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L'hébergement institutionnel d'un parent âgé ayant des pertes cognitives

Published online by Cambridge University Press:  31 March 2010

Hélène Belleau
Hélène Belleau*
Affiliation:
Université de Montréal
*
Requests for offprints should be sent to: / Les demandes de tirés-à-part doivent être adressées à : Hélène Belleau, Professeure, Ph.D. en sociologie de l'Université de Montréal, Institut national de la recherche scientifique—Urbanisation, Culture et Société, 3465, rue Durocher, Montréal, QC H2X 2C6. (helene.belleau@ucs.inrs.ca)
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Abstract

This study examines the decision of institutionalizing an elderly parent suffering from cognitive impairments and the various people involved in this process: the elderly person, the informal caregiver, certain family members and health and social service professionals. Based on a qualitative analysis of interviews conducted with 16 elderly people and their family networks, this study reveals the importance of considering the point of view of everyone involved. The results show that one of the main reasons behind the decision to institutionalize an elderly person is the appearance of disturbing behaviours related to his or her cognitive impairments. Diverse strategies used by family members and health and social service professionals in order to bring about the institutionalization of an elderly person when he or she is opposed to it are presented as well as the ethical dilemmas this raises. We conclude with a presentation of research and intervention recommendations.

Résumé

Cette étude examine la décision de faire héberger un parent âgé ayant des pertes cognitives en s'intéressant aux divers acteurs impliqués dans ce processus à savoir: la personne âgée elle-même, le proche aidant et certains membres de sa famille ainsi que les professionnels de la santé et des services sociaux. Partant d'une analyse qualitative d'entretiens auprès de 16 personnes âgées et leur réseau, cette étude révèle l'importance de considérer le point de vue de ces différents acteurs. Les résultats de l'enquête montrent qu'un des principaux motifs d'hébergement est l'apparition de comportements dérangeants chez la personne âgée qui sont liés aux pertes cognitives. Les diverses stratégies adoptées par les proches et les professionnels pour amener une personne en institution alors qu'elle s'y oppose sont présentées en lien avec les questions qu'elles soulèvent. Nous concluons cette réflexion par la présentation de pistes de recherche et d'intervention.

Keywords

aginginstitutionalizationelderlyinstitutionfamilyethicscognitive impairmentsvieillissementhébergementpersonne âgéeinstitutionfamilleéthiquepertes cognitives
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 26 , Issue 4 , Winter/Hiver 2007 , pp. 329 - 341
Copyright
Copyright © Canadian Association on Gerontology 2007

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References

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