Limiting and Promoting Resident Self-Care in Assisted Living

• Published in: The journals of gerontology. Series B, Psychological sciences and social sciences Vol. 76; no. 8; p. 1664
• Main Authors: Morgan, Jennifer C, Kemp, Candace L, Barmon, Christina, Fitzroy, Andrea, Ball, Mary M
• Format: Journal Article
• Language: English
• Published: United States 13.09.2021
• Subjects: Activities of Daily Living; Aged, 80 and over; Assisted Living Facilities; Caregivers; Family; Female; Grounded Theory; Humans; Longitudinal Studies; Male; Qualitative Research; Self Care; Assisted living; qualitative research; Self-care; Informal care
• ISSN: 1758-5368
• DOI: 10.1093/geronb/gbab016

Assisted living (AL) residents often manage multiple chronic conditions, functional and/or cognitive decline along with their individual needs and preferences for a full life. Although residents participate in their own care, little is known about their self-care activities and how to support them. This analysis focuses on residents' self-care and theorizing the dynamic, socially embedded process of negotiating self-care. We analyze data from a grounded theory study informed by the Convoys of Care model. Participants included 50 focal residents and 169 paid and unpaid convoy members in eight AL homes; each resident convoy was followed up for 2 years. Data collection included participant observation, interviews, and resident record review. To the extent possible, most AL residents were involved in self-care related to activities of daily living, health promotion, and social, emotional, and mental well-being. Residents and care partners engaged in a dynamic process of limiting and promoting self-care activities. Multiple factors influenced self-care, including residents' past self-care behaviors, caregiver fear and availability, and the availability of services and supports. Strategies for promoting self-care must involve residents and care partners and include convoy education in collaborative goal-setting, prioritizing care that supports the goals, and putting resources in place to support goal achievement.