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)

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
Creator
Contributor
Thesis advisor
Subject
Genre
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)
Instantiates
Publication
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)
Publication
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

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