Support and individual guidance are basic tools when it comes to bringing about changes and enhancing personal and family progress in coping with care for relatives with dementia. This is because these components make it possible to bring about an impact on day-to-day aspects, to provide guidance in natural contexts and to offer support for carers in the process, helping to gain an acquaintance of said care process while generating the changes of perspective needed to live with the disease.
This study seeks to examine the level of knowledge concerning the advance directive document (ADD) that is held by the workers and residents of a care home, along with their attitudes towards it. To do this, a theoretical approach to concepts related to the ADD has been put forward. These concepts are: prevalence, use, knowledge and attitude in relation to the document on the part of care staff and the role of social work in this respect.
Female family workers as professionals are broadly exposed to the emotional effects stemming from bonds of care. They work within the intimate setting of families in contexts where placing boundaries on their duty is by no means simple, and they do this without assistance. They benefit from scarce protection factors and the legitimisation of their knowledge is light years away from receiving public acknowledgment. Their self-perception of their task is conditioned by this. Nevertheless, they are professionals who hardly benefit from having access to supervisory-based settings.
This article contributes to the reflection on state policies from their twofold perspective as a facilitator of citizens’ rights and, at the same time, a breeding ground for social inequalities, taking the National Pension Inclusion Plan for the Elderly (2005), implemented in Argentina, as a point of reference and an empirical tension for the purposes of considering these state actions.
In the Western world, new phenomena are developing, such as the aging of the population, which leads to growing concern on the part of social workers who deem this to be a multifactorial problem. The hospitalization of elderly patients in Western countries has become a growing phenomenon in recent years.