title: Free choice in residential care for older people - A philosophical reflection.
abstract: OBJECTIVE
  Free choice in elderly care services is a debated issue. Using the theoretical support of philosophers of free will, this paper explores free choice in relocation to residential care. The three dominant perspectives within this field of philosophy, libertarianism, determinism and compatibilism, are applied from the perspective of the older individual to the process of moving.
  
  
  METHODS
  Empirical data were collected through qualitative interviews with 13 older individuals who had recently moved into residential care.
  
  
  RESULTS
  These individuals had made the choice to move following either a health emergency or incremental health problems. In a deterministic perspective they had no alternative to moving, which was the inevitable solution to their various personal problems. A network of people important to them assisted in the move, making the choice possible. However, post-move the interviewees' perspective had changed to a libertarian or compatibilist interpretation, whereby although the circumstances had conferred little freedom regarding the move.
  
  
  CONCLUSIONS
  The interviewees reported a high degree of self-determination in the process. It appeared that in order to restore self-respect and personal agency, the older individuals had transformed their restricted choice into a choice made of free will or freer will.
authors.affiliation: Linköping University, Dep. of Social and Welfare Studies (ISV), National Institute for the Study of Ageing and Later life (NISAL), 601 74 Norrköping, Sweden. Electronic address: catharina.nord@liu.se.
authors.forename: Catharina
authors.initials: C
authors.lastname: Nord
mesh_terms: D000368:Aged; D002755:Choice Behavior; D005260:Female; D016330:Frail Elderly / Q000523:psychology; D006707:Homes for the Aged; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D026684:Personal Autonomy; D010686:Philosophy, Medical; D012112:Residential Facilities; D013548:Sweden
keywords: Autonomy; Free choice; Free will; Moral agency; Move; Relocation; Residential care