Meaning of Daughters-in-law Caring for EIderly Persons on Their Deathbed at Home

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Other Title
  • 嫁が高齢者を自宅で看取る意味
  • ヨメ ガ コウレイシャ オ ジタク デ ミトル イミ
  • 嫁が高齢者を自宅で看取る意味
Published
2006-03
Resource Type
departmental bulletin paper
Publisher
名寄 : 市立名寄短期大学

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Description

ln the 60th year after the end of world war 2, Japan now has the world's highest longevity rate thanks to the progress of advanced medical technology. However, at the same time, nursing care for the aged is becoming a serious problem. This situation stems from problems with nuclear families, that is, the outsourcing of family functions and individualization of family members. Births, deaths and other basic human activities that formerly took place at home, are now generally taking place in hospitals and other facilities. Despite these social circumstances, 90% of elderly persons hope to spend their last days at home. ln reality, however, the rate of people who die at home is 20% in across Japan and only 8% in Hokkaido. With these conditions in mind, we chose to study nine cases in which daughters-in-law provided in-home hospice and palliative care for the parents of their spouses in two rural Hokkaido towns.To collect the data, self-entry-style questionnaires and interview surveys were conducted. From the data, resources that made caring at home possible were classified as resources of the care-givers themselves, family members and society. ln addition, the reactions of daughters-in-laws after deaths of the elderly persons were analyzed. Through this study, we were able to determine that,for the nine study subjects, their personal relationships, with the elderly persons were good before their deaths. The fact that all nine daughters-in-law were willing to take care of their elderly parents-in-law and respected their wishes helped to make these specific instances of homecare possible.They were also capable of caring for their parents-in-law at home because of their family structure, the number of family members family business (8 in farming and l in a family-operated business) and other conditions. The health and well-being of the elderly persons was managed by doctors who visited regularly or whenever necessary.Home-visit nursing care service was also used in two cases. As the main caregivers, the daughters-in-law faced a variety of difficulties in taking care of their parents-in-law at home and had opportunities to think about aging and death as a result of their nursing experiences.

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