Community Care Strategies for Older Adults Facing Hardships: Insights from Central Thailand
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Abstract
The focus of the study is to analyze the community care approach for older adults facing hardships in the social and cultural context of the central region of Thailand. To obtain insightful information, a qualitative research study was performed using observation methods, in-depth interviews, focus group discussions, secondary data, and field notes. A group of 85 key informants consisting of local administrative organizations (LAO), public sector officers from health service units, community leaders, civil groups, older adults facing hardships, and family caregivers participated in the study. There are nine approaches employed in the community care practices for older adults facing hardships as follows: 1) providing social welfare; 2) preparing and using information; 3) developing a service system; 4) developing potential in caring for older adults; 5) adjusting the environment to ensure its contribution to the living conditions; 6) rules, regulations, agreements, and policies; 7) creating job opportunities; 8) building food security; and 9) building and strengthening community networks. Understanding in-depth information regarding the nature of older adults, community strategies, and community involvement assists nurses in health management and increasing skills and knowledge on providing care for older adults.
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References
• Abbott, D., & Pollard, P. (2004). Hardship and poverty in the Pacific. Asian Development Bank. https://www.adb.org/sites/default/files/publication/28800/hardship-poverty.pdf
• Appeadu, M. K., & Bordoni, B. (2023, June 4). Falls and fall prevention in older adults. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK560761/
• Bubpa, N., Nuntaboot, K., Boonsawasdgulchai, P., & Benner, M. (2020). Investigating the experience of local community networks of disaster self-management: A qualitative study in Thailand. Indian Journal of Public Health, 64(4), 381–385. https://doi.org/10.4103/ijph.ijph_92_20
• Dean, H. (1992). Poverty discourse and the disempowerment of the poor. Critical Social Policy,12(35), 79–88. https://doi.org/10.1177/026101839201203505
• Department of Older Persons. (2018). แผนผู้สูงอายุแห่งชาติ ฉบับที่ ๒ (พ.ศ. ๒๕๔๕ – ๒๕๖๔) ฉบับปรับปรุง ครั้งที่ ๒ พ.ศ. ๒๕๖๑ คณะกรรมการผู้สูงอายุแห่งชาติ [National plan for the elderly, Vol.2 (2002-2021), Revised edition No.2, 2018]. Samlada Printing House. https://www.dop.go.th/download/laws/th1573721522-816_0.pdf
• Devalersakul, N., Siriwarakoon, W., & Roadyim, C. (2016). แนวทางการพัฒนาผู้สูงอายุจากภาระให้เป็นพลัง กรณีศึกษาเทศบาลนครรังสิต [The development of the elderly as a burden to power: Case study of Rangsit City Municipality]. Veridian E-Journal, Silpakorn University, 9(1), 529–545. https://he02.tci-thaijo.org/index.php/Veridian-E-Journal/article/view/61498
• Edwards, L., & Owen-Booth, B. (2021). An exploration of engagement in community based creative activities as an occupation for older adults. Irish Journal of Occupational Therapy, 49(1), 51–57. https://doi.org/10.1108/IJOT-05-2020-0009
• Fetterman, D. M. (2010). Ethnography: Step-by-step. SAGE Publications.
• Foundation of Thai Gerontology Research and Development Institute (TGRI). (2019a, January). Situation of the Thai older person 2017. Institute for Population and Social Research, Mahidol University. https://thaitgri.org/?wpdmpro=situation-of-the-thai-elderly-2017
• Foundation of Thai Gerontology Research and Development Institute (TGRI). (2019b, December). Situation of Thai elderly 2018. Institute for Population and Social Research, Mahidol University. https://www.dop.go.th/download/knowledge/th1586350958-261_0.pdf
• Foundation of Thai Gerontology Research and Development Institute (TGRI). (2022, September). Situation of the Thai older person 2021. Institute for Population and Social Research, Mahidol University. https://www.dop.go.th/download/knowledge/th1663828576-1747_1.pdf
• Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105–112. https://doi.org/10.1016/j.nedt.2003.10.001
• Institute for Population and Social Research, Mahidol University. (2012). คู่มือการปฏิบัติงานตามระบบการช่วยเหลือทางสังคมในภาวะวิกฤต [Assessing and developing social assistance system in crisis situation]. Ministry of Social Development and Human Security. https://ipsr.mahidol.ac.th/wp-content/uploads/2022/03/Report-File-494.pdf
• Jareprapal, U. O., & Nunthaboot, K. (2016). การนำใช้ข้อมูลเพื่อการดูแลผู้สูงอายุโดยชุมชน [Information utilization for care of elders by the community]. Journal of Nursing Science & Health, 39(3), 64–74.
