Ageing International

, Volume 43, Issue 1, pp 74–90 | Cite as

Balancing the Tension in Long-Term Residential Care

  • Pat ArmstrongEmail author


Although high income countries increasingly emphasize care at home, long-term residential care is and will remain the place where some of our most vulnerable live and work. Based on over 500 interviews with the entire range of actors in long-term residential care, intensive observations by interdisciplinary teams of at least 12 in 27 different sites in six countries and on background documents that take context into account, this paper explores tensions in long-term residential care. It argues that recognizing and balancing these tensions is critical to care and constitute promising practices. However, multiple pressures are shifting the balances in these tensions, with for-profit, chain ownership and the increasing pressure to emphasize clinical care among the most powerful forces.


Nursing homes Social care Risk Equity Regulations 


Compliance with Ethical Standards

Conflict of Interest

Pat Armstrong declares no conflict of interest.

Informed Consent

As there is no person or personal data appearing in the paper, there is no one from whom a permission should be obtained in order to publish personal data.

Ethical Treatment of Experimental Subjects (Animal and Human)

This research received ethics approval from York University as well as from specific homes studied, where this was required.


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.York UniversityTorontoCanada

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