Dignity and respect: facilitating meaningful occupation for SeSotho elders

Scand J Occup Ther. 2014 Mar;21(2):125-35. doi: 10.3109/11038128.2013.861015. Epub 2013 Dec 11.

Abstract

Aim: Frail and vulnerable adults are divested of meaningful encounters when modernization and urbanization force them to embrace an unconventional residential care environment as a home. The aim of this article is to report on a study of SeSotho elders living in residential care to illustrate how more meaningful and culturally relevant experiences could be facilitated for them.

Methods: A content analysis was done of the individual opinions of 15 collaborators as a secondary scrutiny of information obtained during a nominal group process. MAJOR FINDINGS. Findings revealed that elders were prone to experience loneliness, helplessness, and boredom due to situations dominated by occupational injustice. Co-occupations, training of staff, and environmental adaptations that allow a sense of interdependence could contribute in facilitating occupational justice for elders from a traditional South African indigenous background living in residential care.

Principal conclusion: Human dignity and respect are upheld within residential care when elders have access to purposeful and meaningful activities of their choice that are culturally appropriate. Occupational therapists should advocate for doing, belonging, and becoming by facilitating meaningful occupational participation that is culturally relevant for their clients.

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Boredom
  • Decision Making
  • Female
  • Group Processes
  • Humans
  • Loneliness
  • Male
  • Middle Aged
  • Occupational Therapy*
  • Personal Autonomy
  • Personhood*
  • Professional Role
  • Qualitative Research
  • Quality Improvement
  • Residential Facilities* / standards
  • Social Justice
  • South Africa