Exploring the Demographics, Culturally Appropriate Health Services, and Experiences of Indigenous Older Adults Residing in Long-Term Care Facilities in Canada

The aging population in Canada has garnered considerable attention; however, this focus has not been distributed equitably among all Canadian demographics. Indigenous Elders and older adults are integral to cultural revitalization, building intergenerational connections, and sharing knowledges. They are living longer lives than ever before, yet still do not have equitable access to healthcare that promotes wellbeing, especially into later life. Indigenous older adults are more likely to have chronic health conditions compared to non-Indigenous Canadians, and when intensive health services are needed, moving to a long term care (LTC) facility may be necessary. These relocations separate Indigenous older adults from family, friends, community, and culture. Research on Indigenous older adults residing in LTC homes in Canada is sparse. This program of research comprises of three separate but related studies which will contribute to a foundation of knowledge on the topic and answer the following research questions: 1) What culturally appropriate supports and services do Indigenous older adults identify to be important for aging well in LTC? 2) What are the current demographics of the Indigenous older adult population living in LTC in Canada? 3) What are the experiences of Indigenous older adults who move from their communities to a LTC home? The studies use a range of research methods: Question 1 conducts a comprehensive systematic review; Question 2 performs a secondary data analysis on Indigenous LTC resident data from a Canadian LTC database; and Question 3 applies narrative and Storywork methods to explore Indigenous older adult residents' experiences of living in LTC and their perceptions on the necessities for aging well. Findings from these studies have a wide range of applications and can be used to inform healthcare providers, policymakers, and LTC facilities about supporting and promoting the health and wellbeing of Indigenous older adult residents.