title: The social positioning of older people living with Alzheimer's disease who scream in long-term care homes.
abstract: This article describes the social positioning of older people living with Alzheimer's disease who scream in a long-term care home. Few studies have focused on the social positions taken by older people, their family and formal caregivers during interaction and their effects on screams. A secondary data analysis was conducted using Harré and Van Langenhove's positioning theory. The results show that older people are capable of positioning and repositioning themselves in relational patterns. Family and formal caregivers position older people who scream according to their beliefs about their lived experience. They also react emotionally to older people and try to influence their behaviors. Understanding the social positioning of older people with Alzheimer's disease brought out their capacities and their caregivers' concerns for their well-being. Interventions should focus on these strengths and on promoting healthy relations in the triads to enhance quality of care in long-term care homes.
authors: Université de Montréal, Montréal, Québec, Canada Anne.Bourbonnais@UMontreal.ca.
authors: Anne
authors: A
authors: Bourbonnais
authors: Université de Montréal, Centre de recherche, Institut universitaire de gériatrie de Montréal, Montréal, Québec, Canada.
authors: Francine
authors: F
authors: Ducharme
mesh_terms: D000368:Aged; D000544:Alzheimer Disease / Q000523:psychology*; D017028:Caregivers; D006801:Humans; D008134:Long-Term Care / Q000523:psychology*; D008297:Male; D009633:Nonverbal Communication / Q000523:psychology*; D011595:Psychomotor Agitation / Q000209:etiology / Q000523:psychology*; D036301:Qualitative Research
keywords: agitation; critical ethnography; dementia; nursing home; positioning theory