Older People in Long-Term Care Institutions: A Case of Multidimensional Social Exclusion

Bidragets oversatte titel: Ældre mennesker på plejecentre

Feliciano Villar*, Rodrigo Serrat, Annette Bilfeldt, Joe Larragy

*Corresponding author

Publikation: Bidrag til bog/antologi/rapportBidrag til bog/antologiForskningpeer review


Living in a long-term care (LTC) institution provides older people experiencing health and social problems with a comprehensive range of support services that address their quality of life. Despite access to such services, challenges arise in relation to their participation in key activities both within and outside the institution. This chapter examines such challenges, reviewing and describing ways to prevent exclusion along various domains, specifically social relationships, civic participation and socio-cultural life. Firstly, we discuss ways in which bio-medical models of care and the quality control systems, which are dominant in LTC services, standardise care, tending to put decisions exclusively in hands of staff, taking away residents’ autonomy, and ultimately curtailing rights and citizenship status. Secondly, we examine how LTC services might prevent such exclusion and promote older people’s participation in at least four respects: (1) prompting and supporting residents’ ability to take decisions on their own care, (2) favouring the maintenance and creation of social relationships, (3) enabling residents’ participation in the activities and management of the institution, and (4) guaranteeing residents’ rights and full access to citizenship. We discuss the impact and limitations of recent initiatives put into practice in these areas of practice.
Bidragets oversatte titelÆldre mennesker på plejecentre
TitelSocial Exclusion in Later Life : Interdisciplinary and Policy Perspectives
RedaktørerKieran Walsh, Thomas Scharf, Sofie Van Regenmortel, Anna Wanka
ISBN (Trykt)9783030514051
ISBN (Elektronisk)9783030514068
StatusAccepteret/In press - 2020
NavnInternational Perspectives on Aging

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