a challenge to Danish home-based care- en udfordring for den danske hjemmepleje
This article explores the most vulnerable elderly with complex problems receiving home-based care. Their perspective is examined from several qualitative interviews and observations. The interviews suggested that they often live on the edge of accepted standards for living, but want to live as they always have – to be respected as competent human beings and be identified through the life they have lived. To establish a relationship in which an elderly person can be recognised in an existential sense could indeed be the key to establishing contact. The author suggests that in order to develop this approach, staff have to possess certain competencies, and there needs to be some organisational backup for developing this type of relationship. Home-based care in Denmark is founded on new public management (NPM) theory, although rules and regulations implied in NPM do not always provide home helpers with the time, support, autonomy or flexibility necessary for them to establish a recognising type of relationship. The author questions whether the application of NPM in the welfare state increases exclusion for those who are most dependent on public support.
Journal of Social Work Practice, 2011, Vol 25, Issue 3, p. 271-283
ældrepleje; Home Care; older people; social care provision; social exclusion; social welfare