SOCIAL PERCEPTION OF THE INSTITUTIONALIZATION OF OLDER ADULTS

Institutionalization refers to the process through which an older adult, generally with physical, cognitive, or social dependency, moves to live permanently in a specialized facility, such as a geronto-geriatric residence.

The social perception of geronto-geriatric residences, commonly known as “nursing homes” or “asylums,” is often associated with a negative image of abandonment and deterioration. This view, rooted in cultural beliefs and personal experiences, has generated a stigma that affects both the families who consider this option and the older adults who live in these institutions.

Society commonly perceives institutionalization as the last resort—a destiny forced by the lack of resources or family support. However, in many cases, institutionalization can be a valid and even beneficial alternative for the well-being and quality of life of older adults and their families.

There are various factors that influence the negative perception of the institutionalization of older adults. Some of the most frequent are:

  • Cultural beliefs: the tradition of caring for elders at home is deeply rooted in many cultures. The idea of “delegating” this care to an institution is often interpreted as a moral or family failure.
  • Past experiences: stories of negligence or mistreatment in some facilities have created an image of distrust. The media often highlight these negative cases, reinforcing the stereotype.
  • Lack of knowledge: the absence of information about the services these institutions provide contributes to the creation of myths. Many people are unaware that these centers have specialized staff, recreational and leisure activities, physical activation programs, occupational therapy, neurocognitive therapy, and other activities that benefit older adults, such as regular family visits or outings; in some cases, even direct medical care or coordinated referrals for comprehensive medical attention.
  • The “asylum” figure: the word “asylum” evokes an image of charity, a place with no resources, sad and lonely, far from being a home. The use of terms such as “residence for older adults” or “day center” seeks to change this negative connotation.

Nowadays, there are efforts to shift toward a more positive perspective. To achieve this, it is crucial to challenge the current social perception so that families can make informed decisions and older adults do not feel ashamed of living in a residence. Key aspects to change this perception include:

  • Recognizing the value of professional care: residences offer specialized 24/7 care, therapies, and activities that promote socialization and help maintain the physical and cognitive abilities of older adults.
  • Promoting socialization: loneliness is one of the greatest challenges faced by older adults. In a residence, they have the opportunity to interact with peers, participate in group activities, and form new friendships, which enhances their quality of life and emotional well-being.
  • Providing information about the different options: it is important to distinguish between the various types of institutions, ranging from day centers (where older adults spend between 4 and 8 hours) to residences with permanent stay services.
  • Empowering families and older adults: families should understand that institutionalization can be a conscious and loving choice, one that prioritizes the well-being and quality of life of the older adult. In fact, we have already discussed this in another article published recently in issue no. 8 of this magazine, where we mentioned that to provide comprehensive and quality care, one needs not only love, but also knowledge, strength, will, and time.

In conclusion, the social perception of the institutionalization of older adults is a reflection of our cultural values and the information available. It is essential that, as a society, we work to demystify geronto-geriatric residences and promote a more realistic and positive vision.

Institutionalization should not be seen as a synonym for abandonment, but rather as a valid and dignified option that can enrich the lives of older adults when their care needs exceed the capacities of the family environment. By changing the conversation and recognizing the value of professional care, we can ensure that older adults receive the best possible care at this stage of their lives.

AURORA GERIATRIC CENTER – CARING FOR WHAT YOU LOVE MOST

Dra. Tania Meyatzy Bautista Álvarez, Founder and CEO of Aurora Geriatric Center


Dr. José Alfredo Pimentel Jaimes, Research Professor at the Autonomous University of Baja California

“We are proud to be part of this beautiful stage of life. That is why all the care we provide is offered with love, dedication, respect, and knowledge.”

Address: Avenida Miguel Negrete #1710, Mexicali, Baja California

Phone: (686) 323-8659

Email: geriatrico.aurora@gmail.com

Facebook: Aurora Centro Geriátrico

Instagram: @auroracentrogeriatrico

     

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