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Everyday influence – democracy when health and social care are part of everyday life
Department of Neurobiology, Care Sciences, and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden; Unit for Research, Education, Development, and Innovation, Stockholms Sjukhem Foundation, Stockholm, Sweden; Research Group in Occupational Therapy and Occupational Science, Lund University, Lund, Sweden.ORCID iD: 0000-0002-6910-3468
Department of Neurobiology, Care Sciences, and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden.ORCID iD: 0000-0003-1575-2582
Department of Neurobiology, Care Sciences, and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden.ORCID iD: 0000-0002-3428-561X
Department of Neurobiology, Care Sciences, and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden.ORCID iD: 0000-0003-3695-9304
2021 (English)In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 43, no 10, p. 2229-2238Article in journal (Refereed) Published
Abstract [en]

This article contributes to ongoing discussions about frailty and vulnerability in critical gerontology by asserting that possibilities to engage and enact influence in everyday life situations is a crucial dimension of democracy in later life. We discuss how democracy in this sense can be threatened for older persons for whom health and social care services are needed, following from the labelling practices of frailty and the non-recognition of the social processes that set capabilities in motion. We utilise three examples grounded in research with older persons in their home environment in a Swedish context. The examples show how older people use creative, emotional, practical and social resources to integrate activities in a manner that address their needs and capabilities, and influence the situations in direction towards how and when to be engaged in everyday activities. Based on a discussion of the examples, we argue that health and social care services that provide and build social infrastructures need to recognise the potential concurrency of interdependency, vulnerability and agency within older persons’ local everyday practices. This to address capabilities and enable concrete expression of democracy in everyday situations. Overall, we suggest that conceptual and methodological shifts in research, as well as policy and practice, are needed to bring democratic processes forward through the relational and situated aspects of resources, agency and influence.

Place, publisher, year, edition, pages
Cambridge University Press, 2021. Vol. 43, no 10, p. 2229-2238
Keywords [en]
frailty, vulnerability, capability, health care, social care
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:umu:diva-223302DOI: 10.1017/s0144686x21001653ISI: 000742550400001Scopus ID: 2-s2.0-85118997206OAI: oai:DiVA.org:umu-223302DiVA, id: diva2:1851216
Available from: 2024-04-12 Created: 2024-04-12 Last updated: 2024-04-15Bibliographically approved

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Mondaca, Margarita

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