Search results for ‘Subject term:"older people"’ Sort:
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Bedding down the system
- Author:
- STEPHENSON Paul
- Journal article citation:
- Health Service Journal, 9.5.02, 2002, pp.10-11.
- Publisher:
- Emap Healthcare
Pressures to discharge patients too soon and a shortage of intermediate care beds are among the problems Sweden has faced. Looks at what the UK can learn.
Distribution of home help services in an elderly urban population: data from the Kungsholmen Project
- Authors:
- TORRES Aguero, et al
- Journal article citation:
- Scandinavian Journal of Social Welfare, 4(4), October 1995, pp.274-279.
- Publisher:
- Munksgaard/ Blackwell
Data from the total urban population 75 years and older in Kungsholmen, Stockholm, were used to calculate the distribution of home help services. Results show that 86% of the elderly population in the Municipality of Kungsholmen live in their own homes, even when they are very old. 27% of those over 74 years and 33% of those over 80 years received home help services. The people receiving help were mostly women, single living, older and with disability detected by the Katz Activities of Daily Living Scale. Findings stress the need for more attention by health care planners of domiciliary and intensive care and residential facilities for the high risk population (very old, living alone, and with a disability.)
Care planning at home: a way to increase the influence of older people?
- Authors:
- BERGLUND Helene, et al
- Journal article citation:
- International Journal of Integrated Care, 12(3), 2012, Online only
- Publisher:
- International Foundation for Integrated Care
The purpose of care-planning meetings is for professionals to co-ordinate the planning of future care, in interaction with the older person. The meeting generally takes place in the hospital, prior to discharge. The purpose of this research was to investigate whether the organisation of care-planning meetings has an impact on the opportunity for the older person to influence the decision-making processes. The study was part of a larger project including a comprehensive continuum-of-care model conducted in a city on the west coast of Sweden. As part of this study, 19 care-planning meetings were audio-recorded; 10 in the older person’s home and 9 in hospital. The meetings were transcribed and a qualitative content analysis was performed. The findings show that care-planning meetings at home appeared to enable older people's involvement in the discussions. Fewer people participated in the meetings at home and there was less parallel talking. Unrelated to the place of the care-planning meeting, the older people were able to influence concerns relating to the amount of care, and the choice of provider. However, they were not able to influence the way the help should be provided or organised. The article concludes that planning care at home enabled an increase in involvement on the part of the older people, but this did not appear to be enough to obtain any real influence.
Developing health and social care planning in collaboration
- Authors:
- RAMGARD Margareta, BLOMQVIST Kerstin, PETERSSON Pia
- Journal article citation:
- Journal of Interprofessional Care, 29(4), 2015, pp.354-358.
- Publisher:
- Taylor and Francis
Collaboration between different professions in community care for older people is often both difficult and complex. In this project, a participatory action research (PAR) was conducted in order to support the professions involved in the care for older people to develop individualized health and social care plans. Cases from daily work were discussed in different professional groups over a period of one year. A key finding was that lack of knowledge regarding the other professions' field of expertise and their underlying professional culture and values was a barrier in their collaboration. However, as the continuous reflective dialogue process progressed, the participants began to reflect more about the importance of collaboration as a prerequisite to achieve the best possible care for the recipient. This process of reflection led to the often complex needs of the care recipients being given a more central position and thus care plans being better tailored to each person's needs. (Publisher abstract)
Care management in practice: on the use of talk and text in gerontological social work
- Authors:
- CEDERSUND Elisabet, OLAISON Anna
- Journal article citation:
- International Journal of Social Welfare, 19(3), July 2010, pp.339-347.
- Publisher:
- Wiley
This article focuses on the assessment processes older people undergo to gain access to home care, an assessment which often falls within the scope of gerontological social work. The process involves meetings between care managers, acting as social workers, and older people in their homes to reach decisions about their home care. The article describes a study of these meetings between care manager and citizens in one type of welfare organisation – the municipal elder care system in Sweden. The article highlights how older people’s claims are dealt with in the processing of home care applications. Twenty encounters between social workers and older people were studied using discourse analysis. The findings showed that discursive practices are part of the routine when the applications are processed, and that the application handling follows an agenda-bound pattern that is visible in the encounters. The authors suggest that within these standardised procedures, verbal discourse is embedded in routines that also include the use of texts, but, however, within this institutional order there is also an important element of negotiation between the parties. In conclusion, the authors claim that the encounters include a negotiated order that does not exist on its own, but is achieved through the on-going interaction.