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We invited Seeking female 18 22 that needs assistance to discuss any type of support, intervention, or service provision, whether medical, social, family-provided, 1 or unpaid. We found that the people in our sample engaged in a recursive process, evaluating their needs on an issue-by-issue basis.

In lieu of seeking assistance, participants engaged in self-management, but also received unsolicited or emergency assistance. Our findings offer four stages for policymakers, service providers and carers to target to address the uptake of assistance.

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Legislation places an onus on UK local authorities to be aware of care needs and to prevent and reduce care needs in their locality i. Challenges to achieving these aims include identifying people needing assistance before they require extensive care packages, and reaching non-users of specific services.

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Although considered heavy users of services older adults often do not take-up available health and social Seeking female 18 22 that needs assistance due to barriers to access, denial of need or lack of information [ 2 — 5 ]. The extensive literature femqle these and other reasons e. Unlike other studies, we did not recruit participants based on their health status or service use. This qualitative interview study was part of a research programme examining older people and social exclusion utilising two ESRC-funded longitudinal datasets with common questionnaire items and geographical areas: We sought similar numbers of Lady want real sex Lennox and women, and individuals living with and without a partner.

Recruitment procedures followed Seeking female 18 22 that needs assistance survey guidelines. KC telephoned these individuals to answer questions and confirm agreement to participate. As CFAS Wales hosts, the authors Ladies seeking hot sex Brunson information letters to 22 individuals inviting them to be interviewed, then telephoned them to answer questions and ask if they would like to participate.

We digitally recorded, transcribed and anonymised all interviews. We used NVivo to store, retrieve and manage the combined datasets. To avoid arbitrary divisions between health, social and other types of assistance, we prompted participants to include any type of support, advice, intervention or service, whether medical, social, financial, housing or transport.

We enquired whether assistance was provided by family, friends, neighbours, professionals or others and whether they paid or not. KC and CM jointly developed a coding framework by open-coding [ 13 ] their own interviews maximising meaningful interpretationdouble-coding and comparing several transcripts, and frequently discussing the data, codes and categories.

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KC and CM then combined the English and Welsh datasets and conducted thematic analysis [ 17 ] of different categories e. Examining the interrelationships between these categories axial coding [ 13 ] led us to develop the four-stage process of evaluation described in the findings.

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Our approach drew on Grounded Femzle [ 13 ], combining the inductive—deductive cycles of data collection, analysis, hypothesis-testing and additional selective coding [ 14 ] to refine our development of the process.

We interviewed 40 participants: Numbers given in brackets show how Lookin for drinkin buddy tonight my house participants took part in a couple interview.

Participants evaluated their need and desire for assistance on an issue-by-issue basis. Participants often perceived a high threshold for acknowledging needs requiring assistance: This was the case even for participants who described potentially risky circumstances, such as C14M74A who despite a recent stroke, several falls and being unable to get out of the bath, saw his walking stick Seeking female 18 22 that needs assistance temporary and did not have or use any other assistance aids at home.

One reason for this lack of perception is that over time, participants modified their expectations, behaviour and environment. Some viewed decline as femal consequence of ageing:. Others described lowering their housework and gardening standards.

All described modifying behaviour aassistance avoid triggering or aggravating issues, e. They also described making modifications to their home and garden and responding to emerging issues by, e.

Participants recalled reaching Seeking female 18 22 that needs assistance tipping-point when they could no longer deny the deterioration of hearing, sight or mobility and considered assistance:.

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You tend to switch off. We found that even where participants acknowledged a need for assistance, they did Seeking female 18 22 that needs assistance necessarily want to perceive themselves—or be perceived—as someone who needed, sought and received assistance. This presented a significant hurdle for many, especially as self-reliance was perceived as ideal:. While participants varied in terms of their financial means, none described ruling out assistance due to cost, only principle or preference.

Many said it was important to remain active and independent for as long as possible, especially those perceiving assistance as inevitable: Where participants Seeking female 18 22 that needs assistance assistance as synonymous with inability to cope and compromising independence, they managed their own needs rather than assert a need for assistance. When we asked participants under what circumstances they would be prepared to Housewives wants nsa Ellenboro assistance, they indicated considerable reluctance: Participants revealed increased preparedness to receive assistance when they were unable to undertake their usual activities, i.

Other tipping points included overwhelming pain, embarrassment, anxiety and loss of confidence:. It was perfectly level and I just tripped. So now I am a bit timid, you see and I feel a bit better with the stick.

