Abstract
Older adults are often excluded from decisions about admission to care homes, with family and professionals frequently assuming this role during a crisis; this can negatively impact older adults beyond the time of transition. Understanding these dynamics is essential for developing solutions that better support older adults and their families. This study explores (1) older adults’ experiences in making decisions about care transitions, (2) the roles that other key decision-makers, such as family members and professionals, play in the process, and (3) the support available to decision-makers, including the potential usefulness of a new decision aid informed by study findings. A qualitative study was conducted with 27 participants from three groups: older adults, family members, and professionals involved in care transitions. Semi-structured interviews are analysed through thematic analysis using a contextualist interpretative approach. Preliminary analysis suggests older adults focus more on life before and after transitions than decision-making, often taking a different role than others expect or wish from the older adults. Family members report significant emotional burden and often rationalise decisions made under systemic constraints. Professionals acknowledge these challenges, balancing empathy with appreciation for proactive decision-making. Most participants saw a decision aid as useful, and many shared insights on its content. Findings will support a decision aid to help older adults and families prepare for care transitions, easing stress during crises and improving decision-making. It should also assist professionals in better supporting older adults and families through the process.
Presenters
Lucy HalamovaStudent, PhD, Applied Health Sciences, University of Aberdeen, Aberdeen City, United Kingdom
Details
Presentation Type
Theme
Social and Cultural Perspectives on Aging
KEYWORDS
Older Adults, Decision-making, Care Transitions, Decision Aid
