Health  Vol.9 No.2 , February 2017
The Influence of Place on Everyday Life: Observations of Persons with Dementia in Regular Day Care and at the Green Care Farm
Abstract: Day care services for persons with dementia are becoming an important aspect of community services. Place, therefore, becomes vital concerning how such establishments are organized regarding both the physical and social environment and the programs that are offered. The aim of this study was to describe the influence of place on everyday life in two different organized daycare services for persons with dementia. Based on observations and informal conversations with persons with dementia and staff members at a green care farm and a regular day care, we used an inductive manifest content analysis. The analysis reveals a main category: enabling and collaboration in daily life. The results are discussed in light of Goffman’s analysis of the structures of social encounters from the perspective of the dramatic performance. The main findings in this study involve how place contributes to enabling activities and collaboration between participants and staff, as it influences participants’ ability to achieve an active or passive role in everyday life at the day care services.
Cite this paper: Myren, G. , Enmarker, I. , Hellzen, O. and Saur, E. (2017) The Influence of Place on Everyday Life: Observations of Persons with Dementia in Regular Day Care and at the Green Care Farm. Health, 9, 261-278. doi: 10.4236/health.2017.92018.

[1]   Knapp, M., Comas-Herrera, A., Somani, A. and Banerjee, S. (2007) Dementia: International Comparisons. Summary Report for the National Audit Office. Personal Social Services Research Unit, London School of Economics and Political Science and the Institute of Psychiatry, Kings College, London, England.

[2]   Brodaty, H. and Donkin, M. (2009) Family Caregivers of People with Dementia. Dialogues in Clinical Neuroscience, 11, 217-228.

[3]   Andren, S. and Elmståhl, S. (2008) The Relationship between Caregiver Burden, Caregiver’s Perceived Health and Their Sense of Coherence in Caring for Elders with Dementia. Journal of Clinical Nursing, 17, 790-799.

[4]   Fields, N.L., Anderson, K.A. and Dabelko-Schoeny, H. (2014) The Effectiveness of Adult Day Services for Older Adults: A Review of the Literature from 2000 to 2011. Journal of Applied Gerontology, 33, 130-163.

[5]   Myren, G.E.S., Enmarker, I., Saur, E. and Hellzen, O. (2013) Relatives’ Experiences of Everyday Life When Receiving Day Care Services for Persons with Dementia Living at Home. Health, 5, 1227-1235.

[6]   Myren, G.E.S., Enmarker, I., Saur, E. and Hellzen, O. (2015) Being Free Like a Bird—The Meaning of Being an Informal Caregiver for Persons with Dementia Who Are Receiving Day Care Services. Open Journal of Nursing, 5, 109-119.

[7]   Anderson, K.A., Dabelko-Schoeny, H.I., Fields, N.L. and Carter, R.J. (2015) Beyond Respite: The Role of Adult Day Services in Supporting Dementia Caregivers. Home Health Care Services Quarterly, 34, 101-112.

[8]   Van Haeften-Van Dijk, A.M., Meiland, F.J.M.,Van Mierlo, L.D. and Dröes, R.M. (2015) Transforming Nursing Home-Based Day Care for People with Dementia into Socially Integrated Community Day Care: Process Analysis of the Transition of Six Day Care Centres. International Journal of Nursing Studies, 52, 1310-1322.

[9]   Tretteteig, S., Vatne, S. and Rokstad, A.M.M. (2016) The Influence of Day Care Centres for People with Dementia on Family Caregivers: An Integrative Review of the Literature. Aging & Mental Health, 20, 450-462.

[10]   Campo, M. and Chaudhury, H. (2011) Informal Social Interaction among Residents with Dementia in Special Care Units: Exploring the Role of the Physical and Social Environments. Dementia, 11, 401-423.

[11]   Goffman, E. (1968) Asylums: Essays on the Social Situation of Mental Patients and Other Inmates. Penguin, Harmondsworth.

[12]   Diaz Moore, K. (2014) An Ecological Framework of Place: Situating Environmental Gerontology within a Life Course Perspective. International Journal of Aging Human Development, 79, 183-209.

[13]   Goffman, E. (1971) The Presentation of Self in Everyday Life. Pelican Books, London.

[14]   Foucault, M. (1977) Discipline and Punish: The Birth of the Prison. Penguin Books, London.

[15]   Pomeroy, S.H., Scherer, Y., Runkawatt, V., Iamsumang, W., Lindemann, J. and Resnick, B. (2011) Person Environment Fit and Functioning among Older Adults in a Long-Term Care Setting. Geriatric Nursing, 32, 368-378.

[16]   Wiersma, E. and Dupuis, S.L. (2010) Becoming Institutional Bodies: Socialization into a Long-Term Care Home. Journal of Aging Studies, 24, 278-291.

[17]   Diaz Moore, K. (1999) Dissonance in the Dining Room: A Study of Social Interaction in a Special Care Unit. Qualitative Health Research, 9, 133-155.

[18]   Liou, C.-L. and Jarrott, S.E. (2013) Taiwanese Experiences: Elders with Dementia in Two Different Adult Day Service (ADS) Environments. Aging & Mental Health, 17, 942-951.

