Participating in a world that is out of tune: shadowing an older hospital patient
Hospitalization significantly impacts the lives of older people, both physically and psychosocially. There is lack of observation studies that may provide an embodied understanding of older patients’ experiences in its context. The aim of this single case study was to reach a deeper understanding of one older patient’s lived experiences of hospitalization. The study followed a phenomenological embodied enquiry design and the qualitative observation method of shadowing was used. In April 2011, one older patient was shadowed for 7 days, 5–7 h per day. To facilitate understanding in the reader the experiences are first presented in a story and subsequently analyzed by means of the lifeworld framework. The findings show that hospitalization is experienced as ambiguous safety, disconnected time, the feeling of being partially involved, and the struggle to re-attune to the body.
KeywordsOlder hospital patients Shadowing Lifeworld Phenomenology Qualitative research
- Bergman, H., I. Ferrucci, J. Guralnik, D.B. Hogan, S. Hummel, S. Karunananthan, and C. Wolfson. 2007. Frailty: An emerging research and clinical paradigm—issues and controversies. Journal of Gerontology 7: 731–737.Google Scholar
- Convinsky, K.E., R.M. Palmer, R.H. Fortinsky, S.R. Counsell, A.L. Stewart, D. Kresevic, C.J. Burant, and C.S. Landefeld. 2003. Loss of independence in activities of daily living in older adults hospitalized with medical illness: Increased vulnerability with age. Journal of the American Geriatrics Society 51: 451–458.CrossRefGoogle Scholar
- Dahlberg, K., H. Dalhberg, and M. Nystrom. 2008. Reflective lifeworld research, 2nd ed. Lund: Studentlitteratur.Google Scholar
- Galvin, K., and L. Todres. 2013. Caring and well-being. A lifeworld approach. London and New York: Routledge.Google Scholar
- Langdridge, D. 2007. Phenomenological psychology. Theory, research and method. Essex: Pearson Education Limited.Google Scholar
- Lawson, B. 2010 Healing architecture. Arts & Health 2:95–108.Google Scholar
- Martinsen, K. 2006. Care and vulnerability. Oslo: Akribe.Google Scholar
- Todres, L. 2007. Embodied enquiry phenomenological touchstones for research, psychotherapy and spirituality. Hampshire: Palgrave Macmillan.Google Scholar
- Tronto, J.C. 2013. Caring democracy. Markets, equality, and justice. New York: University Press.Google Scholar
- Van Heijst, A. 2011. Professional loving care. An ethical view of the health care sector. Leuven: Peeters.Google Scholar
- Van Manen, M. 2014. Phenomenology of practice. Meaning giving methods in phenomenological research and writing. Walnut Creek: Left Coast Press.Google Scholar
- Veiligheidsmanagementsysteem (Safety management system). 2010. Handleiding Kwetsbare Ouderen (Manual Frail Elderly). http://www.vmszorg.nl/Themas/Kwetsbare-ouderen. Accessed 30 July 2014.
- Vosman, F., and Baart A. 2011. Relationship based care and recognition. Part two: good care and recognition. In Compassion and recognition: An ethical discussion, eds. C. Leget, C. Gastmans, and M. Verkerk M. Leuven: Peeters.Google Scholar