The Resource "Now there's a good woman" : how rural life course events shape the response to cognitive decline in older women, Christine Marie Eisenhauer, (electronic resource)
"Now there's a good woman" : how rural life course events shape the response to cognitive decline in older women, Christine Marie Eisenhauer, (electronic resource)
Resource Information
The item "Now there's a good woman" : how rural life course events shape the response to cognitive decline in older women, Christine Marie Eisenhauer, (electronic resource) represents a specific, individual, material embodiment of a distinct intellectual or artistic creation found in University of Missouri-St. Louis Libraries.This item is available to borrow from all library branches.
Resource Information
The item "Now there's a good woman" : how rural life course events shape the response to cognitive decline in older women, Christine Marie Eisenhauer, (electronic resource) represents a specific, individual, material embodiment of a distinct intellectual or artistic creation found in University of Missouri-St. Louis Libraries.
This item is available to borrow from all library branches.
- Summary
- Aims: This dissertation aimed to: (1) analyze the life-course experiences of rural, older women and the impact of those experiences on their values, health-illness behaviors and decision-making, particularly surrounding cognitive decline; (2) compare and contrast the values, health-illness behaviors and decision-making of the older women with those of three younger generations of rural women; and (3) examine findings with the local community to explore ways of working with the formal health care system to identify culturally acceptable ways to deal with cognitive decline. Background: Cognitive decline is a continuum that includes levels of memory problems, poor judgment, confusion, personality change, and difficulty with planning and social functioning. In a pilot study, rural, older women identified cognitive decline, or "losing one's mind," as the most significant fear and concern for which they desired interventions. The isolation of the rural lifestyle has made these women value independence and self-reliance as essential characteristics for survival. Chronic illnesses, such as progressive types of cognitive decline, significantly threaten the functional and cognitive independence, safety, and quality of life of this population. Method: An ethnographic design utilized in-depth life history interviews with four key informants across one year, focus groups with cross-generational cohorts (n=20), participant observation, and review of cultural artifacts. Interviews were transcribed verbatim and thematically analyzed. Findings: Findings include: (1) historical knowledge indicates belonging, (2) drifting about but not out, (3) gender roles- men protect from outside, women protect from inside, (4) neighbors as a network, (5) trust as an exchangeable commodity, (6) the new outsiders: health service insensitivity reinforces distrust, (7) then and now: loss of social capital, (8) come and eat, (9) there's no place like home, (10) self-determination, (11) all natural please, (12) suffering continuum, (13) stoicism begets emotional disconnect with the health-illness experience, (14) I need help but it is a private matter, and (15) protective silence-avoidance. Conclusion: The findings provide a greater understanding of rural culture, help to personalize health care through sensitivity to culture and generation, decrease disparities in access to care related to rural isolation and improve health outcomes for rural women facing cognitive decline
- Language
- eng
- Extent
- 1 online resource (243 pages)
- Note
-
- "A dissertation in nursing."
- Advisor: Jennifer Hunter
- Vita
- Contents
-
- Introduction
- Review of literature
- Methods
- Entree to the field
- Life history of the rural, older women
- Results
- Focus group comparisons
- Summary, discussion, limitations, recommendations and implications for practice
- Appendix A. Life history interview guide
- Appendix B. Demographic information
- Appendix C. UMKC SSIRB approval
- Label
- "Now there's a good woman" : how rural life course events shape the response to cognitive decline in older women
- Title
- "Now there's a good woman"
- Title remainder
- how rural life course events shape the response to cognitive decline in older women
- Statement of responsibility
- Christine Marie Eisenhauer
- Title variation
- How rural life course events shape the response to cognitive decline in older women
- Language
- eng
- Summary
- Aims: This dissertation aimed to: (1) analyze the life-course experiences of rural, older women and the impact of those experiences on their values, health-illness behaviors and decision-making, particularly surrounding cognitive decline; (2) compare and contrast the values, health-illness behaviors and decision-making of the older women with those of three younger generations of rural women; and (3) examine findings with the local community to explore ways of working with the formal health care system to identify culturally acceptable ways to deal with cognitive decline. Background: Cognitive decline is a continuum that includes levels of memory problems, poor judgment, confusion, personality change, and difficulty with planning and social functioning. In a pilot study, rural, older women identified cognitive decline, or "losing one's mind," as the most significant fear and concern for which they desired interventions. The isolation of the rural lifestyle has made these women value independence and self-reliance as essential characteristics for survival. Chronic illnesses, such as progressive types of cognitive decline, significantly threaten the functional and cognitive independence, safety, and quality of life of this population. Method: An ethnographic design utilized in-depth life history interviews with four key informants across one year, focus groups with cross-generational cohorts (n=20), participant observation, and review of cultural artifacts. Interviews were transcribed verbatim and thematically analyzed. Findings: Findings include: (1) historical knowledge indicates belonging, (2) drifting about but not out, (3) gender roles- men protect from outside, women protect from inside, (4) neighbors as a network, (5) trust as an exchangeable commodity, (6) the new outsiders: health service insensitivity reinforces distrust, (7) then and now: loss of social capital, (8) come and eat, (9) there's no place like home, (10) self-determination, (11) all natural please, (12) suffering continuum, (13) stoicism begets emotional disconnect with the health-illness experience, (14) I need help but it is a private matter, and (15) protective silence-avoidance. Conclusion: The findings provide a greater understanding of rural culture, help to personalize health care through sensitivity to culture and generation, decrease disparities in access to care related to rural isolation and improve health outcomes for rural women facing cognitive decline
- Cataloging source
- UMK
- http://library.link/vocab/creatorName
- Eisenhauer, Christine Marie
- Degree
- Ph.D.
