Positioning and identity construction in home care assessment talk
2007 (English)Conference paper (Other (popular science, discussion, etc.))
This paper reports results from a study of meetings between old persons, their relatives and the care managers who work with assessments of home care. According to the Swedish Social Welfare Act old persons who are in need of care are entitled to apply for home care. The formal decision concerning home care is made by the assessment managers who handle these type of applications within the municipality. Old persons and their family members - such as spouses or children - are moreover supposed to have influences on how home care is organized. The issues related to home care may often comprise conflicting interests - both within the family, and between the old persons, their family members and the case managers. The data consist of 20 Swedish home care assessment meetings. The assessments were studied, as institutional practices in which the participants used discursive positioning in order to argue for their version in the decision-making. The results show that the home care assessment meetings functioned as a situated practice in which old persons were positioned both by care managers and their relatives as potential home care receivers. Although the old persons had the final saying in the decision process family members were prominent in constructing the old person as in need of care. This highlights further questions about old persons individual rights within the decision-making in this type of situation. It also poses questions about relatives and their needs in the caring practice for the future development of the old age care system.
Place, publisher, year, edition, pages
identity construction, language, home care
IdentifiersURN: urn:nbn:se:liu:diva-75500OAI: oai:DiVA.org:liu-75500DiVA: diva2:507496
10th International Pragmatics Conference (IPrA), Göteborg, 8-13 July 2007