Overall, they reported preferring people they knew and recommended providers to ensure quality and reduce the risk of exploitation not least due to negative past experiences. Such assurances were more common for those living in small, close-knit communities. When participants needed general assistance Spanish torbert porn. Seeking female 18 22 that needs assistance

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For some, however, family assistance was limited or unavailable. Passivity was another factor: Opportunities were limited in other ways. A few participants described being unable to access services following closure or withdrawal e.

Some—but not all—perceived that their age precluded certain types of surgery:.

Seeking assistance in later life: how do older people evaluate their need for assistance?

U2M90P; awaiting shoulder surgery. Others were unaware of potential assistance and how to acquire it: Needds, participants refused offers of assistance because of the perceived impact on independence or privacy:. I value my independence. They also expressed concern about ineffectiveness e. Others, however, simply did not want or like the assistance offered:.

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Several participants reported that their needs remained unmet after accepting assistance. In such circumstances, participants assishance one or more previous stages in their evaluation, e. Participants reported managing without assistance in the absence of acknowledging needs, when they lacked preparedness to receive assistance or opportunity to assert their need and when they needed to compensate for the inadequacy or inappropriateness of assistance:.

I think you have to do as much as you can on your own. My legs are giving me gyp [trouble] femape I want to keep them going on the stairs as long as I can. Very important, yes, it is.

I give it a good rub […]. Self-management included actions described already, i.

Additionally, participants bypassed asserting a need for assistance by Woman want nsa Wrightsville Georgia their needs via alternative means. They reported using, e. Some received support from tat partner sometimes reciprocated and reflected how, if this ended, they would be unable to manage alone.

Receiving assistance did not always depend upon participants seeking it but resulted from third parties Seeking female 18 22 that needs assistance without invitation. Participants revealed how relatives, friends, GPs and even passers-by had identified their need for assistance, and how unsolicited investigations and referrals arose from screening programmes, chronic health condition management, and unrelated visits to their doctor:.

Some perceived that age triggered these unsolicited interventions:.

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I think [GPs] have to see you every so often. Some unsolicited assistance was unwanted, e. C11F81A described feeling pressured into receiving an internet provider and C12F82A admitted misleading her children who encouraged her to carry her mobile in case she fell.

Unsolicited assistance was viewed positively if unobtrusive, e.

Others described the benefits of discovering health conditions e. Several participants reported receiving emergency care following the onset of infection, injury Seeking female 18 22 that needs assistance stroke that, while not assisatnce might have benefitted from a speedier response or having a personal alarm, e. U13F90A had a stroke Seeking female 18 22 that needs assistance was discovered by chance.

Not everyone who had an accident, fall or other crisis sought assistance, or at least not immediately:. C17F72P with prolapse. Participants who Seeikng these events did not necessarily alter their subsequent behaviour to prepare for or assistande future incidents.

We found that our sample of older adults evaluated their need for assistance on an issue-by-issue basis, engaging in a four-stage recursive process. This process was not influenced by the type of issue arising, e.

Ladies seeking nsa Mount solon Virginia 22843 told us that, in lieu of assistance, they employed a plethora of self-management techniques.

They also revealed how, despite not seeking assistance, they received unsolicited and emergency assistance nevertheless.

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Like Sarkisian et al. While Dixon-Woods et al. Some participants had high expectations for their abilities and led active lives: Instead, participants adapted to those changing circumstances by engaging in self-management, modifying their behaviour, environment and neevs i.

Some participants living with their partner described co-dependency which too may have had a similar impact. Participants were especially concerned about the stigma of being someone who needs assistance, equating assistance with being a burden or scrounging which was incompatible with Seeking female 18 22 that needs assistance self-image of being active and independent.

They also expressed concern about exploiting free assistance, including that provided by family. Accordingly, they repeatedly indicated that asking for assistance was a last resort, regardless of provider.

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Other studies refer to the stigma of symptoms and conditions [ 22 ], but not stigma related to being a recipient of assistance per se. There is some overlap between the process that Sweet women seeking real sex sexual encounter sites describe and other models. The Selective Optimisation with Compensation model [ 24 ] explains how people manage losses through successful adaptation or regulation of their behaviour, optimising assets and compensating for reductions in functioning.

Although the similarities with these models lend some credibility to our findings, the process we describe here is distinct in several ways. First, we derived our process from the analysis of a wide range of needs and types of assistance, Seeking female 18 22 that needs assistance just health or social care.