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Hjalmarsson Österholm, JohannesORCID iD iconorcid.org/0000-0002-6241-0027
Alternativa namn
Publikasjoner (10 av 11) Visa alla publikasjoner
Österholm, J. H. (2016). Assessment meetings between care managers and persons living with dementia: Citizenship as practice. (Doctoral dissertation). Linköping: Linköping University Electronic Press
Åpne denne publikasjonen i ny fane eller vindu >>Assessment meetings between care managers and persons living with dementia: Citizenship as practice
2016 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Alternativ tittel[sv]
Behovsbedömningssamtal mellan biståndshandläggare och personer med demenssjukdom : Medborgarskap i praktiken
Abstract [en]

This thesis deals with encounters between persons living with dementia and care managers. Dementia often results in progressive care needs that must be met by different social care services. The person’s care needs are assessed in an assessment meeting where the person and their relatives meet with a care manager to negotiate needs and social care services. The assessment is conducted through one or several conversations where the person with dementia meets the care manager; relatives are often present in the meetings. Dementia is a syndrome that involves a cognitive decline and a decreased ability to communicate and interact with others. It may therefore be difficult for a person with dementia to take part in discussions about their care needs and social care services. 15 audio recorded meetings have been studied to explore and understand how persons with dementia use their remaining communicative, cognitive and linguistic resources to invoke, negotiate, and use their rights as citizens in the institutional context where their care needs are assessed. The analysis concerns the organization of talk as a joint activity; the production of social actors in talk-in-interaction; the relation to institutional features of discourse. This dissertation concludes that the practice of citizenship is situation based and varies depending on the participants present. Care managers can facilitate for persons with dementia to overcome communication problems by using different discursive strategies and to make it possible for them to participate or at least be included in the negotiation. Persons with dementia are positioned as less competent than other persons participating in the assessment meeting. This might have an impact on the participation of people with dementia in negotiations regarding their future care. Furthermore, stories told in assessment meetings often position the person as dependent on others, which could undermine the identity and sense of self of the person with dementia.

Abstract [sv]

Den här avhandlingen berör möten mellan personer med demenssjukdom och biståndshandläggare. Demenssjukdomar medför ofta komplexa omsorgsbehov, vilka kan mötas med hjälp av olika stödinsatser. Personens omsorgsbehov bedöms i ett biståndshandläggningssamtal där personen och dennes anhöriga träffar en biståndshandläggare för att förhandla dennes behov och eventuella insatser. Konversation är centralt i dessa möten. Demenssjukdomar medför kognitiva nedsättningar och nedsatt förmåga att kommunicera och interagera med andra. Det kan därför vara svårt för personer med demenssjukdom att deltaga i diskussioner om behov och insatser. 15 ljudinspelade samtal har studerats för att förstå hur personer med demens använder sina kvarvarande kommunikativa, kognitiva och språkliga resurser för att åberopa, förhandla och använda sina rättigheter som medborgare i den institutionella kontext där deras omsorgsbehov bedöms. I samtalet medverkar personen med demens, handläggaren samt ofta någon familjemedlem. Analysen fokuserar på organiseringen av samtal som en gemensam aktivitet; hur sociala aktörer skapas i samtal; hur det institutionella samtalets särdrag påverkar konversationen. Sammanfattningsvis visar denna avhandling på att hur medborgarskap praktiseras är situationsbaserat och varierar beroende på vilka som deltar i mötet. Biståndshandläggare kan underlätta för personer med demenssjukdom att övervinna kommunikativa problem genom att använda olika samtalsstrategier och göra det möjlig för dem att delta eller att åtminstone inkluderas i förhandlingen angående olika stödinsatser. Personer med demenssjukdom positioneras ofta som mindre kompetenta än andra personer som deltar i behovsbedömningssamtal, vilket kan medföra konsekvenser på personens delaktighet i planerandet av framtida insatser. Berättelser i dessa samtal positionerar ofta personen med demenssjukdom som beroende av andra, vilket kan underminera deras identitet och uppfattning av sig själva.

