Health care professionals' support for older carers

This paper examines four specific themes relating to older carers' experien ce: care-giving in the context of particular roles and relationships embedd ed in biographical histories; care in the context of dementia; care involvi ng skilled or complex health care-tasks; and care of an intimate/personal n ature. In each case, we look at the nature of support provided by health ca re professionals. Analysis of the data suggests several conclusions. Older carers are carrying out a range of tasks including complex health care task s, many of which were once part of a nurse's remit and role. Nurses approac h older carers as a unique but not homogeneous group and acknowledge many o f their distinct needs as well as their right to choice concerning the exte nt of their involvement in care-giving. However, this approach conceals sev eral implicit assumptions and expectations about the role of older carers. In particular; professionals' emphasis on older people's individual choice jars with the latter's own experience of reciprocity existing within the co ntext of lifetime relationships. The paper suggests that modifications have to be made in professionals' approach if older people are to be presented with choice and support in the care-giving they perform.