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Nursing Ethics, Vol. 9, No. 4, 416-431 (2002)
DOI: 10.1191/0969733002ne525oa
© 2002 SAGE Publications

Confirming Older Adult Patients’ Views of Who They Are and Would Like To Be

Ingrid Randers

Karolinska Institute and HM Queen Sophia University College of Nursing, Stockholm, Sweden, ingrid.randers{at}telia.com

Tina H Olson

Arizona State University - West Midwestern University, Phoenix, AZ, USA

Anne-Cathrine Mattiasson

Karolinska Institute and HM Queen Sophia University College of Nursing, Stockholm, Sweden

This article reveals a 91-year-old cognitively intact man’s lived experiences of being cared for in a geriatric context in which the majority of the patients were cognitively impaired. A narrative patient story was analysed phenomenologically. The findings indicate that this patient’s basic needs for ethical care were not met. The staff did not see him as a unique individual with his own preferences, resources and abilities to master his life. In order to survive this lack of ethical care, he played the role of an ‘old cognitively impaired man’, which provided him with at least the understanding and attention the cognitively impaired patients received from the staff. The findings also indicate that ethical care is independent of whether or not older cognitively intact and impaired patients stay or live in the same unit, but it is more dependent on a caregiver’s ability to respect and confirm each and every patient for who he or she is and would like to be.

Key Words: ethical care • individual care • older cognitively intact patients


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Nursing Ethics, January 1, 2003; 10(1): 4 - 17.
[Abstract] [PDF]