Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Older Adults and Fall-Inducing Frailty: Bourdieu’s Analysis of Field Narratives

Version 1 : Received: 17 August 2023 / Approved: 17 August 2023 / Online: 18 August 2023 (10:40:10 CEST)

A peer-reviewed article of this Preprint also exists.

Xavier, L.N.; Nascimento, V.B. Professional Narratives about Older Adults and Health Services Responsive to Fall-Inducing Frailty. Int. J. Environ. Res. Public Health 2023, 20, 6975. Xavier, L.N.; Nascimento, V.B. Professional Narratives about Older Adults and Health Services Responsive to Fall-Inducing Frailty. Int. J. Environ. Res. Public Health 2023, 20, 6975.

Abstract

The second external cause of death from unintentional injuries is falls in people over 60, a worldwide public health problem. Associated factors are identified early in Primary Health Care. Thus, we analyze professional narratives about older adults/old age and the organization of services in the presence of fall-inducing frailty. A structured narrative was applied under the following stages: understanding the context; setting/plot/character analysis; and interpretive synthesis. Data were collected from August to November 2022, distributing 21 health professionals in three Narrative Focus Groups. In the analyses, the collective conceptions dialogued with Bourdieu’s Epistemology of field, habitus, and capital. Among the results, technical and common sense representations of older adults were simultaneously observed, along with the belief of old age as a problematic life stage. Care is centered on the installed disease/ailment. Encouraging autonomy and self-care emerges in integrative health practices, which older adults underestimate. Professionals access the lives of older adults according to their habitus, which, in turn, is structured (structuring) in the disputes for installed capital. Thus, the care provided disregards subjectivities and symbolic systems associated with falls.

Keywords

Aging; Primary Health Care; Postural Balance

Subject

Public Health and Healthcare, Nursing

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