Theory synthesis for self-neglect: a health and social phenomenon.

BACKGROUND

Self-neglect, best known for its prominent place in the elder mistreatment framework, is a phenomenon associated with a variety of health and social conditions. However, a second, less worrisome group of older adults with chronic disease exhibits similar patterns of nonadherence and inadequate self-care practices and has the potential for progression.

OBJECTIVES

The purpose of this theory-validating research was to describe characteristics and behaviors of self-neglect in adults (aged 55 years and older) who reside in the community. This research described characteristics and behaviors of self-neglect in early stages of this phenomenon and described the influence of several variables of significance in the clinical evolution and course of self-neglect in identified cases.

METHODS

A descriptive, exploratory mixed-method design was employed for a comprehensive analysis of the research questions. A convenience sample of seven healthcare providers identified a purposive sample of 20 patient participants. Demographic information, geriatric assessments, and structured interview data were analyzed using content analysis and descriptive statistics.

RESULTS

Characteristics and behaviors of self-neglect, before significant deterioration, are described in intentional (n = 9) and nonintentional (n = 11) self-neglect study participants. Fourteen themes emerged and were grouped into five categories. Coping problems appeared to affect operable self-care agency of each self-neglect study participant.

DISCUSSION

The results validate a framework for self-neglect research and practice and indicate a need to consider coping abilities of all patients exhibiting self-neglect.