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Based on qualitative interviews with Swedish women and men between the ages 65-72 who have been
living with physical impairments for a long period of time, this article considers the opportunities and challenges
of adopting a leisurely active and self-fulfilling lifestyle in later life if one uses a wheelchair and/or is
relatively dependent upon other people's support. The participants' accounts point to the importance of
considering how social and environmental contexts may influence the meanings and consequences of
chronic illnesses and impairments for people of all ages. General developments in welfare, technical improvements,
as well as a long line of reforms that include legislation on the adaptation of homes and the
Act concerning Support and Service for Persons with Certain Functional Impairments (Lag om stöd och
service till vissa funktionshindrade, LSS) are commented upon as changes that have contributed to the
leisurely active lifestyle of the interviewees Because it focuses on today's "young old disabled people" –
women and men who have grown up and are growing old during an era of technological advances and
developments in the area of disability policies – the article gives voice to a group of people who have been
largely overlooked in gerontology and in the literature on the modern, active, "successfully ageing" senior
citizen. In research on disability and in disability policy there are, similarly, few references to disabled seniors.

European local authorities increasingly use social media to present services and activities organized for citizens living in the particular area. Previous studies found that authority-managed social media visually depicted older adults as being active, sociable, happy, and physically capable, reflecting the normative "third age" representation. Yet few studies to date have examined how local authorities produce the photos of older adults for social media posting. Drawing on semi-structured interviews with communication officers in a Swedish municipality, the purpose of this study is to investigate the production process for social media photos of older adults within local authorities from an institutional logics perspective. The analysis illustrates that communication officers strive to create a good image of the municipality and its services, follow municipal policy and EU law on data protection, seek photos through particular sources, adjust to and develop photographic standards of good photos, and endeavor to promote social media engagement in the photos. These motives and work practices of communication officers contribute to the visual representations of older adults as engaging in municipal services, being socially active, and staying physically capable. The analysis also indicates that both social media and bureaucratic logics encourage officers to produce photos of older adults that highlight the bright side of later life. The findings contribute to previous studies on online representations of older adults generated by local authorities, by showing how the third age representation may come about in practice, and which logics may influence officers to generate such representation. Furthermore, the knowledge provided could be used as a basis for assessment and improvement on authorities' production for social media photos of older adults, which in turn contributes to more diverse and thoughtful representations of older adults and later life in authority-managed social media. ; Funding: European UnionEuropean Commission [764632]

Since living with dementia implies increasing difficulties in taking charge of rights due to cognitive as well as communicative impairments, many people with dementia are vulnerable and in need of support in order to realize full citizenship. In Sweden, all adults right to self-determination is strongly emphasized in law, regulations, and policies. Further, and in contrast to the situation in many other countries, people living with dementia cannot be declared as incompetent of making decisions concerning social care and their right to self-determination cannot legally be taken away. The article shows that in the Swedish welfare system, the focus is more on protecting the self-determination of citizens than on supporting people in making decisions and exercising citizenship. Subsequently, this causes legally constructed zones of inclusion and exclusion. This article examines and problematizes how different institutional contexts, legal constructions, norms, and practices in Sweden affect the management of issues concerning guardianship, supported decision-making and self-determination, and outline the implications for people living with dementia. ; Funding Agencies|FORTE: Swedish Research Council for Health, Working Life and Welfare as part of the project Democracy, Autonomy and Justice Citizenship Practice for People with Dementia [2014-0921]; bank of Sweden Tercentenary Foundation as part of the programme Dementia: Agency, Personhood and Everyday Life Grant [M10-0187:1]

Background: During recent decades, there has been a growing recognition that people cannot be assumed incapable of making decisions about their own care solely on the basis of a dementia diagnosis and international agreements and legislative changes have strengthened the formal right for people with dementia to participate in decisions on care services. This raises important questions about how these decisions are currently made and experienced in practice. In this review, we address this question and highlight directions for further research. METHODS: We searched CINAHL, PsycINFO, ASSIA, Social Services Abstracts, Science Direct, Academic Search Premier, and PubMed. Twenty-four pertinent articles were identified, all representing qualitative studies. Relevant findings were extracted and synthesized along dimensions of involvement of the person with dementia in decisions on care services, using an integrative approach to qualitative synthesis. RESULTS: We identified three overarching ways in which people with dementia are involved, primarily, in the informal part of a process of decisions: excluded, prior preferences taken into account, and current preferences respected. Several (10) articles seemed to be based on the assumption that decisions on care services are invariably and solely made within the family and without participation of the person with dementia. CONCLUSIONS: The review emphasizes the need for more updated research about international debates and agreements concerning capabilities and rights of people with dementia and about the (potential) formal contexts of care decisions in the country concerned. This, we argue, is vital for future knowledge production in the area.

AbstractLittle is known about how the tools and guidelines, which are central to current social work practice, are designed. The purpose of this article is to improve understanding of the conditions for social workers' discretion by analysing how the municipal responsibility to meet individual needs is circumscribed in local guidelines for needs assessment in Swedish elder care. The paper applies framing theory to the analysis of guidelines in 51 municipalities and maps the prevalence of guidelines. Framing theory highlights how different designs of local guidelines can create varying premises for the discretion of social workers. By illustrating how the guidelines provide social workers with the necessary guidance on how to interpret the law by circumscribing their discretion in standardised, and varying, ways, the findings point to the importance of further research on how the quest for standardisation in adult social work through local guidelines influences social workers' assessments in practice.

Summary Social work practice has a history of collegial, intra-, and interprofessional discussions that take place backstage, that is, without the presence of clients. Because of their backstage character, these discussions may be considered even more important to examine than meetings at which clients are present and that are in a way already open to the public. The purpose of the present review was to provide insight into this practice by identifying and synthesizing recent empirical findings from existing studies using naturalistic data, published in English in peer-reviewed journals. Findings We identified four types of interaction among practitioners in relation to the case discussed and three types of content that were raised and shared, as well as an apparent mismatch between formal reasons for the discussions and the purpose they serve in practice. A lack of common vocabulary for conceptualizing the discussions and of attention given to their backstage character was identified in the included studies. Applications The review highlights an important area for further research and stresses the importance of not being blinded by formal purposes or ideological underpinnings in examining intra- and interprofessional discussions in social work; it shows that it is important to look into what is actually going on in practice.

This is the first book to address the issue of ageing after a long life with disability. It breaks new ground through its particular life course perspective, examining what it means to age with a physical or mental disability and what the implications are of 'becoming old' for people who have had extensive disabilities for many years. These people may have had to leave the labour market early, and the book looks at available care resources, both formal and informal. Ageing with disability challenges set ideas about successful ageing, as well as some of those about disabilities. The life course approach that is used unfolds important insights about the impact of multiple disabilities over time and on the phases of life. The book highlights the meaning of care in unexplored contexts, such as where ageing parents are caregivers or regarding mutual care in disabled couples. These are areas of knowledge which have, to date, been totally neglected