Organisering av demensvården: differentiering kontra kvarboendeprincipen

The objective of this thesis was to examine and analyse how various directors within old-age care, the resident-coordinator, nursing-staff, and the dementia-team apprehend the organisation of dementia nursing homes in the municipality. Our questions were the following: How important is it that the care-receivers are examined and diagnosed? Do the respondents experience difficulties with non-differentiated dementia nursing homes? Which are the advantages and disadvantages for care receivers/patients and nursing-staff if dementia care homes are differentiated according to the care-receivers dementia diagnosis and phase of illness? Are there alternative solutions to the way the municipality organise the residence for carereceivers today that might improve the situation for care-receivers/patients and nursing-staff? How does cooperation or the lack of it mint the conditions for care in dementia nursing homes? Which goals does the municipality have for the organisation of dementia care? Our approach was a qualitative method consisting of interviews to answer the objective of this thesis and our questions. Our findings are supported by a sociological analysis of organisations. Our findings show that there is a conflict of interest between the principle of permanent residence which imply that the care-receiver should not have to move against her or his will and between the use of differentiated dementia nursing homes. A differentiation of nursing homes would imply that the care-receiver would need to move according to his or her need of care and this is inconsistent with the principle of permanent residence