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Community Connectedness and Long-Term Care in Late Life: A Narrative Analysis of Successful Aging in a Small Town

This dissertation is a narrative inquiry of the ways in which cultural values,
norms, and expectations shape the aging experience of elderly adults living
independently in Kasson, a small rural town in southeastern Minnesota, and within
Prairie Meadows, Kasson's residential assisted living facility. Despite significant
evidence of the reciprocal relationship between community connectedness, successful
aging, and healthy communities, we know relatively little about the ways in which
contextual meanings of old age influence long-term care and perceptions of well-being
in late life. I therefore utilized a variety of interpretive methods, including participant
observation, textual analysis, in-depth interviews, and photovoice, to complement and
enlarge existing research. Ultimately, I engaged crystallization methodology to
co-construct with my participants a multivocal, multigenre text of layered accounts,
photographs, stories, and personal reflections. My research design and presentation
highlight the inherent possibilities of participatory methods, aesthetic ways of knowing,
and asset-based community development for influencing policy and practice at individual, community, and societal levels with typically disenfranchised populations in
future communication scholarship.
My narrative analysis uncovered three overarching narratives - the "small town"
narrative, the "aging in place" narrative, and the "old age" narrative - that guide
communicative practices within and between Kasson and Prairie Meadows. Overall,
elderly adults in these communities negotiate community connectedness in late life by
drawing from or re-storying each of the three narratives. First, they co-construct personal
and relational identities through social interactions and shared understandings (e.g., civic
engagement, church membership, neighborliness, collective history) of what it means to
live in a small town. Second, they face uncertainty (e.g., health and dependency issues)
by turning to the past to make sense of the present and future. Third, they embrace old
age through membership in age-specific contexts (e.g., Red Hats, senior center, Prairie
Meadows) while resisting it in others (e.g., tensions between independence, isolation,
and communal life). In total, their stories illuminate the ways in which personal
meanings and cultural ideologies support and constrain interactions and decisions in late
life as individuals strive for long-term living and a meaningful, supportive place in
which to grow old.

Identiferoai:union.ndltd.org:tamu.edu/oai:repository.tamu.edu:1969.1/ETD-TAMU-2009-12-7242
Date2009 December 1900
CreatorsYamasaki, Jill
ContributorsSharf, Barbara F.
Source SetsTexas A and M University
Languageen_US
Detected LanguageEnglish
TypeBook, Thesis, Electronic Dissertation, text
Formatapplication/pdf

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