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Behovsbed?mningssamtal mellan bist?ndshandl?ggare och personer med demenssjukdom : Medborgarskap i praktiken

機(jī)譯：援助官員與癡呆癥患者之間的需求評估電話：實(shí)踐中的公民身份

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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.
機(jī)譯：本論文涉及癡呆癥患者與護(hù)理人員之間的相遇。癡呆癥經(jīng)常導(dǎo)致需要逐步提高的護(hù)理需求，而這些需求必須通過不同的社會護(hù)理服務(wù)來滿足。在評估會議上評估該人的護(hù)理需求，在此會議上，該人及其親屬與護(hù)理經(jīng)理會面，以協(xié)商需求和社會護(hù)理服務(wù)。通過癡呆癥患者與護(hù)理經(jīng)理會面的一次或幾次對話進(jìn)行評估；親戚經(jīng)常參加會議。癡呆癥是一種涉及認(rèn)知能力下降和與他人交流和互動能力下降的綜合癥。因此，癡呆癥患者可能難以參加有關(guān)其護(hù)理需求和社會護(hù)理服務(wù)的討論。已研究了15次錄音會議，以探索和了解癡呆癥患者如何在評估其護(hù)理需求的機(jī)構(gòu)環(huán)境中，如何利用其剩余的交流，認(rèn)知和語言資源來行使，協(xié)商和使用其公民權(quán)利。分析涉及作為聯(lián)合活動的談話組織；互動對話中的社會角色的產(chǎn)生；與話語制度特征的關(guān)系。本文得出的結(jié)論是，公民身份的實(shí)踐是基于情況的，并根據(jù)在場的參與者而有所不同。護(hù)理經(jīng)理可以通過使用不同的話語策略來幫助癡呆癥患者克服溝通問題，并使他們有可能參與或至少包括在談判中。與其他參加評估會議的人相比，癡呆癥患者的能力較弱。這可能會影響癡呆癥患者參與有關(guān)其未來護(hù)理的談判。此外，在評估會議上講的故事常常使人依賴他人，這可能會破壞癡呆癥患者的身份和自我意識。

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  • 作者

    ?sterholm, Johannes H;

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  • 年度 2016
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  • 原文格式 PDF
  • 正文語種 eng
  • 中圖分類

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