Avoidant coping of the decision-making process on the location of care in old age: A possible conspiracy of silence?

The conspiracy of silence is extremely important due to both its high incidence and its consequences. This process usually occurs in situations of palliative care, or death; however, this concept is also mentioned in the literature linked to other contexts. Therefore, our objective was to study whet...

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Autores: Serrano Gemes, Gema, Gil, I., Coelho, A., Serrano del Rosal, Rafael
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/261363
Acceso en línea:http://hdl.handle.net/10261/261363
Access Level:acceso abierto
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repository_id_str
spelling Avoidant coping of the decision-making process on the location of care in old age: A possible conspiracy of silence?Serrano Gemes, GemaGil, I.Coelho, A.Serrano del Rosal, RafaelThe conspiracy of silence is extremely important due to both its high incidence and its consequences. This process usually occurs in situations of palliative care, or death; however, this concept is also mentioned in the literature linked to other contexts. Therefore, our objective was to study whether the conspiracy of silence may be extrapolated to the context of decision-making on the location of care in old age. To this end, we first analyzed the in-depth semi structured qualitative interviews conducted with older people, caregivers, and professionals, about decision-making on the location of care in old age. Subsequently, a comparative analysis was performed between the basic elements of the conspiracy of silence and this decision-making. Our findings revealed an avoidance process developed by all three groups. Furthermore, this decision-making presents similarities with the conspiracy of silence in the process of avoidance coping and denial that is developed. However, there are significant differences, as information is not withheld from the older person, who has an active attitude in the process of avoidance. Decision-making on the location of care in old age does not exactly match the conspiracy of silence process, but it does seem to correspond to a pact of silence.Molecular Diversity Preservation InternationalConsejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]2022202220212022info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionhttp://hdl.handle.net/10261/261363reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Ingléshttp://dx.doi.org/10.3390/ijerph182412940Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/2613632026-05-22T06:33:51Z
dc.title.none.fl_str_mv Avoidant coping of the decision-making process on the location of care in old age: A possible conspiracy of silence?
title Avoidant coping of the decision-making process on the location of care in old age: A possible conspiracy of silence?
spellingShingle Avoidant coping of the decision-making process on the location of care in old age: A possible conspiracy of silence?
Serrano Gemes, Gema
title_short Avoidant coping of the decision-making process on the location of care in old age: A possible conspiracy of silence?
title_full Avoidant coping of the decision-making process on the location of care in old age: A possible conspiracy of silence?
title_fullStr Avoidant coping of the decision-making process on the location of care in old age: A possible conspiracy of silence?
title_full_unstemmed Avoidant coping of the decision-making process on the location of care in old age: A possible conspiracy of silence?
title_sort Avoidant coping of the decision-making process on the location of care in old age: A possible conspiracy of silence?
dc.creator.none.fl_str_mv Serrano Gemes, Gema
Gil, I.
Coelho, A.
Serrano del Rosal, Rafael
author Serrano Gemes, Gema
author_facet Serrano Gemes, Gema
Gil, I.
Coelho, A.
Serrano del Rosal, Rafael
author_role author
author2 Gil, I.
Coelho, A.
Serrano del Rosal, Rafael
author2_role author
author
author
dc.contributor.none.fl_str_mv Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]
description The conspiracy of silence is extremely important due to both its high incidence and its consequences. This process usually occurs in situations of palliative care, or death; however, this concept is also mentioned in the literature linked to other contexts. Therefore, our objective was to study whether the conspiracy of silence may be extrapolated to the context of decision-making on the location of care in old age. To this end, we first analyzed the in-depth semi structured qualitative interviews conducted with older people, caregivers, and professionals, about decision-making on the location of care in old age. Subsequently, a comparative analysis was performed between the basic elements of the conspiracy of silence and this decision-making. Our findings revealed an avoidance process developed by all three groups. Furthermore, this decision-making presents similarities with the conspiracy of silence in the process of avoidance coping and denial that is developed. However, there are significant differences, as information is not withheld from the older person, who has an active attitude in the process of avoidance. Decision-making on the location of care in old age does not exactly match the conspiracy of silence process, but it does seem to correspond to a pact of silence.
publishDate 2021
dc.date.none.fl_str_mv 2021
2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
http://purl.org/coar/resource_type/c_6501
Publisher's version
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10261/261363
url http://hdl.handle.net/10261/261363
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv http://dx.doi.org/10.3390/ijerph182412940
Sí
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Molecular Diversity Preservation International
publisher.none.fl_str_mv Molecular Diversity Preservation International
dc.source.none.fl_str_mv reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC
instname:Consejo Superior de Investigaciones Científicas (CSIC)
instname_str Consejo Superior de Investigaciones Científicas (CSIC)
reponame_str DIGITAL.CSIC. Repositorio Institucional del CSIC
collection DIGITAL.CSIC. Repositorio Institucional del CSIC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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