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BJSW Advance Access published online on July 11, 2005
British Journal of Social Work, 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.

Article

Older People and Permanent Care: Whose Decision?

Sandra Dwyer 1*

1 Social work lecturer at the University of Leicester

* To whom correspondence should be addressed.
Sandra Dwyer, E-mail: sd83{at}le.ac.uk


  Abstract

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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