Expectations and challenges of institutionalized and noninstitutionalized elderly in Pakistan: a phenomenological study
Authors: Ghafoor Fizzah , Naz Mahwesh Arooj 
Published: July 2023

Purpose
This study aimed to explore the expectations and challenges of institutionalized and noninstitutionalized elderly persons.

Design/methodology/approach
A purposive sampling technique was used to recruit the participants. The sample of the study consisted of eight (N = 8) elderly persons. Four were institutionalized, and four were noninstitutionalized. The age range of the participants was between 60 and 80 years. A semi-structured interview guide was prepared to explore expectations and challenges of institutionalized and noninstitutionalized elderly persons. The interviews were audio-recorded and later on transcribed verbatim for a detailed in-depth analysis. The interviews were analyzed by using an interpretative phenomenological analysis.

Findings
Emergent and subordinate themes were emerged. Superordinate themes emerged after analysis were expectations from self, expectations from immediate family, expectations for betterment in life, expectations from society, challenges related to physical self, psychological challenges, difficulties due to immediate family, problems at a societal level, satisfactory behavior of children, supportive family, satisfaction from society, positive values in old age, striving for betterment in life and health-promoting behaviors. These themes were interpreted in the context of given subordinate themes and verbatim of the participants.

Research limitations/implications
This study will help implement proper strategies for the betterment of institutionalized and noninstitutionalized persons. The study results can also aid in a better understanding of the challenges faced by the elderly population and also provide them with better facilities to fulfill their expectations.

Practical implications
Recognizing the unique and individualized expectations and challenges of the elderly persons can help in providing them person centered care. Better strategies can be introduced to increase their interactions, for better housing facility, health care, food facilities and transportation.

Social implications
Old age is a challenging phase for individuals if they face difficulties and challenges. This stage is currently unaddressed by society. So, there is a strong need to bring them to the surface so that we can provide them with opportunities to achieve well-being. It can help in better understanding of challenges faced by the elderly population as well as expectations of the elderly population. This better understanding can give the idea about the different ways that elderly persons use to overcome and face these challenges in their life. A comparative study of expectations and challenges among institutionalized and noninstitutionalized elderly populations will give information about the differences among them, helping to understand them better

Originality/value
The topic of expectations and challenges faced by institutionalized and noninstitutionalized elderly in Pakistan holds significant originality value. Although discussions on aging and elderly care are not uncommon, exploring the specific context of Pakistan adds a unique perspective to the subject. By delving into the cultural context, policy implications and comparative analysis, researchers can contribute to the existing knowledge and pave the way for targeted interventions that enhance the well-being of the elderly population.