sted, utgiver, år, opplag, sider
Linköping: Linköping University Electronic Press, 2016. s. 71
Serie
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 684
Emneord
Ageism, decision-making, elderspeak, institutional discourse, malignant positioning, narrative, needs assessment, social work, storytelling, Behovsbedömning, berättande, berättelser, beslutsfattande, institutionella samtal, malign positionering, socialt arbete, ålderism, äldreriktat tal
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-127392 (URN)10.3384/diss.diva-127392 (DOI)978-91-7685-759-5 (ISBN)
Disputas
2016-06-03, K1, Kåkenhus, Campus Norrköping, Norrköping, 13:00 (svensk)
Veileder
Tilgjengelig fra: 2016-04-26 Laget: 2016-04-26 Sist oppdatert: 2018-05-16bibliografisk kontrollert
Österholm, J. H. (2016). Biståndshandläggning och självbestämmande (1ed.). In: Ingrid Hellström, Lars-Christer Hydén (Ed.), Att leva med demens: (pp. 193-202). Malmö: Gleerups Utbildning AB
Åpne denne publikasjonen i ny fane eller vindu >>Biståndshandläggning och självbestämmande
2016 (svensk)Inngår i: Att leva med demens / [ed] Ingrid Hellström, Lars-Christer Hydén, Malmö: Gleerups Utbildning AB, 2016, 1, s. 193-202Kapittel i bok, del av antologi (Annet vitenskapelig)
sted, utgiver, år, opplag, sider
Malmö: Gleerups Utbildning AB, 2016 Opplag: 1
Emneord
Demenssjuka, Demens
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-126093 (URN)978-91-4069-165-1 (ISBN)
Tilgjengelig fra: 2016-03-14 Laget: 2016-03-14 Sist oppdatert: 2018-05-16bibliografisk kontrollert
Österholm, J. H. & Hydén, L.-C. (2016). Citizenship as practice: Handling communication problems in encounters between persons with dementia and social workers. Dementia, 15(6), 1457-1473
Åpne denne publikasjonen i ny fane eller vindu >>Citizenship as practice: Handling communication problems in encounters between persons with dementia and social workers
2016 (engelsk)Inngår i: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 15, nr 6, s. 1457-1473Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The overall aim of the study was to investigate if and how persons with dementia were able to take part in negotiations for formal support, as cases of citizenship as practice. The transcripts used for analysis were from 11 assessment meetings conducted in Sweden, in which the formal applicant was a person with dementia. The findings suggest that the actual participation of persons with dementia in assessment meetings varies. Communication problems were found in the meetings to different degrees and were dealt with differently and with various consequences. For those persons with dementia contributing at the same levels as the other participants, there was an attempt at mutual understanding. For those making fewer contributions, the other interlocutors took over the initiative and thus affected the practice of citizenship by persons with dementia in a negative way. The practice of citizenship is situation based and varies depending on all participants. When the person with dementia is able to participate in the conversation, social workers can facilitate for them to overcome communication problems by giving them more time and signaling acceptance. If the person with dementia has great problems in participating, the other participants can find different strategies to at least involve her or him in the conversation

sted, utgiver, år, opplag, sider
Sage Publications, 2016
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-119105 (URN)10.1177/1471301214563959 (DOI)000387007700009 ()25525075 (PubMedID)
Merknad

Funding agencies: Solstickan Foundation; Swedish Riksbankens Jubileumsfond [M10-0187:1]

