Consumers of eldercare in Sweden: The semblance of choice

Meinow, Bettina; Parker, Marti G.; Thorslund, Mats

doi:10.1016/j.socscimed.2011.08.015

Cited by 65 publications

(64 citation statements)

References 20 publications

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“…People with complex health problems often need a variety of services from both medical and LTC providers. As the ability to navigate the care system decreases with poor health (Meinow et al 2011), care providers need to develop new models of communication and coordination (Boyd et al 2007;Glendinning 2008). This is of particular relevance since there has been a dramatic decrease by almost one fourth of the beds in institutional care in Sweden since the beginning of the century, and an increasing majority of very frail old people are cared for at home (National Board of Health and Welfare 2014).…”

Section: Discussionmentioning

confidence: 99%

Complex health problems among the oldest old in Sweden: increased prevalence rates between 1992 and 2002 and stable rates thereafter

et al. 2015

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Studies of health trends in older populations usually focus on single health indicators. We include multiple medical and functional indicators, which together indicate the broader impact of health problems experienced by individuals and the need for integrated care from several providers of medical and long-term care. The study identified severe problems in three health domains (diseases/ symptoms, mobility, and cognition/communication)

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Section: Discussionmentioning

confidence: 99%

Complex health problems among the oldest old in Sweden: increased prevalence rates between 1992 and 2002 and stable rates thereafter

et al. 2015

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“…Many women living at the RCH sufer ailments such as dementia and therefore have diiculty in holding conversations. Meinow, Parker, and Thorslund [32] noted in their research that fewer than 5% of those who lived in an RCH managed to conduct an interview and understand the information which also conirms this situation. Furthermore, it should be noted that the women who were interviewed at the RCH were of quite advanced ages, which made interviews last longer than 30 min and hence tiresome for them.…”

Section: Substantial Considerations: Qualitative Values Of Well-beingmentioning

confidence: 99%

Well-being in Old Age: A Question of Both Continuity and Change

Muhli¹,

Svensson²

2017

Well-Being and Quality of Life - Medical Perspective

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In this chapter, we are concerned with the well-being of people in old age, living at a residential care home (RCH), and how well-being can be supported in gerontological social work and care at the RCH. Based on empirical data consisting of well-being narratives with elderly residents (average age of 91), a dialogical performance analysis was undertaken about their experiences of well-being at the RCH. The indings of importance are reported through three themes: (1) childhood memories as a source of well-being, (2) family and work as a source of well-being, and (3) opportunities for the well-being of the elderly at the RCH. To be an individual with others is a phenomenon of a personal sense of self and a phenomenon of sociality. Well-being is also found in the individual's self-renewal. Well-being is about a sense of both individual continuity and change. Well-being is created in social situations with others (including caregivers) in daily interactions and in human contacts at the RCH. This kind of individual self-renewal is about human growth and is a human need regardless of age. Consequently, the human growth in (and despite) old age at RCH should be the main target of gerontological social work and care.Keywords: well-being, old age, residential care home, sense of self, sociality, human growth IntroductionHow do we recognize well-being in old age? How do we know when elderly people feel well-being? How can we support people in old age to experience well-being? Old age here refers to the characteristic proile of the most elderly people (older than 85 years). These kinds of questions are expected to be raised, in order to fulill the elderly care policy of welfare and © 2017 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.to provide support for the well-being of persons in old age. This is especially true for elderly who are dependent on gerontological social work and care [1].2. Factors afecting the well-being of the elderly residing in the care home 2.1. Well-being related to health One possible answer to the above questions is that surely there is no problem: well-being is observable, at least if we understand well-being as being an experience of health and of being in good health in old age. This presupposes that we understand the essence of health as well-being, which means to feel good and thereby have a good life. To experience health and well-being requires the ability of "being able to" fulill small and large life projects [2]. Consequently, the experience of well-being is linked to health and the ability to fulill one's own life projects [3], regardless of whether they are small or big, regardless of the complexities of life, and regardless of the person's age.However, such an answer is in a certain way not entirely satisfactory because an understanding ...

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“…The fragility of some elderly care users makes it difficult to envision that the benefit of user choice is the same for all groups. In a study based on Swedish data, Meinow et al (2011) concluded that 'those elderly people who are most dependent on care services and who could benefit most from a "good choice", are also those who have the highest prevalence of cognitive and physical limitations associated with the capacity to act as a rational consumer of care services'. This implies that choice mostly benefits the ones who need it the least.…”

Section: The Conditions For Active Citizenshipmentioning

confidence: 99%