OTSLPRNQualitativeJournal of advanced nursing2026

Bridging the Social Gap Through 'Conscious Caring': A Constructivist Grounded Theory of the Art of Caring for Older Adults With Dual Sensory Impairment.

Moira E Dunsmore, Julie Schneider, Heather Mckenzie and 1 others

PMID 40988409

WHAT IT FOUND

Family carers of older adults with dual vision and hearing loss described becoming the communication bridge in daily life and health care visits.

They said the impairment was often mistaken for normal ageing, leaving them isolated and unsupported by task-focused services.

Key findings

01Carers described filling communication gaps in social encounters by answering for their family member and reminding others to speak up.

02Carers said combined vision and hearing loss was often treated as normal ageing, including in primary care, which limited recognition of communication and social needs.

03Formal services were described as intermittent and task-focused, such as cleaning or personal care, rather than centred on communication and social participation.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for SLPsWhat it means for RNs

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What it does not show

Only eight family carers were interviewed, so the findings are themes from a small group rather than a pattern across many carers. The study was conducted in metropolitan Sydney and recruited through Vision Australia sites and a support group, so it may not represent carers who do not access vision services. Carers were interviewed at one point in time, so changes in the caring role over time were not tracked. The sample lacked gender and cultural diversity, and interviews were in English, so experiences of other carers may differ. The article reports only carers' views, not the 15 older adults with dual sensory impairment included in the larger study. People with known cognitive impairment or dementia were excluded, so it says little about carers of people with dual sensory impairment and dementia together.

The easy way to misread this

Do not read conscious caring as a tested intervention that improves outcomes. It is a concept developed from eight carers' interviews, and the study did not test whether it works.

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