Tilgjengelig fra: 2015-06-09 Laget: 2015-06-09 Sist oppdatert: 2018-05-16
Taghizadeh Larsson, A., Österholm, J. H. & Olaison, A. (2015). Handling the dilemma of self-determination and cognitive impairments: A study of case managers’ discursive strategies in assessment meetings. In: : . Paper presented at the NNDR 2015 conference i Bergen, Norge.
Åpne denne publikasjonen i ny fane eller vindu >>Handling the dilemma of self-determination and cognitive impairments: A study of case managers’ discursive strategies in assessment meetings
2015 (engelsk)Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-117920 (URN)
Konferanse
the NNDR 2015 conference i Bergen, Norge
Prosjekter
CEDER
Forskningsfinansiär
Riksbankens Jubileumsfond
Tilgjengelig fra: 2015-05-15 Laget: 2015-05-15 Sist oppdatert: 2018-05-16
Samuelsson, C., Hjalmarsson Österholm, J. & Olaison, A. (2015). Orally Positioning Older People in Assessment Meetings. Educational gerontology, 41(11), 767-785
Åpne denne publikasjonen i ny fane eller vindu >>Orally Positioning Older People in Assessment Meetings
2015 (engelsk)Inngår i: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 41, nr 11, s. 767-785Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

It has been demonstrated that persons with dementia may be positioned as less competent than participants of the same age without dementia, and that persons with dementia possibly also are positioned as less competent than other older persons without dementia. In the present study, we aim to explore this further by analysing Swedish assessment meetings, in which needs and preferences are investigated for older persons without dementia. The material consists five audio-recorded assessment meetings, where there were at least two conversational partners present (a spouse and/or a child) and where the older person applying for social services was not diagnosed with dementia. The ages of the older persons ranged from 81 to 88, while the age of the relatives ranged from 46 to 93. The results of the present study demonstrate that older persons without dementia mainly are positioned as competent. However, it may be related to the degree of frailty, since the frailest person in the present study appears to be positioned as less competent than the other participants. The present paper adds to existing knowledge on how professionals in assessment meetings contribute to the positioning of older persons as competent and capable of making decisions. The results of the present article may be useful to promote development of education and training of communication skills for care mangers in assessments in order to further ensure that older persons with and without cognitive impairments can be actively involved in the creation and interpretation of their applications for social services.

sted, utgiver, år, opplag, sider
Taylor & Francis Group, 2015
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-118085 (URN)10.1080/03601277.2015.1039470 (DOI)000359635600003 ()
Merknad

Funders: Swedish Riksbankens Jubileumsfond [M10-0187:1]

Tilgjengelig fra: 2015-05-21 Laget: 2015-05-21 Sist oppdatert: 2018-05-16
Hjalmarsson Österholm, J. & Samuelsson, C. (2015). Orally positioning persons with dementia in assessment meetings. Ageing & Society, 35(2), 367-388
Åpne denne publikasjonen i ny fane eller vindu >>Orally positioning persons with dementia in assessment meetings
2015 (engelsk)Inngår i: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 35, nr 2, s. 367-388Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

In this paper the authors study if and how persons with dementia are orally positioned by others, and how they position themselves while participating in assessment meetings held in order to discuss access to supportive services. We analysed five assessment meetings where two older persons (one diagnosed with dementia and one without a dementia diagnosis) participated to investigate whether the person with dementia is positioned differently than the other old person. Interactional phenomena used to position the person with dementia were identified by interactional analysis.

The paperidentifies six phenomena that positioned the person with dementia as an individual with less interactional competence than the other participants: ignoring the person with dementia; voicing the feelings, capacity or opinion of the person with dementia; posing questions implying lack of competence; others' use of diagnosis; self-(re)positioning; and elderspeak. Persons with dementia are often orally positioned as less competent, indicating that they suffer further from discrimination than other older persons. We suggest that this has an impact on the participation of people with dementia in negotiations regarding their future care. The results indicate that social workers should be made aware that negative positioning exists and how it may affect the ability of people with dementia to contribute to discussions about their everyday life. Social workers should be encouraged to find strategies to reduce negative positioning in interaction.

