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Pomoč in podpora svojcem ob odhodu starega človeka v institucionalno varstvo : magistrsko delo
ID Fegic, Nuša (Author), ID Rihter, Liljana (Mentor) More about this mentor... This link opens in a new window

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Abstract
V magistrskem delu raziskujem pomoč in podporo, ki so jo svojci prejeli v procesu odhoda starega človeka v institucionalno varstvo in kasneje. Zanimal me je proces priprave in prilagajanja svojcev na odhod starega človeka iz domačega okolja v institucionalno varstvo ter s kakšnimi izzivi in stiskami so se svojci soočali ob odhodu starega družinskega člana. Prav tako me je zanimalo, kako svojci doživljajo podporo in pomoč socialne službe ob sprejemu družinskega člana v dom za stare ljudi ter kaj v tem procesu in kasneje pogrešajo oziroma česa si želijo še več. V teoretičnem delu magistrskega dela najprej opredelim obdobje starosti in proces staranja ter izpostavim najpogostejše potrebe v starosti. V nadaljevanju predstavim socialna omrežja in socialne opore v starosti, pri čemer posebno pozornost namenjam neformalnim socialnim mrežam ter odnosu med starimi ljudmi in družinskim člani oziroma svojci. V zadnjem delu teoretičnega uvoda pišem še o pripravi svojcev na odhod starega človeka v institucionalno varstvo, o njihovi vlogi in pri tem poseben poudarek namenim stiskam ter izzivom, s katerimi se svojci soočajo v procesu namestitve družinskega člana v dom za stare ljudi. Za konec pa opredelim tudi vlogo stroke socialnega dela v institucionalnem varstvu. V empiričnem delu predstavim rezultate svoje raziskave, ki sem jih pridobila z analizo intervjujev na neslučajnostnem in priložnostnem vzorcu 10 svojcev. Analiza pridobljenih podatkov je pokazala, da svojcem odločitev in priprava na odhod starega človeka v institucionalno varstvo predstavlja enega izmed pomembnejših življenjskih dogodkov, ki poteka skozi tri faze: faza dogovarjanja, faza sprejemanja odločitve glede namestitve in faza prilagajanja sprejeti odločitvi. Udeleženi v procesu priprave na odhod starega človeka poročajo o predvsem negativnih občutkih. Rezultati raziskave kažejo tudi, da se vloga svojcev pred namestitvijo družinskega člana v dom za stare ljudi bistveno razlikuje od vloge, ki jo svojci prevzamejo po sprejemu starega človeka v institucionalno varstvo. Udeleženci v raziskavi poročajo o pojavu razlike med občutki, ki so se pojavili, ko so domsko oskrbo za družinskega člana resnično potrebovali, in občutki, ki so nastali ob samem odhodu starega človeka v institucionalno varstvo. Proces prilagajanja svojci opredeljujejo kot dolgotrajen in čustveno obremenjujoč ter stresen. Posledično se svojci ob odhodu starega človeka soočajo z različnimi stiskami, med katerimi prevladujejo: negotovost, žalost, razočaranje, občutki nemoči, neuspeha in krivde. Sodelujoči so strokovno pomoč in podporo socialne službe prejeli tako pred samim sprejemom starega človeka v institucionalno varstvo kot tudi kasneje. Kljub temu pa so svojci omenjali tudi številne slabosti sodelovanja s socialno službo. Poleg tega rezultati analize kažejo tudi na pomanjkljivosti pomoči in podpore zdravstvenega osebja, ki so v precejšni meri povezane z odsotnostjo osebnega stika med svojci in zdravstvenim osebjem ter pomanjkanjem empatije ob sprejemu starega človeka. V povezavi s tem so svojci navajali tudi številne predloge za nudenje in zagotavljanje ustrezne pomoči in podpore.

Language:Slovenian
Keywords:starost, sprejem v institucionalno varstvo, proces prilagajanja, stiske svojcev, podpora socialnega dela
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:FSD - Faculty of Social Work
Place of publishing:Ljubljana
Publisher:[N. Fegic]
Year:2023
Number of pages:222 str.
PID:20.500.12556/RUL-149425 This link opens in a new window
UDC:364.4-053.9
COBISS.SI-ID:189764611 This link opens in a new window
Publication date in RUL:07.09.2023
Views:1124
Downloads:64
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Secondary language

Language:English
Title:Help and support for relatives when placing an elderly person in institutional care
Abstract:
In my master's thesis, I research the help and support that relatives received in the process of their old family member's admission to institutional care, and later. I was interested in many facts. I wanted to find out how the relatives prepared themselves for this difficult situation, how they adapted to it, what challenges they faced and how they coped with distress when an old member of their family went to a nursing home. Moreover, I also wondered how relatives experience the support and help of social services when their old family member is admitted to a nursing home, and later, and if there is anything they miss or would like more of. In the theoretical framework, I define old age and the process of ageing, and point out the most common needs of the elderly. In the following part of the theoretical framework, I present different types of social networks and social support in old age, paying particular attention to informal social networks and the relationship between old people and other members of the family. In the last part of the theoretical framework, I focus my attention on how relatives prepare themselves for this difficult situation. I write about their role, especially about the challenges they face and the distress they cope with when an old member of their family goes to a nursing home. Finally, I define the role of social work profession in institutional care. In the empirical part of my master's thesis, I present the results of my research, which I obtained by analysing interviews made on the basis of a non-random and convenience sampling of 10 relatives. The analysis of the obtained data shows that the decision to send an old family member to institutional care and the preparation for it is a process which represents one of the most important events in their relatives' lives. This process can be divided into three phases: the negotiation phase, the decision-making phase and the adjustment phase. Those who participate in the process of preparing an old person for institutional care experience mostly negative feelings. The results of the research also show that the role of relatives changes a lot when their family member receives institutional care. The study participants mention the phenomenon of different emotions. The emotions relatives experienced when their old family members needed institutional care were different from those they experienced when old people were actually admitted to a nursing home. Relatives describe the adjustment phase as long-lasting, emotionally exhausting and stressful. Therefore, when their old family members need institutional care, their relatives face various types of distress, among which the most common are: doubtfulness, sadness, disappointment, feelings of helplessness, failure and guilt. The participants had received professional help and support from social services, not only after the institutionalization, but already before their old family member was admitted to nursing care. However, the relatives also mentioned negative experience with social services. Besides, the analysis results also show insufficient help and support of medical staff, which is often the consequence of too little personal contact between relatives and medical staff and lack of empathy for an old person who has just been admitted to a nursing home. In connection with this, the relatives also suggested a number of tips for offering and providing appropriate help and support.

Keywords:old age, admission to institutional/nursing care, adjustment process, relatives' distress, social work support

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