Social Engagement Care for Frail Older Persons: Desire for It and Provision by Live-In Migrant Caregivers

Jiska Cohen-Mansfield, Hava Golander, Esther Iecovich, Barbara Jensen and Deborah CarrPhDDecision Editor

The Journals of Gerontology: Series B, 2019, vol. 74, issue 6, 1062-1071

Abstract: ObjectivesTo describe social engagement care (SEC) provided by live-in migrant caregivers for frail older adults compared with care recipients’ and families’ wishes for such care.MethodInterviews with care recipients, family members, and migrant caregivers assessed preferences for and provision of five types of SEC activities: knowing the older person as a person, knowing their main concerns, having personal conversations, going for walks, and sharing social or leisure activities.ResultsCare recipients and family proxies reported a moderate desire for SEC from migrant caregivers, except for sharing leisure activities, for which there was only a slight preference. Migrant caregivers reported these practices at somewhat higher levels compared with the other respondents. Migrant caregivers’ reports of practice show little relationship with care-recipients’ preferences, but care recipients tended to perceive practice as agreeing with their own wishes.DiscussionIt is important to include SEC as part of the role of live-in migrant caregivers of older persons. However, there is a need to differentiate among types of SEC and subsequently optimize the match between the care-recipient’s wishes and needs and the actual care provided.

Keywords: Family proxies; Person-centered care; Preferences (search for similar items in EconPapers)
Date: 2019
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The Journals of Gerontology: Series B is currently edited by Psychological Sciences - S. Duke Han, PhD and Social Sciences - Jessica A Kelley, PhD, FGSA

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