• https://he01.tci-thaijo.org./index.php/nah/article/view/55513
• Jett, K. (2019). Theories of aging. In T. A. Touhy & K. F. Jett (Eds.), Ebersole & Hess’ toward healthy aging: Human needs and nursing response (10th ed., pp. 31–39). Mosby.
• Khamngae, S., Boonleaing, S., Bungchan, N., & Promsaka Na Sakolnakorn, T. (2014). Social welfare needs and policies for elderly people in Thailand: A case study in Pitsanulok community. Asian Social Science, 10(12), 142–148. https://doi.org/10.5539/ass.v10n12p142
• Kumniyom, N., & Sritanyarat, W. (2016). ความต้องการชุดบริการการดูแลระยะยาวของผู้สูงอายุที่มีภาวะพึ่งพิงที่อาศัยอยู่ในชุมชน [Needs of long term care service package for frail older persons in community]. Journal of Nursing and Health Care, 34(3),125–131. https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/69161
• LeCompte, M. D., & Schensul, J. J. (1999). Analyzing & interpreting ethnographic data. Altamira Press.
• Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. SAGE.
• Mahem, K., & Nuntaboot, K. (2018). การให้ความหมายของผู้สูงอายุที่ต้องการความช่วยเหลือโดยชุมชน: เทศบาลตำบลแม่สะเรียง อำเภอแม่สะเรียง จังหวัดแม่ฮ่องสอน [The community’s meanings of the older people who require assistance: Mae Sariang municipality, Mae Sariang district, Mae Hong Son province]. Journal of Nursing Science & Health, 41(3), 65–76. https://he01.tci-thaijo.org/index.php/nah/article/view/160789
• National Economic and Social Development Board. (2022). The tenth national economic and social development plan (2007-2011). Office of the Prime Minister. https://www.nesdc.go.th/nesdb_en/ewt_dl_link.php?nid=3785
• National Statistical Office. (2022). การสำรวจประชากรสูงอายุในประเทศไทย พ.ศ. 2564 [The 2021 survey of the older persons in Thailand]. Ministry of Digital Economy and Society. https://www.dop.go.th/download/knowledge/th1687612748-2406_0.pdf
• Nawsuwan, K., & Suwanraj, M. (2019). สภาพปัญหาและความต้องการดูแลสุขภาพของผู้สูงอายุที่อยู่ในเขตความรับผิดชอบขององค์กรปกครองส่วนท้องถิ่นในภาคใต้ตอนล่าง [Current problems and care needs of older adults living in local administrative organization responsibility area in the lower southern region of Thailand]. Boromarajonani College of Nursing, Uttaradit Journal, 11(2), 118–132. https://he01.tci-thaijo.org/index.php/unc/article/view/168981
• Nick, G. A., Savoia, E., Elqura, L., Crowther, M. S., Cohen, B., Leary, M., Wright, T., Auerbach, J., & Koh, H. K. (2009). On linkages: Integrating community-based organizations into preparedness planning for people with Shcn. Public Health Reports, 124(2), 338–343. https://doi.org/10.1177/003335490912400225
• Nilsson, I., Blanchard, M., & Wicks, A. (2013). Occupational engagement among community dwelling older people: A time-geographic perspective. Health Promotion International, 30(3), 484–494. https://doi.org/10.1093/heapro/dat068
• Nuntaboot, K., Boonsawasdgulchai, P., & Bubpa, N. (2019). Role of mutual help of local community networks in health activities: Improvement for the quality of life of older people in Thailand. International Journal of Nursing Sciences, 6(3), 266–271. https://doi.org/10.1016/j.ijnss.2019.04.001
• Oldenkamp, M., Hagedoorn, M., Wittek, R., Stolk, R., & Smidt, N. (2017). The impact of older person’s frailty on the care-related quality of life of their informal caregiver over time: Results from the TOPICS-MDS project. Quality of Life Research, 26, 2705–2716. http://doi:10.1007/s11136-017-1606-5
• Pereira, H. R. (2012). Rigour in phenomenological research: Reflections of a novice nurse researcher. Nurse Researcher,19(3), 16–19. https://doi.10.7748/nr2012.04.19.3.16.c9054.
