Centre for Policy on Ageing



Bridging gaps in risk discourse — home care case management and client choices
Author(s)	Christine Ceci, Mary Ellen Purkis
Journal title	Sociology of Health & Illness, vol 31, no 2, March 2009
Pages	pp 201-214
Source	http://www.blackwellpublishing.com
Keywords	Home nursing ; Therapeutic services [domiciliary] ; Case work ; Management [care] ; Canada.
Annotation	This paper examines a well-entrenched conceptualisation of how home care case management practice works: that case managers offer alternatives and clients make choices. This understanding of practice is reinforced by organisational policy that states that clients have the right to live at risk if that is their choice. Analysis of data from a field study of home care practice in a western Canadian city, draws predominantly on case managers' accounts of actual practice situations. This analysis underscores the limitations of such a view, and suggests that conceptualising such practices as ongoing and fragile negotiations between freedom and security offers a more useful frame for thinking through the distance and difference between current home care policy and practice, and what people might actually need. (KJ/RH).
Accession Number	CPA-090422211 A
Classmark	N4: N3: IGA: QA: 7S
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...from the Ageinfo database published by Centre for Policy on Ageing.