PaananenPino2025

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PaananenPino2025
BibType ARTICLE
Key PaananenPino2025
Author(s) Jenny Paananen, Marco Pino
Title Turning Toward the Inevitable: How Nursing Home Staff Manage Relatives’ Expectations of Dementia Progression
Editor(s)
Tag(s) EMCA
Publisher
Year 2025
Language English
City
Month
Journal Research On Language and Social Interaction
Volume 58
Number 2
Pages 165-187
URL Link
DOI 10.1080/08351813.2025.2484994
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

This article examines video recordings of care plan meetings between nursing home care staff and relatives of residents with dementia in Finland. Prominent in these meetings is the activity of updating relatives about a resident’s condition. An associated practical task for the staff is to assist relatives in making sense of a resident’s observed and reported deterioration. The staff employ inevitability claims, whereby they state that a resident’s health will inevitably deteriorate further. This action normalizes deterioration by attributing it to dementia, and it enables the staff to account for a resident’s present, observed deterioration and to guide relatives’ expectations for the future. In doing so, the staff attend to epistemic considerations by avoiding claiming that relatives are unaware of the realities of dementia and, rather, invoking dementia as an already familiar reality. Data are in Finnish.

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