Aim: To investigate the challenges and barriers in Danish care professionals’ work in relation to elderly citizens who use substances. Method: The study draws on data from a “going along” study of care professionals’ encounters with citizens as well as interviews with professionals. This was conducted in two smaller, rural municipalities in Denmark. Findings: Providing adequate care for elderly citizens who use substances can be highly challenging. This is due to a multitude of factors, especially (1) the complexity of their health conditions, (2) contradictory logics of care (autonomy vs. healthy living), (3) citizens often unpredictable behaviours, (4) lack of cooperation between welfare systems and, not least, (5) lack of knowledge and education among healthcare professionals. Conclusions: There is a need for more specialised procedures locally, the appointment of local “experts”, better cooperation between sectors and easier accessible training and information on the group on a national level.

中文翻译：

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照顾老年药物使用者：挑战、困境和建议

目的：调查丹麦护理专业人员在与使用药物的老年人相关的工作中面临的挑战和障碍。方法：该研究利用了对护理专业人员与公民接触的“持续”研究以及对专业人员的采访的数据。这项研究是在丹麦两个较小的农村城市进行的。调查结果：为使用药物的老年人提供足够的护理可能非常具有挑战性。这是由于多种因素造成的，特别是（1）他们的健康状况的复杂性，（2）护理逻辑的矛盾（自主与健康生活），（3）公民的行为往往难以预测，（4）之间缺乏合作福利系统，尤其是（5）医疗保健专业人员缺乏知识和教育。结论：需要在当地制定更专业的程序、任命当地“专家”、加强部门之间的合作以及在国家层面上更容易获得有关该团体的培训和信息。