sted, utgiver, år, opplag, sider
Cambridge: Cambridge University Press, 2015
Emneord
Äldreriktat tal positionerna biståndshandläggarsamtal demens
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-103361 (URN)10.1017/S0144686X13000755 (DOI)000357881000007 ()
Tilgjengelig fra: 2014-01-17 Laget: 2014-01-17 Sist oppdatert: 2018-05-16
Nedlund, A.-C., Taghizadeh Larsson, A., Örulv, L. & Österholm, J. (2015). Voice: An Analytical Framework for Exploring Citizenship in Dementia Research. In: : . Paper presented at the 2015 International Conference on Claiming Full Citizenship: Self Determination, Personalization and Individualized Funding,October 15 - October 17, 2015 The Hyatt Regency, Vancouver, BC.
Åpne denne publikasjonen i ny fane eller vindu >>Voice: An Analytical Framework for Exploring Citizenship in Dementia Research
2015 (engelsk)Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
Abstract [en]

We will present voice as an analytical framework to enhance the problematization and investigation of citizenship for people living with dementia. We will also discuss the strengths and the potential of using such a framework when doing research on citizenship in general, and more specifically, for people living with dementia. The analytical framework that we will propose focuses on the multiple accounts of voice in use. Thus, the framework does not only embrace the issue of "whose voices?", but also the various ways voice has been conceptualised, framed and understood in different theoretical and empirical contexts as well as how these together in different ways have the potential to shed light on the possibility for people with dementia to remain participative actors in their neighbourhood, in society and furthermore, to have the opportunity to claim full citizenship.

HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-124431 (URN)
Konferanse
the 2015 International Conference on Claiming Full Citizenship: Self Determination, Personalization and Individualized Funding,October 15 - October 17, 2015 The Hyatt Regency, Vancouver, BC
Prosjekter
Medborgarskap och demens, CEDER
Tilgjengelig fra: 2016-01-31 Laget: 2016-01-31 Sist oppdatert: 2018-05-16
Taghizadeh Larsson, A. & H. Österholm, J. (2014). How are decisions on care services for people with dementia made and experienced? : A qualitative synthesis of recent empirical findings. In: : . Paper presented at 2nd International Conference - Life with dementia:relations, Centre for Dementia Research, Linköping University, Norrköping, Sweden, 15-17 October, 2014.
Åpne denne publikasjonen i ny fane eller vindu >>How are decisions on care services for people with dementia made and experienced? : A qualitative synthesis of recent empirical findings
2014 (engelsk)Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
Abstract [en]

During recent decades, there has been a growing recognition that people cannot be assumed incapable of making decisions about their own care solely on the basis of a dementia diagnosis and international agreements and legislative changes have strengthened the formal right for people with dementia to participate in decisions on care services. This raises important questions about how these decisions are currently made and experienced in practice. The aim of this presentation is to address this question and highlight directions for further research.

The presentation is based on a systematic review and qualitative synthesis of recent empirical findings. For inclusion in the review, a publication had to meet the criteria of being published between 2005 and 2013 in a peer-reviewed journal, and be written in English. Twenty-four articles were identified, all representing qualitative studies. Relevant findings were extracted and synthesized along dimensions of involvement of the person with dementia in decisions on care services. Three overarching ways in which people with dementia are involved, primarily, in the informal part of a process of decisions were identified: excluded, prior preferences taken into account, current preferences respected. Several articles seemed to be based on the assumption that decisions on care services are invariably and solely made within the family and without participation of the person with dementia.

Our study emphasizes the need for more updated research about international debates and agreements concerning capabilities and rights of people with dementia and about the (potential) formal contexts of care decisions in the country concerned.

HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-111546 (URN)
Konferanse
2nd International Conference - Life with dementia:relations, Centre for Dementia Research, Linköping University, Norrköping, Sweden, 15-17 October, 2014
Prosjekter
CEDER
Forskningsfinansiär
Riksbankens Jubileumsfond
Tilgjengelig fra: 2014-10-22 Laget: 2014-10-22 Sist oppdatert: 2018-05-16
Taghizadeh Larsson, A. & H. Österholm, J. (2014). How are decisions on care services for people with dementia made and experienced?: A systematic review and qualitative synthesis of recent empirical findings. International psychogeriatrics, 26(11), 1849-1862
Åpne denne publikasjonen i ny fane eller vindu >>How are decisions on care services for people with dementia made and experienced?: A systematic review and qualitative synthesis of recent empirical findings
2014 (engelsk)Inngår i: International psychogeriatrics, ISSN 1041-6102, E-ISSN 1741-203X, Vol. 26, nr 11, s. 1849-1862Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: During recent decades, there has been a growing recognition that people cannot be assumed incapable of making decisions about their own care solely on the basis of a dementia diagnosis and international agreements and legislative changes have strengthened the formal right for people with dementia to participate in decisions on care services. This raises important questions about how these decisions are currently made and experienced in practice. In this review, we address this question and highlight directions for further research.

METHODS:

We searched CINAHL, PsycINFO, ASSIA, Social Services Abstracts, Science Direct, Academic Search Premier, and PubMed. Twenty-four pertinent articles were identified, all representing qualitative studies. Relevant findings were extracted and synthesized along dimensions of involvement of the person with dementia in decisions on care services, using an integrative approach to qualitative synthesis.

RESULTS:

We identified three overarching ways in which people with dementia are involved, primarily, in the informal part of a process of decisions: excluded, prior preferences taken into account, and current preferences respected. Several (10) articles seemed to be based on the assumption that decisions on care services are invariably and solely made within the family and without participation of the person with dementia.

CONCLUSIONS:

The review emphasizes the need for more updated research about international debates and agreements concerning capabilities and rights of people with dementia and about the (potential) formal contexts of care decisions in the country concerned. This, we argue, is vital for future knowledge production in the area.

 

sted, utgiver, år, opplag, sider
Cambridge University Press, 2014
Emneord
dementia, aged care, Alzheimer’s disease (AD), carers, nursing homes
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-110917 (URN)10.1017/S104161021400132X (DOI)000343206600007 ()25022286 (PubMedID)
Forskningsfinansiär
Riksbankens Jubileumsfond, 8831650010
Tilgjengelig fra: 2014-09-29 Laget: 2014-09-29 Sist oppdatert: 2018-05-16
Hjalmarsson Österholm, J., Björk, M. & Håkansson, C. (2013). Factors of importance for maintaining work as perceived by men with arthritis. Work: A journal of Prevention, Assesment and rehabilitation, 45(4), 439-448
Åpne denne publikasjonen i ny fane eller vindu >>Factors of importance for maintaining work as perceived by men with arthritis
2013 (engelsk)Inngår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 45, nr 4, s. 439-448Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

OBJECTIVE: Employment rates are significantly lower among individuals with arthritis compared to a general population. There is, however, limited research about how men with arthritis perceive their ability to maintain working. The aim of this study was thus to explore their perception of this.

PARTICIPANTS: Nine employed men with arthritis were purposively sampled.

METHODS: Interviews were performed and were informed by the central concepts of the Model of Human Occupation. The Empirical Phenomenological Psychological method was modified and used to analyze and interpret collected data.

RESULTS: The findings showed that men with arthritis perceived a desire to work, adjusted their activity pattern, were aware of their own capabilities, had good work conditions, had environmental support and used effective medication to maintain their ability to work.

CONCLUSIONS: The findings suggest that health care professionals can help men with arthritis to find strategies and a balance between recreation and work. Ultimately, this knowledge could guide health care professionals to target men needing interventions to prevent sick leave.

sted, utgiver, år, opplag, sider
IOS PRESS, 2013
Emneord
Ability to work, empirical phenomenological psychological method (EPP), rheumatism, rheumatology, work ability
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-91246 (URN)10.3233/WOR-121542 (DOI)000324299500004 ()
Tilgjengelig fra: 2012-11-08 Laget: 2013-04-18 Sist oppdatert: 2018-05-16bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-6241-0027