[19]   Salari, S.M. (2006) Infantilization as Elder Mistreatment: Evidence from Five Adult Day Centers. Journal of Elder Abuse & Neglect, 17, 53-91.

[20]   Diaz Moore, K. (2004) Interpreting the “Hidden Program” of a Place: An Example from Dementia Day Care. Journal of Aging Studies, 18, 297-320.

[21]   Salari, S., Brown, B.B. and Eaton, J. (2006) Conflicts, Friendship Cliques and Territorial Displays in Senior Center Environments. Journal of Aging Studies, 20, 237-252.

[22]   Orrell, A., McKee, K., Torrington, J., Barnes, S., Darton, R., Netten, A. and Lewis, A. (2013) The Relationship between Building Design and Residents’ Quality of Life in Extra Care Housing Schemes. Health & Place, 21, 52-64.

[23]   Schmitt, E.M., Sands, L.P., Weiss, S., Dowling, G. and Covinsky, K. (2010) Adult Day Health Center Participation and Health-Related Quality of Life. The Gerontologist, 50, 531-540.

[24]   Peace, S.M., Holland, C. and Kellaher, L. (2005) Making Space for Identity. In: Andrews, G.J. and Philips, D.R., Eds., Ageing and Place: Perspectives, Policy, Practice, Routledge, Abingdon, 188-204.

[25]   Ryvicker, M. (2009) Preservation of Self in the nursing Home: Contradictory Practices within Two Models of Care. Journal of Aging Studies, 23, 12-23.

[26]   Smith, A.E. (2009) Ageing in Urban Neighbourhoods: Place Attachment and Social Exclusion. University of Bristol, Bristol.

[27]   Polit, D.F. and Beck, C.T. (2004) Nursing Research: Principles and Methods. Lippincott Williams & Wilkins, Philadelphia.

[28]   Sarah, P. (2015) Doing Sensory Ethnography. 2nd Edition, Sage, Los Angeles.

[29]   Thoresen, L. and Ôhlen, J. (2015) Lived Observations: Linking the Researcher’s Personal Experiences to Knowlegde Development. Qualitative Health Research, 25, 1589-1598.

[30]   World Medical Association Declaration (2002) World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. Journal of Postgraduate Medicine, 48, 206-208.

[31]   Graneheim, U.H. and Lundman, B. (2004) Qualitative Content Analysis in Nursing Research: Concepts, Procedures and Measures to Achieve Trustworthiness. Nurse Education Today, 24, 105-112.

[32]   Sandelowski, M. (2000) Focus on Research Methods. Whatever Happened to Qualitative Description? Research in Nursing & Health, 23, 334-340.<334::AID-NUR9>3.0.CO;2-G

[33]   Shamsuddina, S. and Ujangb, N. (2008) Making Places: The Role of Attachment in Creating the Sense of Place for Traditional Streets in Malaysia. Habitat International, 32, 399-409.

[34]   Davis, S., Byers, S., Nay, R. and Koch, S. (2009) Guiding Design of Dementia Friendly Environments in Residential Care Settings: Considering the Living Experiences. Dementia, 8, 185-203.

[35]   Torrington, J. (2006) What Has Architecture Got to Do with Dementia Care? Explorations of the Relationship between Quality of Life and Building Design in Two EQUAL Projects. Quality in Ageing and Older Adults, 7, 34-48.

[36]   Cutler, L.J. (2007) Physical Environments of Assisted Living: Research Needs and Challenges. The Gerontologist, 47, 68-82.

[37]   Diaz Moore, K., Van Haitsmab, K., Curytob, K. and Saperstein, A. (2003) Pragmatic Environmental Psychology: A Metatheoretical Inquiry into the Work of M. Powell Lawton. Journal of Environmental Psychology, 23, 471-482.

[38]   Kitwood, T. (1997) The Experience of Dementia. Aging & Mental Health, 1, 13-22.

[39]   Stokowski, P.A. (2002) Languages of Place and Discourses of Power: Constructing New Senses of Place. Journal of Leisure Research, 34, 368-382.

[40]   Veselinova, C. (2014) Influencing Communication and Interaction in Dementia. Nursing & Residential Care, 16, 162-166.

[41]   Widdershoven, G.A.M. and Berghmans, R.L.P. (2001) Advance Directives in Dementia Care: From Instruction to Instruments. Patients Education and Counseling, 44, 179-186.

[42]   Gadamer, H.J. (1993) Truth and Method. Sheed and Ward, London.

[43]   Demensplan 2020. (2015) Norwegian Ministry of Health and Care Services, Oslo.

[44]   Malterud, K., Siersma, V.D. and Guassora, A.D. (2015) Sample Size in Qualitative Interview Studies: Guided by Information Power. Qualitative Health Research, 26, 1753-1760.

[45]   Hamel, J. (1993) Case Study Methods. Sage, Newbury Park.

[46]   Ericsson, I., Hellström, I. and Kjellström, E. (2011) Sliding Interactions: An Ethnography about How Dementia Interacts in Housing with Care for the Elderly. Dementia, 10, 523-538.