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

Feliciano  Villar; Rodrigo  Serrat; Annette Bilfeldt; Joe  Larragy

doi:10.1007/978-3-030-51406-8_23

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

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

^*Corresponding author

Department of People and Technology

Research output: Chapter in Book/Report/Conference proceeding › Book chapter › Research › peer-review

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Abstract

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.

Translated title of the contribution	Ældre mennesker på plejecentre
Original language	English
Title of host publication	Social Exclusion in Later Life : Interdisciplinary and Policy Perspectives
Editors	Kieran Walsh, Thomas Scharf, Sofie Van Regenmortel, Anna Wanka
Publisher	Springer
Publication date	2021
Pages	297-309
ISBN (Print)	9783030514051
ISBN (Electronic)	9783030514068
DOIs	https://doi.org/10.1007/978-3-030-51406-8_23
Publication status	Published - 2021

Series	International Perspectives on Aging
Number	28

Bibliographical note

Open Access
This chapter is licensed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

The images or other third party material in this chapter are included in the chapter's Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the chapter's Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.

Access to Document

10.1007/978-3-030-51406-8_23Licence: CC BY

Older People in Long-Term Care Institutions: A Case of Multidimensional Social ExclusionFinal published version, 285 KBLicence: CC BY

Citation Styles

Villar, Feliciano ; Serrat, Rodrigo ; Bilfeldt, Annette et al. / Older People in Long-Term Care Institutions : A Case of Multidimensional Social Exclusion. Social Exclusion in Later Life : Interdisciplinary and Policy Perspectives. editor / Kieran Walsh ; Thomas Scharf ; Sofie Van Regenmortel ; Anna Wanka. Springer, 2021. pp. 297-309 (International Perspectives on Aging; No. 28).

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title = "Older People in Long-Term Care Institutions: A Case of Multidimensional Social Exclusion",

abstract = "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{\textquoteright} autonomy, and ultimately curtailing rights and citizenship status. Secondly, we examine how LTC services might prevent such exclusion and promote older people{\textquoteright}s participation in at least four respects: (1) prompting and supporting residents{\textquoteright} ability to take decisions on their own care, (2) favouring the maintenance and creation of social relationships, (3) enabling residents{\textquoteright} participation in the activities and management of the institution, and (4) guaranteeing residents{\textquoteright} rights and full access to citizenship. We discuss the impact and limitations of recent initiatives put into practice in these areas of practice.",

author = "Feliciano Villar and Rodrigo Serrat and Annette Bilfeldt and Joe Larragy",

note = "Open Access This chapter is licensed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made. The images or other third party material in this chapter are included in the chapter's Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the chapter's Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.",

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doi = "10.1007/978-3-030-51406-8\_23",

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Villar, F, Serrat, R, Bilfeldt, A & Larragy, J 2021, Older People in Long-Term Care Institutions: A Case of Multidimensional Social Exclusion. in K Walsh, T Scharf, S Van Regenmortel & A Wanka (eds), Social Exclusion in Later Life : Interdisciplinary and Policy Perspectives. Springer, International Perspectives on Aging, no. 28, pp. 297-309. https://doi.org/10.1007/978-3-030-51406-8_23

Older People in Long-Term Care Institutions: A Case of Multidimensional Social Exclusion. / Villar, Feliciano ; Serrat, Rodrigo ; Bilfeldt, Annette et al.
Social Exclusion in Later Life : Interdisciplinary and Policy Perspectives. ed. / Kieran Walsh; Thomas Scharf; Sofie Van Regenmortel; Anna Wanka. Springer, 2021. p. 297-309 (International Perspectives on Aging; No. 28).

Research output: Chapter in Book/Report/Conference proceeding › Book chapter › Research › peer-review

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N1 - Open Access This chapter is licensed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made. The images or other third party material in this chapter are included in the chapter's Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the chapter's Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.

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Villar F, Serrat R, Bilfeldt A, Larragy J. Older People in Long-Term Care Institutions: A Case of Multidimensional Social Exclusion. In Walsh K, Scharf T, Van Regenmortel S, Wanka A, editors, Social Exclusion in Later Life : Interdisciplinary and Policy Perspectives. Springer. 2021. p. 297-309. (International Perspectives on Aging; No. 28). doi: 10.1007/978-3-030-51406-8_23