• Pradana, A. A. (2022). Social capital as a determinant of health in older adults: A narrative review. KnE Life Sciences, 7(2), 1–11. https://doi.org/10.18502/kls.v7i2.1028
• Puraya, A., & Nantaboot, K. (2019). ศักยภาพของชุมชนในการดูแลผู้สูงอายุ [Community capacity in elderly care]. Journal of Nursing Science & Health, 37(1), 22–31. https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/181709
• Sereenonchai, S., & Arunrat, N. (2021). Understanding food security behaviors during the COVID-19 pandemic in Thailand: A review. Agronomy,11(3), Article 497. https://doi.org/10.3390/agronomy11030497
• Sitthissuntikul, K., Satienperakul, K., & Jolanun, B. (2018). แนวทางพัฒนาความมั่นคงทางอาหารในชุมชนเกษตรอินทรีย์ ตำบลลวงเหนือ อำเภอดอยสะเก็ด จังหวัดเชียงใหม่ [Approaches to develop food security in the organic communities Luang Nuea Sub-district, Doi-Saket District, Chiang Mai]. Journal of Agricultural Research and Extension, 35(3), 63–72. https://li01.tci-thaijo.org/index.php/MJUJN/article/view/201048
• Sodapadcha, W., Phosing. P., & Kenaphoom, S. (2017). แนวทางการจัดการสวัสดิการสังคม: ภาครัฐ: องค์กรชุมชน [The social welfare management approach: Government: Community organization]. Humanities and Social Sciences Journal Ubon Ratchathani Rajabhat University, 8(2), 160–176. https://so01.tci-thaijo.org/index.php/humanjubru/article/view/129670
• Thamma-Aphiphol, K., Srivanichakorn, S., Sillabutra, J., & Suthisukon, K. (2017). การจัดการดูแลผู้สูงอายุที่ประสบภาวะยากลำบากโดยองค์กรสาธารณสุข [Care management for the elderly hardship by public health organization]. Local Administration Journal, 10(3), 159–181. https://so04.tci-thaijo.org/index.php/colakkujournals/article/view/100286
• Tongsiri, S., Ploylearmsang, C., & Hawsuthisima, G. K. (2015). การปรับสภาพบ้านเพื่อคุณภาพชีวิตคนพิการและผู้สูงอายุ: ข้อเสนอแนะสำหรับการนำนโยบายสู่การปฏิบัติ [Home modifications for people with disabilities and the elderly: Recommendations from policy to practice]. Journal Health Research, 9(4), 382–395. https://kb.hsri.or.th/dspace/handle/11228/4369?locale-attribute=th
• Tsouros, A. D. (2015). Twenty-seven years of the WHO European healthy cities movement: A sustainable movement for change and innovation at the local level. Health Promotion International, 30(Suppl 1), i3-i7. https://doi.org/10.1093/heapro/dav046
• United Nations. (2015). World population ageing 2015 (ST/ESA/SER.A/390). United Nations, Department of Economic and Social Affairs, Population Division. https://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2015_Report.pdf
• United Nations. (2019). World population prospects 2019: Volume 1: Comprehensive tables (ST/ESA/SER.A/426). United Nations, Department of Economic and Social Affairs, Population Division. https://population.un.org/wpp/Publications/Files/WPP2019_Volume-I_Comprehensive-Tables.pdf
• United Nations Population Fund. (2021). COVID-19 and older persons: Evidence from the survey in Thailand 2021. https://thailand.unfpa.org/sites/default/files/pub-pdf/covid-19_report-online-revised_2021.pdf
• van Hoof, J., Dikken, J., Buttigieg, S. C., Rudy, F. M., van den Hoven., Kroon, E., & Marston, H.R. (2020). Age-friendly cities in the Netherlands: An explorative study of facilitators and hindrances in the built environment and ageism in design. Indoor and Built Environment, 29(3), 417–437. https://doi.org/ 10.1177/1420326X19857216
• Vattanaamong, S. (2011). ระบบการดูแลของชุมชนสำหรับผู้ที่ต้องการความช่วยเหลือ [Community care system for the people who require assistance.] [Unpublished doctoral dissertation]. Khon Kaen University.
• World Health Organization. (2015, October 7). Healthy cities: Good health is good politics: Toolkit for local governments to support healthy urban development (WPR/2015/DNH/004). WHO Regional Office for the Western Pacific. https://iris.who.int/handle/10665/208242
• Yi, Y. M., Park, Y. H., Cho, B., Lim, K. S., Jang, S., Chang, S. J., Ko, H., Noh, E., & Ryu, S. I. (2021). Development of a community-based integrated service model of health and social care for older adults living alone. International Journal of Environmental Research and Public Health/International Journal of Environmental Research and Public Health, 18(2), Article 825. https://doi.org/10.3390/ijerph18020825
• Yodsuban, P., & Nuntaboot, K. (2021). Communnity-based flood disaster management for older adults in southern of Thailand. A qualitative study. International Journal of Nursing Science, 8(4), 409-417. https://doi.org/10.1016/j.ijnss.2021.08.008
• Yomsiri, P., & Sompong, S. (2020). การบูรณาการพัฒนาคุณภาพชีวิตผู้สูงอายุตามแผนพัฒนาเศรษฐกิจและสังคมแห่งชาติ ฉบับที่ 12 (พ.ศ.2560-2564) [The integration conditions for development of the quality of life of elderly in line with the National health development plan No.12 (2560-2564)]. Journal of Buddhist Anthropology, 5(9), 216–229. https://so04.tci-thaijo.org/index.php/JSBA/article/view/242937