"Older people are, like younger people, citizens in the communities of the nations in which they live. This book sees ageing as a life journey that incorporates a process of citizening, in which people build their identity as part of their family and community. But the social experience of illness, frailty, disability and reaching the end of life may de-citizen older people by devaluing the social identity that comes from continuing social engagement. We de-citizen older people by emphasizing dependence on services and their cost to public expenditure instead of valuing the interdependence of participation and mutual respect. This book argues that older people retain full citizenship for the whole of their lives, up to the moment of death; but what does this mean for health and social care? In this groundbreaking book, Malcolm Payne argues that social work with older people must build re-citizening practice strategies to value both the common and the special aspects of the citizenship of older people. Current models of social care and social work create dependency, rather than relying on values of participative interdependence. The failure to recognize the end of life as a crucial element in all social care and social work for older people means that the lessons learned in providing palliative and end-of-life care in healthcare have not been transferred to social care, and the priorities of end-of-life care have not been adequately encompassed in social work with older people" -- From the publisher

Citizens to the End of Their Lives: Social Work Services Older People and the End of Life

Payne, Malcolm

Ashgate Publishing Limited

Gower Publishing Ltd

The Hakluyt Society

Taylor and Francis

Routledge key themes in health and society, 1 edition, London, 2017

Routledge key themes in health and society, 1st ed, London, 2017

Routledge Key Themes in Health and Society, Florence, 2017

United Kingdom and Ireland, United Kingdom

Resuscitation, the Liverpool Care Pathway and its successors -- Understanding working together -- Structural practice strategies for partnership -- Taking up a full social work role -- Interpersonal strategies for teamwork -- 5. Advance care planning -- Advance care planning developments -- Social work roles in advance decisions -- Decision-making where mental capacity is impaired -- Social and healthcare services for long-term care populations -- Care planning in care management -- ACP throughout the care career -- Implementing ACP in practice -- The ACP process -- Barriers to ACP -- Conclusion: ACP as a citizenship social work strategy -- PART II: Practice strategies for end-of-life social work with older citizens -- 6. Preparing for later life: Adulthood and the third age -- Chapter aims -- Preparing for well-being in later life and at the end of life -- Practice strategy: Preparing in adulthood for later life -- Planning for ageing -- Finances -- Home, housing, shelter -- Activities, including leisure, work and community involvement -- Health and safety -- Holidays -- Care arrangements, including end-of-life care -- Social action for quality of life and end of life -- Preparing and supporting carers (informal caregivers) -- Being a carer -- Sourcing a wide range of 'care' -- Conclusion: Practice strategies before later life -- 7. Direct social work with older citizens in the fourth age -- Chapter aims -- Practice strategy for citizenship: social care in the fourth age -- Finances -- Home and housing -- Activities, including leisure, work and community involvement -- Health and safety -- Holidays -- Care arrangements, including end-of-life care -- Skills in practice with older people -- Active intervention at an early stage, when things change and at end of life -- Openness to negotiation -- Person-centred care planning -- Outcomes approaches

Cover -- Half Title -- Title Page -- Copyright Page -- List of figures -- List of tables -- Acknowledgements -- Introduction -- Building end-of-life care into social work with older people: Practice strategies -- Plan of the book -- Conclusion -- PART I: The role of social work in end-of-life care with older people -- 1. The ageing journey and the end of life -- Main themes -- The concept of 'journey' -- The idea of practice strategies -- Humanistic social work practice and the older person as 'other' -- Implications of the ageing journey for citizenship practice -- The importance of social work and end-of-life care -- The importance of multiprofessional services in the community -- Advance care planning is integral to ageing and end-of-life care -- 2. Citizenship processes: Citizening, de-citizening and re-citizening -- Citizenship and social citizenship -- Citizenship as process: Citizening, de-citizening and re-citizening -- Exclusion from citizenship: Older people at the end of life -- Citizenship social work and rights -- Citizenship social work ideas -- Citizenship social work practice -- The broader social context of participation -- Conclusion: Citizenship and citizenship social work -- 3. Social work and palliative care: Contributions to end-of-life care -- Aims -- Starting points: Social work's social role -- Differences between social work and palliative care contributions -- Holistic practice in social work and palliative care -- Social work and palliative care sources of caring -- Palliative care and social work contributions to continuity -- Conclusion: Social work practice strategies and learning from healthcare and palliative care -- 4. Partnership practice strategies -- Palliative care and social work contributions to multiprofessional care -- Different focuses -- Different priorities -- Patient rights and family concerns

Activities of daily living -- Strategies for independence -- Social work's safeguarding role: Security and citizenship -- Elements of safeguarding older people's security -- Safeguarding from abuse -- Dementia -- Diagnosis and assessment -- Main social work strategies in working with dementia -- Practical advice for living with dementia -- The importance of keeping up activities -- Conclusion -- 8. Ageing, end-of-life and bereavement care -- Practice strategies: End-of-life care and bereavement -- Care arrangements, including end-of-life care -- Social work and social care in the end-of-life care phase -- Social work practice at the end of life -- Quality and length of life and assisted dying -- Bereavement care -- Sources of bereavement care -- Bereavement interventions -- Children's bereavement -- Conclusion: The end of life and bereavement -- 9. Conclusion: Practice strategies for older people's citizenship -- Citizenship social work with older people -- Citizening, de-citizening and re-citizening -- Practice strategies with older people at the end of life -- And in the end -- Bibliography -- Index

2024-03-21