title: Home care as a complex experience: a chronological case study.
abstract: This case study of an older woman with macular degeneration describes her experience of dispensing daily medications over a 3-year period, during which a home care nurse began and continued visits. Using a phenomenological method, I analyzed data of 9 interviews, discerning the structure of her experience and depicting it in 7 diagrams. The home care experience can have unintended outcomes influenced by family and provider perceptions of clients' abilities, especially when family members and practitioners assume tasks that older women have managed alone. Minimizing intergenerational ambivalence about the need for home care and maximizing client agency should be preeminent foci of home care providers.
authors.affiliation: School of Nursing, University of Missouri-Columbia, Columbia, MO 65211, USA. PorterEJ@missouri.edu
authors.forename: Eileen J
authors.initials: EJ
authors.lastname: Porter
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000369:Aged, 80 and over; D001294:Attitude to Health; D003152:Community Health Nursing / Q000458:organization & administration*; D003220:Conflict, Psychological; D005190:Family / Q000523:psychology; D005260:Female; D006301:Health Services Needs and Demand; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D016901:Intergenerational Relations; D008268:Macular Degeneration / Q000188:drug therapy* / Q000451:nursing / Q000523:psychology*; D008923:Missouri; D008960:Models, Psychological; D017008:Negotiating / Q000523:psychology; D015404:Nursing Methodology Research; D036301:Qualitative Research; D012944:Social Support; D011795:Surveys and Questionnaires