Access the full text.
Sign up today, get DeepDyve free for 14 days.
References for this paper are not available at this time. We will be adding them shortly, thank you for your patience.
Ron Iphofen In the ï¬rst paper in this issue Helen Chapman and Helen Edwards make some interesting points about the complexities of expectations involved in the role relationships of caring. We are liable to forget that good role relationships need to be generated and sustained in an active manner. Problems arise when incongruence arises out of complacency or a failure to be open about our expectations. Not all expectations can be fulï¬lled or are realistic and this can be particularly exacerbated in a relationship of dependency. But as we all know there are mutual dependencies in care relationships and costs, as well as beneï¬ts, can accrue to both parties. Chapman and Edwards examine how such processes are managed via communicative strategies and show how problems about the autonomy of those in receipt of care can emerge. Role expectations and communicative strategies are particularly institutionalised within the dynamics of family life and health care providers need to take account of processes of this nature to gain full insight into the care-giver and receiver relationship. Part II of this discussion will appear in the next issue of Quality in Ageing. The policy changes leading to the loss of long-stay NHS beds has had consequences for the care of older patients with cognitive impairment. The implications of these changes have led Sue Ball and colleagues in North Dorset NHS Primary Care Trust to examine the effects of these changes on duration of stay and discharge destination. Their work conï¬rms the expectation that those patients with a spouse at home who is able to care for them are likely to be discharged sooner than those without a spouse or those in social services care. The measured degree of cognitive impairment also signiï¬cantly determines whether patients are discharged to a nursing home or residential care. They discuss the role that acute psychogeriatric care can play in assisting rehabilitation into the community. Necessarily they address the implied conï¬rmation of a âtwo-tier systemâ of health and social care but they recognise the difficulties posed by factors linked to the administration of care services. Quality in Ageing readers will know that we have given good coverage to the ESRC âGrowing Olderâ programme and we have in this issue a contribution provoked by Chih Hoong Sinâs work within the programme. He explores the potential prejudice in interviewing minority ethnic older people for âexoticisingâ the respondents or unwittingly pathologising their situation. The project he was involved in examined social networks and support for older people from different ethnic groups in Britain, and the relationship between these and their quality of life. He advocates a reï¬exive methodology which, in addition to rigour in research design, requires a focus on the interactional nature of the interview process. Instead of standardised assumptions about choice of language, using interpreters, ethnic matching of interviewers and interviewees, and so on, issues like these have to be examined in context and in terms of the particular needs and expectations of the respondents. We close this issue with a commentary piece from Donald Hirsch about the âtransitions after 50â research he was involved in conducting for the Joseph Rowntree Foundation. He ï¬rst discusses some of the underlying themes and implications of the work, and then describes each of the main research projectsâ ï¬ndings systematically. This is a convenient way for the research-based reader both to get an integrated view of where this work is leading overall and to see speciï¬cally what the most important ï¬ndings were of particular pieces of research. Quality in Ageing â Policy, practice and research Volume 5 Issue 2 October 2004 © Pavilion Publishing 2004
Quality in Ageing and Older Adults – Pier Professional
Published: Oct 1, 2004
You can share this free article with as many people as you like with the url below! We hope you enjoy this feature!
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.