- Dissertation year
- 2012.
- Granting institution
- School of Nursing. University of Missouri-Kansas City
- Illustrations
- illustrations
- Index
- no index present
- Literary form
- non fiction
- Nature of contents
-
- dictionaries
- bibliography
- theses
- http://library.link/vocab/relatedWorkOrContributorName
- Hunter, Jennifer
- http://library.link/vocab/subjectName
-
- Rural women
- Rural health
- Cognition in old age
- Age Factors
- Rural Health
- Women's Health
- Label
- "Now there's a good woman" : how rural life course events shape the response to cognitive decline in older women, Christine Marie Eisenhauer, (electronic resource)
- Note
-
- "A dissertation in nursing."
- Advisor: Jennifer Hunter
- Vita
- Antecedent source
- not applicable
- Bibliography note
- Includes bibliographical references (pages 201-229)
- Carrier category
- online resource
- Carrier category code
-
- cr
- Carrier MARC source
- rdacarrier
- Color
- black and white
- Content category
- text
- Content type code
-
- txt
- Content type MARC source
- rdacontent
- Contents
- Introduction -- Review of literature -- Methods -- Entree to the field -- Life history of the rural, older women -- Results -- Focus group comparisons -- Summary, discussion, limitations, recommendations and implications for practice -- Appendix A. Life history interview guide -- Appendix B. Demographic information -- Appendix C. UMKC SSIRB approval
- Control code
- 800429547
- Dimensions
- unknown
- Extent
- 1 online resource (243 pages)
- File format
- one file format
- Form of item
- online
- Level of compression
- mixed
- Media category
- computer
- Media MARC source
- rdamedia
- Media type code
-
- c
- Other physical details
- color illustrations
- Quality assurance targets
- not applicable
- Specific material designation
- remote
- System control number
- (OCoLC)800429547
- System details
-
- The full text of the dissertation is available as an Adobe Acrobat .pdf file; Adobe Acrobat Reader required to view the file
- Mode of access: World Wide Web
- Label
- "Now there's a good woman" : how rural life course events shape the response to cognitive decline in older women, Christine Marie Eisenhauer, (electronic resource)
- Note
-
- "A dissertation in nursing."
- Advisor: Jennifer Hunter
- Vita
- Antecedent source
- not applicable
- Bibliography note
- Includes bibliographical references (pages 201-229)
- Carrier category
- online resource
- Carrier category code
-
- cr
- Carrier MARC source
- rdacarrier
- Color
- black and white
- Content category
- text
- Content type code
-
- txt
- Content type MARC source
- rdacontent
- Contents
- Introduction -- Review of literature -- Methods -- Entree to the field -- Life history of the rural, older women -- Results -- Focus group comparisons -- Summary, discussion, limitations, recommendations and implications for practice -- Appendix A. Life history interview guide -- Appendix B. Demographic information -- Appendix C. UMKC SSIRB approval
- Control code
- 800429547
- Dimensions
- unknown
- Extent
- 1 online resource (243 pages)
- File format
- one file format
- Form of item
- online
- Level of compression
- mixed
- Media category
- computer
- Media MARC source
- rdamedia
- Media type code
-
- c
- Other physical details
- color illustrations
- Quality assurance targets
- not applicable
- Specific material designation
- remote
- System control number
- (OCoLC)800429547
- System details
-
- The full text of the dissertation is available as an Adobe Acrobat .pdf file; Adobe Acrobat Reader required to view the file
- Mode of access: World Wide Web
Library Locations
-
St. Louis Mercantile LibraryBorrow it1 University Blvd, St. Louis, MO, 63121, US38.710138 -90.311107
-
-
University ArchivesBorrow it703 Lewis Hall, Columbia, MO, 65211, US
-
University of Missouri-St. Louis Libraries DepositoryBorrow it2908 Lemone Blvd, Columbia, MO, 65201, US38.919360 -92.291620
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University of Missouri-St. Louis Libraries DepositoryBorrow it2908 Lemone Blvd, Columbia, MO, 65201, US38.919360 -92.291620
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Ward E Barnes Education LibraryBorrow it8001 Natural Bridge Rd, St. Louis, MO, 63121, US38.707079 -90.311355
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<div class="citation" vocab="http://schema.org/"><i class="fa fa-external-link-square fa-fw"></i> Data from <span resource="http://link.umsl.edu/portal/Now-theres-a-good-woman--how-rural-life/6zDNyhEqytI/" typeof="Book http://bibfra.me/vocab/lite/Item"><span property="name http://bibfra.me/vocab/lite/label"><a href="http://link.umsl.edu/portal/Now-theres-a-good-woman--how-rural-life/6zDNyhEqytI/">"Now there's a good woman" : how rural life course events shape the response to cognitive decline in older women, Christine Marie Eisenhauer, (electronic resource)</a></span> - <span property="potentialAction" typeOf="OrganizeAction"><span property="agent" typeof="LibrarySystem http://library.link/vocab/LibrarySystem" resource="http://link.umsl.edu/"><span property="name http://bibfra.me/vocab/lite/label"><a property="url" href="http://link.umsl.edu/">University of Missouri-St. Louis Libraries</a></span></span></span></span></div>
