| 1. |
- Ingvad, Bengt
(författare)
-
Caring and relations : On emotional interaction in home help
- 2003
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This dissertation examines the interaction between municipal home-helpers and care re-cipients from a social psychological perspective. One of the starting points is a critique of some classical works in the caring science inspired by women’s studies for not taking into consideration that care-giving work constitutes social interaction. The aim is to analyse how elderly people and the home-helpers perceive and interpret each other, what they expect of their mutual relationship, how they influence each other’s actions in their emotional interaction, and how the old person’s family and the home-helper’s work team influence their relationship. The empirical investigations, analysed with qualitative methodology, comprise thematically structured in-depth interviews with 48 home-helpers in six work groups, and 40 case studies of assistance cases, based on interviews with the old person (25 cases) and participant observation of the parties (15 cases). The home-helpers and the old people perceive their relationship as instrumental, friendly, emotional, insecure (recipients), laborious or charged with conflict (home-helpers). It is shown that what the old person and the home-helper expect of their emotional relationship is linked to social needs such as respect, acknowledgement, and appreciation from the other. These aims influence the experiences and actions of the two parties and, thereby, the care-giving work. Commonly, the home-helper subordinates herself to the old person or adapt to the recipient, e.g. by listening and “adjusting” to the old person. Psychological constructions play an important role in the home-helpers’ perceptions of the care situation in emotional conflicts. In escalated conflicts the home-helpers may act more impersonally and showing less care in the work. The old people may express confirmatory feelings for the home-helpers, deepen their dependence, and towards the home-helper they represent in various ways who they are and what they stand for. The old persons’ conflict actions can be understood as attempts to value themselves positively.
|
|
| 2. |
|
|
| 3. |
|
|
| 4. |
|
|
| 5. |
|
|
| 6. |
-
Att bedöma äldre människors behov: biståndshandläggares arbete inom äldreomsorgen kollegiegranskat
- 2004
-
Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Denna rapport härstammar från en kollegiegranskning i äldreomsorgen. Tio biståndshandläggare har undersökt sin verksamhet såsom den ter sig i en annan kommun inte så långt därifrån. De skriver kunnigt och engagerat om biståndsbedömning och ställer frågor kring hur detta arbete bör bedrivas. Bengt Ingvad och Christer Neleryd har sammanställt granskningarna. I ett inledande och avslutande kapitel kommenterar de var och en på sitt sätt arbetet med att handlägga bistånd.
|
|
| 7. |
- Olsson, Eric, et al.
(författare)
-
The frail elderly, family network and public home help services : a pilot study of the parties' perception of the help and their reciprocal relationships
- 2001
-
Ingår i: Working paper-serien. - 9189604067 ; 2001:2
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The family with the elderly and the home help workers’ team constitute two organisations, which meet in the care work. In this context the family is extended and often constitute not only members from the nuclear family but also other members of the network of relatives, whom take part in the care of the elderly. The extended family may in some cases include four generations (Finch & Mason, 1993). Home-help for elderly people have expanded in Sweden during the period 1960 - 1980. This was due partly upon the prevailing ideology that it is important for frail elderly to stay in their own homes. Due to this expansion the local communities have developed their public home-care organisations. Different kinds of autonomous group organisation predominate (Olsson et al, 1995). Small work groups take responsibility for home help service in local areas. Home-helpers organise their job themselves, exchange experiences and give each other emotional support. In Sweden both home care and institutional care of the elderly has decreased during the 1980th and 1990th in spite of the fact that the proportion elderly over 80 years (4,5 % of the total population) has increased 60 % since 1980. Twenty-two per cent of the women and 16 % of the men over 80 were cared for in their own home 1996. This development is said to have caused relatives to care for their frail elderly in the homes side by side by the home help services in an increasing degree (Johansson, 1991; Szebehely, 1998). Public care and service has an important impact on the interaction pattern between family members (Hendriksen, 1989; Johansson, 1999; Bass m fl, 1999). Home care may serve as an intervention that influences the health, well-being and life quality of the elderly and other family members. This intervention may have positive as well as negative effects. Problems and conflicts may arise in the interaction between the family members and between the family and the public help services (see McGoldrick & Gerson, 1989). We need more knowledge about these processes. In a research project1 the family and the home help services are studied as two organisations, which interact in the care of the elderly. We start with the hypothesis that the relation between the parties will have an impact on the character and quality of the care. We also think that the quality of the interaction will have an impact on the health and wellbeing of the elderly (see Olsson, 1991, 1998; Olsson & Ingvad, 1999).
|
|
| 8. |
- Annerstedt, Lena, et al.
