-established negative effects of a lack of human touch on mental and physical health 61…”

Section: Capacity and Consent For Residents With Dementiamentioning

confidence: 99%

Dementia, sexuality and consent in residential aged care facilities

2012

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Sexual self-determination is considered a fundamental human right by most of us living in Western societies. While we must abide by laws regarding consent and coercion, in general we expect to be able to engage in sexual behaviour whenever, and with whomever, we choose. For older people with dementia living in residential aged care facilities (RACFs), however, the issue becomes more complex. Staff often struggle to balance residents' rights with their duty of care, and negative attitudes towards older people's sexuality can lead to residents' sexual expression being overlooked, ignored, or even discouraged. In particular, questions as to whether residents with dementia are able to consent to sexual activity or physically intimate relationships pose a challenge to RACF staff, and current legislation does little to assist them. This paper will address these issues, and will argue that, while every effort should be made to ensure that no resident comes to harm, RACFs must respect the rights of residents with dementia to make decisions about their sexuality, intimacy and physical relationships.

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“…Furthermore, assisted living and skilled nursing facilities may not be optimal given older adults' preference for staying in their own homes [2]. Moreover, long-term care facilities can negatively impact feelings of autonomy, an effect that is associated with mental and physical declines (e.g., [15]).…”

Section: Introductionmentioning

confidence: 99%

Domestic Robots for Older Adults: Attitudes, Preferences, and Potential

Smarr

Mitzner

Beer

et al. 2013

Int J of Soc Robotics

195

168

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The population of older adults in America is expected to reach an unprecedented level in the near future. Some of them have difficulties with performing daily tasks and caregivers may not be able to match pace with the increasing need for assistance. Robots, especially mobile manipulators, have the potential for assisting older adults with daily tasks enabling them to live independently in their homes. However, little is known about their views of robot assistance in the home. Twenty-one independently living older Americans (65–93 years old) were asked about their preferences for and attitudes toward robot assistance via a structured group interview and questionnaires. In the group interview, they generated a diverse set of 121 tasks they would want a robot to assist them with in their homes. These data, along with their questionnaire responses, suggest that the older adults were generally open to robot assistance but were discriminating in their acceptance of assistance for different tasks. They preferred robot assistance over human assistance for tasks related to chores, manipulating objects, and information management. In contrast, they preferred human assistance to robot assistance for tasks related to personal care and leisure activities. Our study provides insights into older adults' attitudes and preferences for robot assistance with everyday living tasks in the home which may inform the design of robots that will be more likely accepted by older adults.

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The role of autonomy in explaining mental ill-health and depression among older people in long-term care settings

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Cited by 55 publications

References 39 publications

Life-space mobility and dimensions of depressive symptoms among community-dwelling older adults

Life-space mobility and dimensions of depressive symptoms among community-dwelling older adults

Dementia, sexuality and consent in residential aged care facilities

Domestic Robots for Older Adults: Attitudes, Preferences, and Potential

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