Elderly persons' experiences of living with venous leg ulcer: living in a dialectal relationship between freedom and imprisonment

Document type: Journal Articles
Article type: Original article
Peer reviewed: Yes
Author(s): B Ebbeskog, Sirkka-Liisa Ekman
Title: Elderly persons' experiences of living with venous leg ulcer: living in a dialectal relationship between freedom and imprisonment
Journal: SCANDINAVIAN JOURNAL OF CARING SCIENCES
Year: 2001
Volume: 15
Issue: 3
Pagination: 235-243
ISSN: 0283-9318
Publisher: TAYLOR & FRANCIS AS
City: OSLO
ISI number: 000171306100006
Organization: Blekinge Institute of Technology
Department: Department of Health, Science and Mathematics (Institutionen för hälso- och naturvetenskap)
Dept. of Health, Science and Mathematics S-371 79 Karlskrona
+46 455 38 50 00
http://www.bth.se/ihn/
Language: English
Abstract: The aim was to illuminate elderly persons' experiences of living with venous leg ulcer. Fifteen persons 74-89 years of age with active leg ulcer were interviewed. Data were analysed utilizing a phenomenological-hermeneutic approach inspired by Ricoeur. The analysis includes dialectic movement between understanding and explanation of the text as a whole and its parts, In the structural analysis four themes were identified: emotional consequences of altered body image, living a restricted life, achievement of well-being in connection with a painful wound and bandage, and struggle between hope and despair with regard to a lengthy healing process. The comprehensive understanding indicated that the meaning of living with venous leg ulcer can be understood as a dialectal relationship between, on the one hand the feeling of being imprisoned in the body, the bandage and the home, and on the other hand, hope of freedom from a burdensome body. The results indicate that the concept, body of image, is vitally relevant to the caring, of elderly people with venous leg ulcer. The study shows the importance of recognizing the persons' perceptions of their leg ulcers and the impact of these perceptions on well-being. Nurses can thereby anticipate problems and provide more sensitive care.
Subject: Nursing & Caring Sciences\General
Keywords: venous leg ulcer, phenomenological-hermeneutic, lived experience, elderly people, nursing research
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