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This paper reports on an existential phenomenological study carried out in a care of elderly people setting in a 1000-bed hospital in the United Kingdom. Fourteen participants were interviewed, each on several occasions. Two themes derived from these narratives are discussed, revealing negative experiences which are related to feelings of powerlessness. These two themes, routine geriatric style and segregation, are shown to arise from the history and culture of the wards and are shown to result in care deprivation and depersonalization. Patients' individual needs are ignored as they become the objects of inflexible routines within health care practice. In order to understand the situation, the history of care of older people and the biomedical construction of ageing are examined. It is concluded that what is needed is a wider social and political movement which opposes ageism and challenges ageist stereotypes. In addition, in health care there is a need for a review of the routine geriatric style of care and of segregation based on age and a social gerontology programme for nurse education.
Koch et al. (1996) studied this question.