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1.
Soc Sci Med ; 270: 113696, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33465597

RESUMEN

Indigenous peoples in Canada and other settler colonial nations experience barriers to healing in the health care system and their communities. Drawing on four sequential sharing circles and indepth interviews with 11 Indigenous men, this article shares the stories of Indigenous men and their healing journeys with the aim of improving culturally safe support in the community. In sharing their stories, these men identified coping with colonialism, as well as trauma and grief, as barriers in their healing journey. They also described finding strength in cultural role models, fathering, as well as ceremony and connecting to the land. We discuss the implications of these findings for service provision and decolonizing community health services.


Asunto(s)
Colonialismo , Servicios de Salud del Indígena , Canadá , Humanos , Pueblos Indígenas , Masculino , Salud Mental , Grupos de Población
2.
Soc Sci Med ; 204: 9-15, 2018 05.
Artículo en Inglés | MEDLINE | ID: mdl-29549870

RESUMEN

Living alongside and working with people with dementia who yell or strike out can be very demanding and sometimes harmful. It is generally understood that such actions may be a response to the social and physical environment, yet very little attention has been paid to understanding what role the environment plays in eliciting and responding to these actions across different settings. Drawing on 27 semi-structured interviews with formal and informal carers, this article examines how carers understand the actions of people with dementia in relation to their environment. We identify individual, interpersonal, local environmental, macro-scale and temporal dynamics that influence the actions of people with dementia and carers' capacities to work with them. Drawing on relational thinking and the concept of structural violence, we argue that many of the problems and solutions associated with aggressive actions are located outside the person with dementia in broader relations and systems of care. We conclude with a discussion of how these understandings can inform developments in the systems of home and community care.


Asunto(s)
Cuidadores/psicología , Demencia/psicología , Demencia/terapia , Relaciones Interpersonales , Relaciones Profesional-Paciente , Adulto , Anciano , Anciano de 80 o más Años , Agresión , Cuidadores/estadística & datos numéricos , Ambiente , Femenino , Humanos , Masculino , Persona de Mediana Edad , Investigación Cualitativa , Medio Social , Adulto Joven
3.
Soc Sci Med ; 173: 81-87, 2017 01.
Artículo en Inglés | MEDLINE | ID: mdl-27930919

RESUMEN

People with dementia can live meaningful and engaged lives with the appropriate social and physical supports in place. There has been relatively little research, however, on the experiences and desires of people with dementia themselves as they negotiate informal and formal support in rural and small town settings. In this article, we draw on semi-structured interviews with 46 community-dwelling people with dementia and 43 partners in care in rural Ontario, Canada to examine how people with dementia relate to and within their communities as well as their perceptions of community support services. We identify the continued contributions of people with dementia to their own care and the care of others as well as common social, cultural, and organizational factors related to delayed service use and refusal to use particular services. We argue that care is "not there yet" for people in the earlier stages of dementia and that more attention needs to be paid to what people with dementia can offer their communities as well as the role of culture and gender in developing support. Our findings make an important contribution to understanding the experience of dementia in rural and small town Canada, which is relevant to rural healthcare and community support in other industrialized countries.


Asunto(s)
Redes Comunitarias/normas , Demencia/complicaciones , Percepción , Esposos/psicología , Anciano , Anciano de 80 o más Años , Redes Comunitarias/estadística & datos numéricos , Redes Comunitarias/tendencias , Demencia/psicología , Demencia/terapia , Femenino , Humanos , Masculino , Persona de Mediana Edad , Ontario , Investigación Cualitativa , Población Rural/estadística & datos numéricos , Grupos de Autoayuda/normas , Apoyo Social , Esposos/estadística & datos numéricos
4.
Health Place ; 41: 34-41, 2016 09.
Artículo en Inglés | MEDLINE | ID: mdl-27522270

RESUMEN

In this article, we contribute to the social sciences literature on voluntarism by examining the dynamics of voluntary service provision for people living with dementia in rural settings. Although volunteer-based organizations provide community support services across a range of Western countries, little attention has been directed towards understanding the organization and actions of volunteers and voluntarism in dementia care. To address this gap, we conducted a case study of Alzheimer support organizations in Ontario, Canada, using questionnaires with service providers (N=20) and semi-structured interviews with people with dementia (N=46) and partners in care (N=43). In our analysis, we identify challenges related to increasing demands for support, partner relations, reaching rural communities, a lack of early stage supports, a lack of volunteers for programs that families have requested, and loss of volunteers in programs families depended on. Moreover, we argue that the current model of voluntary sector service provision for people living with dementia is unevenly developed and potentially unsustainable.


Asunto(s)
Enfermedad de Alzheimer/terapia , Accesibilidad a los Servicios de Salud , Organizaciones sin Fines de Lucro , Servicios de Salud Rural/organización & administración , Apoyo Social , Voluntarios , Anciano , Anciano de 80 o más Años , Cuidadores/psicología , Demencia , Femenino , Humanos , Relaciones Interinstitucionales , Relaciones Interprofesionales , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Ontario , Estudios de Casos Organizacionales , Cuidados Intermitentes , Encuestas y Cuestionarios
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