The Experience of Aging, Part III - Loss of Independence
The move into a health care facility is a major lifestyle change for the resident as well as for his or her family. It signals a significant loss of independence and may involve additional losses, including giving up the home that may have been a family residence for decades. There is also the loss of familiar surroundings and privacy. In addition, treasured possessions may be sold or given away. These losses are compounded by the fact that those living in care facilities usually have less contact with the outside world and fewer social relationships than those who live independently or with family.
When an individual becomes a resident of a care facility, his or her life is suddenly dominated by rules that are not of his or her own making...or even desire. Meals, rest periods, and activities are scheduled for the convenience of caregivers and for efficiency in management rather than according to individual preferences, lifestyle choices, or personal habits and rhythms.