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Ron Iphofen Editor If there is a common theme running through Linda Garvican and Graham Bickler look the articles in this issue, it is the nature and at the effects of policy changes that have led to organisation of care. John Costello’s work in the decline in the number of residential and the field of bereavement studies is well-known nursing homes. In a survey of home- and respected. In his article he outlines the owners/managers, they focus on the employment of a narrative ethnographic consequences for the homes’ working methodology to expand our understanding of relationships with the public services. A the forms of loneliness that follow the loss of a survey response rate of 100% verges on the close partner. In particular he shows how incredible these days, but that is perhaps loneliness is a central feature of the grief unsurprising when there is acute awareness of experience – something that even how changes in care policies have profoundly acknowledged social support networks can do undermined their business. It is also not too little to relieve. surprising that most responses were negative. Sally Redfern and colleagues’ study of It is clear from this work that, if any sense of dementia care at home examines such care as a partnership between services is to be restored form of social organisation. Their observed and maintained, there is a lot of ground to be emphasis was on routine and the establishment covered. of order, and on the controlled Finally, our Norwegian colleague Rolf accomplishment of set goals. There are Rønning was stimulated during a visit to the interesting methodological lessons to be UK to comment on how the concept of care is gained from this work in the handling of engaged with in the British debate on home sensitive interventions with vulnerable care. In a developing political analysis he participants, and in the sustaining of suggests that care has grown to be perceived naturalistic observational work. As in John ‘negatively’ and its more positive aspects need Costello’s study, the importance of a to be rehabilitated. He offers solutions via a conversational interviewing style in producing consideration of the alternative ‘rationalities’ authentic responses is revealed. Thus, for of home care – a form of organisation analysis example, the strategies employed by care- that examines the detailed nature of political receivers to maintain their preferred identities resources that may be applied in caring were occasionally complex, sometimes subtle, relationships. but evidently vital to their sense of selfhood. 2 Quality in Ageing – Policy, practice and research Volume 3 Issue 4 December 2002 © Pavilion Publishing 2002
Quality in Ageing and Older Adults – Emerald Publishing
Published: Dec 1, 2002
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