Occupational deprivation and frailty: the experiences of housebound older people
(2016) Occupational deprivation and frailty: the experiences of housebound older people, no. 95.
Meaningful and purposeful occupation is central to occupational therapy practice. The person, their environment and their occupations are widely acknowledged as interdependent on each other to ensure meaningful occupation can be achieved. Older people who are housebound and living with frailty are at risk of becoming deprived from opportunities to engage in meaningful and purposeful activities, putting their health, well-being and quality of life at risk. This is due partly to the physical characteristics associated with becoming older and frailer and the environments in which they live. Older populations are also increasing, with an increase in older people living with occupational deprivation, the importance and necessity of understanding the lives of older people living with frailty and their experiences of living with occupational deprivation is highlighted. The following dissertation engages the reader in a thorough and comprehensive literature review surrounding older peoples' experiences of living with frailty. The literature reveals the significance and importance of occupation for older people. Relation is made throughout the review to the person-environment-occupation model to further establish the importance of ensuring older people, especially those living with frailty, are engaged in purposeful and meaningful activities. A lack of research focussing on occupation and occupational deprivation with frail older people is identified within the literature. This gap in the literature has informed the research proposal. Research is proposed using an interpretive phenomenological methodology with an aim to identify, explore and describe experiences of occupational deprivation of older people living with frailty who are housebound and living at home. Participants will be purposively sampled from referrals into an intermediate care service to ensure they are at home, housebound and living with frailty. Interviews and observations will explore individual experiences of occupational deprivation. Methods of using interpretive phenomenological analysis are proposed to analyse the data gathered and meet the aim of this study. The following research questions have been posed to meet the study aim. The principal question is; what are the experiences older people living with frailty have in relation to occupation and occupational deprivation? Secondary questions are; is being deprived from meaningful occupations being experienced by this group? What occupations are significant to older people with frailty? And how are these occupations significant and important to older people with frailty?