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BJSW Advance Access originally published online on July 11, 2005
British Journal of Social Work 2005 35(7):1081-1092; doi:10.1093/bjsw/bch214
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© The Author 2005. Published by Oxford University Press on behalf of The British Association of Social Workers. All rights reserved.

Older People and Permanent Care: Whose Decision?

Sandra Dwyer

Sandra Dwyer is an experienced social worker who has worked for several authorities. She is currently a social work lecturer at the University of Leicester.

Correpondence to Sandra Dwyer, School of Social Work, University of Leicester, 107 Princess Road East, Leicester LE1 7LA, UK. E-mail: sd83{at}le.ac.uk

This paper looks at decision making when older people enter permanent care, and focuses on power issues. The recent past is reviewed and related to aspects of the current picture. Dementia and capacity are a specific focus. The complexities of the work for practitioners, together with their sometimes difficult working environments, engender a climate which can be counter productive to protecting the self-determination of older people.

Keywords: Older people, permanent care, decision making, assessment, research


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