An exploration of spousal separation and adaptation to long-term disability: six elderly couples engaged in a horticultural programme.
The main objective of the present study was to explore the impact of separation on couples where one spouse lives in a skilled nursing facility and the other spouse lives alone in the community. Six couples participated in a 10-week gardening group. Semi-structured interviews were conducted at the beginning of the study and observations were made and discussions engaged through the 10-week horticultural programme. Thematic analysis of interviews and discussions revealed reduced social participation of community-dwelling spouses in an effort to maintain their marital role. In one or more cases the non-institutionalized spouse adapted to separation by developing social roles and relationships within the skilled nursing facility and continuing as a caregiver to their spouse. Occupational therapists are encouraged to include spouses in programmes to nurture healthy spousal roles. Further research is needed to explore how elderly couples may support each other through purposeful occupation while one spouse is in a long-term care facility.
Martin
Linda
L
Florida Gulf Coast University, Fort Myers, Florida 33965-6565, USA. lmartin@fgcu.edu
Miranda
Baldwin
B
Bean
Michelle
M
D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D000383:Agriculture; D001010:Anxiety, Separation / Q000523:psychology / Q000628:therapy*; D005260:Female; D016330:Frail Elderly / Q000523:psychology*; D005853:Geriatrics; D006801:Humans; D008016:Life Change Events; D008134:Long-Term Care / Q000523:psychology*; D008297:Male; D008393:Marriage; D012866:Skilled Nursing Facilities; D012934:Social Isolation / Q000523:psychology