Taking a shower: Managing a potentially imposing activity in dementia care
2014 (English)In: Journal of Interactional Research in Communication Disorders/Equinox, ISSN 2040-5111, E-ISSN 2040-512X, Vol. 5, no 1, 27-62 p.Article in journal (Refereed) Published
This article focuses on an activity routinely carried out in elderly care: taking ashower. The care setting is two nursing homes in Sweden hosting elderly people with dementia. The data consist of transcriptions of three caregivers’ interaction with their residents prior to, and during the performance of the shower task. While the shower routinely is rejected by the care recipient in these settings, the article demonstrates alternative ways of performing the task that are less imposing for the elderly person and that may maintain the care recipient’s dignity and sense of autonomy. The way opposition occurs during the course of the activity depends on how the care worker frames the performance of the task. When physical action is embedded and aligned with the care recipient’s concerns, the washing of the body progresses more smoothly. The article highlights the importance of allowing the care recipient to feel that her priorities form the basis for how the activity should proceed. The implications of this study for the care system are discussed in terms of providing opportunities for caregivers and elderly persons to build relationships of mutual trust and support.
Place, publisher, year, edition, pages
Equinox Publishing, 2014. Vol. 5, no 1, 27-62 p.
dementia care, nursing homes, the shower task, oppositional behavior, management strategies, Conversation Analysis, politeness theory.
Research subject Linguistics
IdentifiersURN: urn:nbn:se:su:diva-102429DOI: 10.1558/jircd.v5i1.27OAI: oai:DiVA.org:su-102429DiVA: diva2:710262
ProjectsOmsorg som språkarbete. Hinder och möjligheter med svenska som andraspråk i den nya arbetsordningenA life with dementia funded by The Bank of Sweden Tercentenary Foundation (RJ), grant no. M10-0187:1.
FunderForte, Swedish Research Council for Health, Working Life and Welfare, 2009-1016Riksbankens Jubileumsfond, M10-0187:1