Bakgrund Förlust av förmågan att utföra självständig ADL är ett vanligt problem hos äldre i slutenvården. Detta leder till lidande och förlängda vårdtider. För att kunna utveckla omvårdnaden och för att motverka detta behövs ökad insikt om patienternas upplevelser vid minskad ADL-förmåga. Syfte Att beskriva äldre patienter med försämrad ADL-förmågas upplevelser av sin vård gällande utförande av ADL inom slutenvården. Metod Kvalitativ intervjustudie med åtta äldre patienter inneliggande på ett svenskt universitetssjukhus. Resultat Studiedeltagarna upplevde överlag att vården och personalen fungerade bra och att detta förbättrade deras upplevelse av att ha minskat i ADL-förmåga. Studiedeltagarna tyckte det var jobbigt att vara beroende av andra och få hjälp med personlig hygien. Vårdavdelningarnas rutiner och upplevelsen av att personalen var stressad gjorde att studiedeltagarna inte ville vara till besvär och ställa krav. Slutsats Resultaten visar att det finns ett behov av att utveckla ett mer personcentrerat förhållningsätt där riskpatienter identifieras och får möjlighet att vara delaktiga i arbetet för att stärka förmågan till självständigt utförande av ADL. / Background Loss of the ability to independently perform tasks of basic ADL is a common problem in the care of institutionalized elderly. Loss of ADL function is a source of suffering and prolonged institutionalization. It is necessary to effectively counter the risks and develop the care a deeper insight of the experiences from patients with losses in their ADL function. Purpose To describe experiences of performing of ADL in hospital as described by institutionalized elderly with a loss of ADL function. Methods Qualitative interviews with eight elderly patients institutionalized at a Swedish university hospital. Results The participants had in general a positive opinion of the care they received and they felt that it improved the feeling of having lost some ADL function. They felt troubled about being dependent of someone else and getting help with private hygiene on the basis of its personal nature. The routines and the experience of stressed staff made the participants reluctant to make demands or ask for help. Conclusion The results of the study showed that there is a need to develop a person centered approach where patients at risk are identified and given opportunity to participate in the work to strengthen their ability to perform ADL independently.

Support provision is a personal and important element of daily life for many people with disabilities. The study examines the ways in which organizational mandates and philosophies shape interactions between people with disabilities and support providers at two unique organizations: a L’Arche community for people with intellectual disabilities and a Independent Living Resource Centre. The project is framed with the social model of disability, the work of Titchkosky (2003) and human geography. Data was collected through semi-structured interviews, including a scenario component, with administrators at each location, people with disabilities using the services and support providers. The findings demonstrate that both organizations have strongly articulated philosophies that the participants are familiar with. The L’Arche model creates an environment that determines certain ways of interacting and while the IL participants amend the philosophy to reflect the daily reality of support provision.

The starting point for this project was my MPhil thesis (University of Leeds, 1995) Aural Geographies. An Investigation of Sound In Everyday Space, which has as its subject matter the concept of sound in everyday space. The MPhil thesis argued that in considering everyday space more attention should be paid to the aural experience. The argument did not try to `bolt on' what is heard to what is seen. Rather it contemplated the intricate relationships between the visual and aural senses within everyday space. Following from the work which was undertaken for the MPhil it became clear that further and more substantial research into the area of sound and space was merited. This research has been carried out at the University of East London as a PhD programme, under the supervision of Professor Andrew Blake, who introduced me to numerous aspects of music analysis. The thesis acknowledges and expands upon the work on sound carried out by the limited number of social theorists who have addressed this issue such as Adorno, Attali and in particular Schafer and his work on soundscapes. There is discussion throughout of the inspirational ideas of John Cage. The aim of the thesis, which is explored through many inter-related pieces of analysis and empirical work, is to expand upon our knowledge of the role of sound in everyday life. The thesis contributes towards knowledge by providing many new insights about the soundworld and its place in human experience. As befits a thesis which centres on the aural, the research methods are also innovatory allowing the readers/listeners themselves to experience sound worlds. The thesis therefore relies 111 heavily on newly-developed new recording/mapping techniques, using high quality audio recordings which are then used to produce digital sound maps in the form of hypermedia made available on a CD-ROM. The thesis demonstrates how these maps enable us to comprehend some of the complex sensory processes associated with sound worlds. Sound worlds are the main focus here, and in particular the way in which sound worlds are constructed by individuals. Where the MPhil examined sound in public spaces, this thesis further reflects on that investigation before going on to investigate the sound worlds generated in the living room (a key everyday space). This enables us to hear/see how the sound worlds associated with the living room link up with other everyday spaces. The contention is that sound is crucial for the organisation and operation of everyday space Though the thesis is persuasive in indicating the importance of the aural in everyday life, the question arises as to how the relationship between the aural and the visual can be represented in academic work, and especially in the discipline of geography. This question is addressed in the thesis by the presentation of a number of specially developed aural terms, such as `sonic order' and `sound maps'. The thesis describes how people organise their activities around sonic order, and explains how conflicts arise over sonic order. The thesis concludes that sound maps are present in everyday space and that people use them to navigate everyday space. This sensitivity to sound spaces generates geographical (aur/imagin)ations, which are in turn subject to study from within the discipline of geography.

No description available.

Thesis (Ph. D.)--University of Hawaii at Manoa, 1995. / Includes bibliographical references (leaves 345-357). / Microfiche. / xix, 357 leaves, bound ill., map 29 cm

No description available.

Thesis (M.A.)--Humboldt State University, 2007. / Includes bibliographical references (leaves 126-134). Also available via Humboldt Digital Scholar.

Thesis (M. Sc. ID)--University of New South Wales, 2001. / Also available online.

Thesis (M. Sustainability & Technology Policy)--Murdoch University, 2006. / Thesis submitted to the Division of Arts. Includes bibliographical references (leaves 122-126).

Thesis (Ph. D.)--Columbia University. / Vita. "Partial bibliography": p. 282-288.