(författare)
-
Family caregiving in dementia
- 2000
-
Ingår i: Scandinavian Journal of Public Health. - 1651-1905. ; 28:1, s. 23-31
-
Tidskriftsartikel (refereegranskat)abstract
- The burden of caregivers of patients suffering from of Alzheimer type dementia (DAT) and vascular dementia (VD) was analysed at the critical time, the “breaking-point”, when home care becomes insufficient and/or inadequate and the caregiver burden has probably reached its upper limit. Primary family caregivers of 39 DAT and 40 VD patients who were being considered for relocation into group-living units were studied. Total caregiving burden and different aspects of the burden: general strain, isolation, disappointment, and emotional involvement, were correlated with the patients’ diagnoses, abilities, and symptoms. Closer kinship to the patient imposed a heavier burden. The caregiver’s gender, social class, and previous institutionalization of the patient did not influence the caregiver burden. There was no significant correlation between the patients’ ADL ability or cognition and the burden. A higher level of disappointment was found among the VD carers. Different symptomatology in patients of the two diagnostic groups was related to special aspects of the burden. Multiple regression analysis showed that the amount of caregiving time each week and impaired sense of own identity, misidentifications, clinical fluctuations, and nocturnal deterioration in the patients predicted the breaking-point.
|
|
| 9. |
- Arndt, Charlotte, et al.
(författare)
-
Vart vill äldreomsorgens handläggare? : tio biståndsbedömares upplevelser av sitt arbete
- 2004
-
Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Vart är biståndsbedömare inom äldreomsorgen på väg? Idag ökar den specialiserade handläggningen av biståndsärenden liksom de administrativa inslagen i arbetet. I denna rapport har tio biståndsbedömare i fem skånska kommuner intervjuats om sina erfarenheter och upplevelser av organisationen och arbetet. Hos många biståndshandläggare finner man en strävan att sitta samlade i en enhet med en egen chef. Trots att man inte vill ha något ansvar för de medel som går till utförarna, skymtar ett ekonomiskt tänkande när biståndsbedömarna talar om hur de handlägger sina ärenden.
|
|
| 10. |
- Elmståhl, Sölve, et al.
(författare)
-
Behavioral disturbances and pharmacological treatment of patients with dementia in family caregiving : A 2-year follow-up
- 1998
-
Ingår i: International Psychogeriatrics. - 1041-6102. ; 10:3, s. 239-252
-
Tidskriftsartikel (refereegranskat)abstract
- Behavioral disturbances are common in dementia. Polypharmacy due to progression of disease and fluctuation of symptoms among patients might increase risk of overtreatment and/or undertreatment. Drug prescription habits were studied in relationship to symptoms of dementia after relocation of patients to group-living care units (GC). Seventy-six demented patients (mean age 81 years) were assessed before, 12 months after, and 24 months after relocation to GC. Vascular dementia was found in 47%, Alzheimer's dementia in 46%, and other dementias in 7%. Medications, regular or as required, were recorded from medication lists. Repeated observations of symptoms like depressive mood and lack of vitality were made with validated scales. Eighty percent of the patients were prescribed drugs; 40% were given neuroleptics and 9% were given antidepressants. During the 2-year follow-up, polypharmacy increased; patients with five drugs or more increased from 15% to 35%; usage of neuroleptics or sedatives, as required, increased from 8% to 25%, p < .01. Depressive mood was noted in 86% after 2 years and 74% showed aggressiveness and anxiety, but only 12% of the patients with depressive symptoms were on antidepressants. Analgesics were prescribed to 26% of patients. In conclusion, a high proportion of patients with dementia had depressive mood and undertreatment of depressive disorder might be suspected. Polypharmacy increased during the 2-year follow-up; this finding calls for careful monitoring of adverse drug reactions, because of the deteriorating cognitive function of these patients.
|
|
