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Solving the ‘personhood jigsaw puzzles’ in residential care homes for the elderly in the Hong Kong Chinese context.

Kong, S.T. and Fang, C.M.S. and Lou, V.W. (2016) 'Solving the ‘personhood jigsaw puzzles’ in residential care homes for the elderly in the Hong Kong Chinese context.', Qualitative health research., 27 (3). pp. 421-433.

Abstract

End-of-life care studies on the nature of personhood are bourgeoning; however, the practices utilized for achieving personhood in end-of-life care, particularly in a cultural context in which interdependent being and collectivism prevail, remain underexplored. This study seeks to examine and conceptualize good practices for achieving the personhood of the dying elderly in residential care homes in a Chinese context. Twelve interviews were conducted with both medical and social care practitioners in four care homes to collect narratives of practitioners’ practices. Those narratives were utilized to develop an “end-of-life case graph.” Constant comparative analysis led to an understanding of the practice processes, giving rise to a process model of “solving the personhood jigsaw puzzle” that includes “understanding the person-in-relationship and person-in-time,” “identifying the personhood-inhibiting experiences,” and “enabling personalized care for enhanced psychosocial outcomes.” Findings show how the “relational personhood” of the elderly can be maintained when physical deterioration and even death are inevitable.

Item Type:Article
Full text:(AM) Accepted Manuscript
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Status:Peer-reviewed
Publisher Web site:https://doi.org/10.1177/1049732316658266
Publisher statement:Kong, S.T. and Fang, C.M.S. and Lou, V.W. (2016) 'Solving the ‘personhood jigsaw puzzles’ in residential care homes for the elderly in the Hong Kong Chinese context.', Qualitative health research., 27 (3). pp. 421-433. © 2016 The Author(s). Reprinted by permission of SAGE Publications.
Date accepted:25 May 2016
Date deposited:16 June 2017
Date of first online publication:07 August 2016
Date first made open access:No date available

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