Why frailty needs vulnerability: A care ethical perspective on hospital care for older patients

Hanneke van der Meide, C.J.W. Leget, Gert Olthuis

Research output: Contribution to journalArticleScientificpeer-review

Abstract

The vulnerability of older hospital patients is increasingly understood in physical terms, often referred to as frailty. This reduces their vulnerability to the functioning body regardless of the psycho-socio-cultural context they are in, and it ignores the role of the hospital environment. This paper starts from a care ethical perspective on care and uses insights from empirical work that shows that hospitalization of older patients is characterized by experiences of uncertainty that give rise to feelings of vulnerability. This paper presents a model that clarifies how vulnerability occurs in the interplay between the embodied subject, others, daily life and the hospital, and shows its dynamic and relational nature. Our complementary perspective of vulnerability is vital for nursing practice in that it starts from the situatedness of the older patient and not only points at what is missing but also at what is of significance to the older patient. Taking into account this perspective helps improving relational care.
Original languageEnglish
Pages (from-to)860-869
JournalNursing Ethics: An International Journal for Health Care Professionals
Volume22
Issue number8
DOIs
Publication statusPublished - 2015
Externally publishedYes

Cite this

@article{432f151d48a04c609456b80e62673763,
title = "Why frailty needs vulnerability: A care ethical perspective on hospital care for older patients",
abstract = "The vulnerability of older hospital patients is increasingly understood in physical terms, often referred to as frailty. This reduces their vulnerability to the functioning body regardless of the psycho-socio-cultural context they are in, and it ignores the role of the hospital environment. This paper starts from a care ethical perspective on care and uses insights from empirical work that shows that hospitalization of older patients is characterized by experiences of uncertainty that give rise to feelings of vulnerability. This paper presents a model that clarifies how vulnerability occurs in the interplay between the embodied subject, others, daily life and the hospital, and shows its dynamic and relational nature. Our complementary perspective of vulnerability is vital for nursing practice in that it starts from the situatedness of the older patient and not only points at what is missing but also at what is of significance to the older patient. Taking into account this perspective helps improving relational care.",
author = "{van der Meide}, Hanneke and C.J.W. Leget and Gert Olthuis",
year = "2015",
doi = "10.1177/0969733014557138",
language = "English",
volume = "22",
pages = "860--869",
journal = "Nursing Ethics: An International Journal for Health Care Professionals",
issn = "1477-0989",
publisher = "Sage Publications Ltd",
number = "8",

}

Why frailty needs vulnerability : A care ethical perspective on hospital care for older patients. / van der Meide, Hanneke; Leget, C.J.W.; Olthuis, Gert.

In: Nursing Ethics: An International Journal for Health Care Professionals, Vol. 22, No. 8, 2015, p. 860-869.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Why frailty needs vulnerability

T2 - A care ethical perspective on hospital care for older patients

AU - van der Meide, Hanneke

AU - Leget, C.J.W.

AU - Olthuis, Gert

PY - 2015

Y1 - 2015

N2 - The vulnerability of older hospital patients is increasingly understood in physical terms, often referred to as frailty. This reduces their vulnerability to the functioning body regardless of the psycho-socio-cultural context they are in, and it ignores the role of the hospital environment. This paper starts from a care ethical perspective on care and uses insights from empirical work that shows that hospitalization of older patients is characterized by experiences of uncertainty that give rise to feelings of vulnerability. This paper presents a model that clarifies how vulnerability occurs in the interplay between the embodied subject, others, daily life and the hospital, and shows its dynamic and relational nature. Our complementary perspective of vulnerability is vital for nursing practice in that it starts from the situatedness of the older patient and not only points at what is missing but also at what is of significance to the older patient. Taking into account this perspective helps improving relational care.

AB - The vulnerability of older hospital patients is increasingly understood in physical terms, often referred to as frailty. This reduces their vulnerability to the functioning body regardless of the psycho-socio-cultural context they are in, and it ignores the role of the hospital environment. This paper starts from a care ethical perspective on care and uses insights from empirical work that shows that hospitalization of older patients is characterized by experiences of uncertainty that give rise to feelings of vulnerability. This paper presents a model that clarifies how vulnerability occurs in the interplay between the embodied subject, others, daily life and the hospital, and shows its dynamic and relational nature. Our complementary perspective of vulnerability is vital for nursing practice in that it starts from the situatedness of the older patient and not only points at what is missing but also at what is of significance to the older patient. Taking into account this perspective helps improving relational care.

U2 - 10.1177/0969733014557138

DO - 10.1177/0969733014557138

M3 - Article

VL - 22

SP - 860

EP - 869

JO - Nursing Ethics: An International Journal for Health Care Professionals

JF - Nursing Ethics: An International Journal for Health Care Professionals

SN - 1477-0989

IS - 8

ER -