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Practices for making residents' wishes fit institutional constraints: a case of manipulation in dementia care
Elisabeth Dalby Kristiansen1, Gitte Rasmussen1, Elisabeth Muth Andersen1
1a Department of Language and Communication , The University of Southern Denmark , Odense , Denmark.
Purpose:
The study aims to show how practices of manipulation are used by a member of staff in a care situation where the member of staff has to perform two tasks at once.
Method:
The study is an ethnomethodological conversation analytic single-case study of a care situation in residential dementia care. The analyses are based on video recordings and observations conducted during 9 months of fieldwork at a residential care facility for persons with dementia.
Results:
The study details the methods by which a member of staff engages in manipulation by constructing her actions as responses to a resident's wish which has in fact never been stated.
Conclusion:
The study discusses how manipulation may be understood as care staff practices for making a residents' wishes fit the institutional constraints they are subjected to and for "doing what is best for the resident."
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