Another challenge is the fact that it is common for the clients to be afflicted with different kinds of diseases and disabilities, physically, mentally, or emotionally. This paper aims to give an in-depth discussion of the challenges involved in working with the older people and how the clients’ identity issues affect their relationship dynamics with the worker.
First, let us explore the clients’ perspectives and situations as they enter the residential home for the elderly. Some have existing and financially capable relatives but they choose to stay in a residential facility so as not to burden their family members with their needs. It could be pride, or a deeply ingrained sense of independence that spur them to opt for professional and paid help. It could be a defense against possible future rejection
and the hurt that it would cause. …
They just weren’t given much choice. Majority were placed in residential homes because of physical and/or mental disabilities, and because they don’t have anybody anymore. These factors, one way or another, has impacts on the clients’ psychological state and these invariably affect their responsiveness and cooperation during the course of case management.
As each and every human being has unique identities and personalities, the dynamics of an older person and his or her identity is profoundly affected
http://www.aic.gov.au/publications/tandi/ti113.pdf
Australian Institute of Criminology. Trends and Issues in crime and criminal justice. No. 113 Abuse of Older People: Crime or Family Dynamics. Pamela Kinnear and Adam Graycar
ISBN 0 642 24103 1 . ISSN 0817-8542
May 1999 Pamela Kinnear &amp. Adam Graycar. May 1999. Retrieved December 6, 2005
http://www.shef.ac.uk/newdynamics/specification.html The New Dynamics of Ageing –
an Interdisciplinary Research Programme Retrieved December 6, 2005
http://www.dhhs.state.nc.us/aging/article.htm#a150. North Carolina Division Of Aging. Articles. Retrieved December 6, 2005
http://www.bl.uk/collections/social/welfare/issue40/carelduk.html. The British Library
Welfare Reform on the Web – December 2002
CARE OF THE ELDERLY – UK
CARE MANAGEMENT AND SOCIAL WORK: A CASE STUDY OF THE ROLE OF SOCIAL WORK IN HOSPITAL DISCHARGE TO RESIDENTIAL OR NURSING HOME CARE
J. Phillips and J. Waterson
European Journal of Social Work, vol. 5, 2002, p. 171-186
Argues that legislative changes since 1990 to health and social care for older people in
England and Wales have had a major impact on social work roles and tasks. Since 1990

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