Care for people with dementia impacts on citizenship, in particular, judgements about capacity affect legislative rights. As a matter of social justice, people considered 'vulnerable', need more rather than less protection by and from the State. Health and social care practitioners attempting to work in ways which support citizenship, find themselves negotiating conflicting ideological positions. This thesis examined social work and community psychiatric nurse practice to analyse how people with dementia were dis/empowered in the care process. Practice values were analysed using the feminist'ethic of care' perspective. Conventional approaches to dementia were critically examined. Dementia is considered a contested concept, therefore a feminist, social constructivist approach was taken. The methods of observations of practice and in-depth interviews were used to establish what informs citizenship based care for people with dementia. The data were analysed using theories related to values, empowerment, and current policy. It was found that though citizenship was substantially upheld for people with dementia, 10% of people with dementia in this research were detained against their will, the most restrictive of care outcomes. Practitioners' values guided this practice, rather than available policy or legislation. Policy and practice guidance for citizenship-based care is provided.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:487793 |
| Date | January 2004 |
| Creators | Brannelly, Petula Mary |
| Publisher | University of Birmingham |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
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