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Opportunistic cognitive screening in Sweden: What the tests mean and do for patients and healthcare professionals
Linköping University, Sweden.ORCID iD: 0000-0002-2862-3731
Motala Hospital, Region Östergötland, Sweden.
Södertörn University, School of Culture and Education, Centre for Studies in Practical Knowledge. Linköping University, Sweden.ORCID iD: 0000-0001-6989-3212
2022 (English)In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 21, no 1, p. 236-249Article in journal (Refereed) Published
Abstract [en]

Since 2017, opportunistic screening for cognitive impairment takes place at the geriatric ward of a local hospital in Sweden. Persons above the age of 65 who are admitted to the ward, who have not been tested for cognitive impairment during the last six months nor have a previously known cognitive impairment, are offered the Mini-Mental State Examination and the Clock-Drawing Test. This article analyses what the opportunistic screening practice means for patients and healthcare professionals. It combines a phenomenologically-oriented focus on subjectivity and sense-making with a focus that is inspired by science and technology studies on what the tests become within the specific context in which they are used, which allows a dual focus on subjectivity and performativity. The article shows how the tests become several different, not infrequently seemingly contradictory, things: an offer, an important tool for knowledge-production, something unproblematic yet also emotionally troubling, something one can fail and an indicator that one belongs to a risk group and needs to be tested. Further, the article shows how the practice is shaped by the sociocultural context. It examines the role of the affective responses to the test for subjectivity - particularly patient subjectivity - and offers a set of recommendations, if this practice were to expand to other hospitals.

Place, publisher, year, edition, pages
Sage Publications, 2022. Vol. 21, no 1, p. 236-249
Keywords [en]
Cognitive impairment, Sweden, healthcare professionals’ and patients’ perspectives, lived experience, opportunistic screening, subjectivity
National Category
Nursing
Identifiers
URN: urn:nbn:se:sh:diva-46238DOI: 10.1177/14713012211035373ISI: 000684658700001PubMedID: 34380348Scopus ID: 2-s2.0-85112726349OAI: oai:DiVA.org:sh-46238DiVA, id: diva2:1585827
Projects
A Feminist Approach to Medical Screening
Part of project
The Role of Existential Philosophy in Health Care: The Cases of Germany, Denmark, and Sweden, The Foundation for Baltic and East European Studies
Funder
Swedish Research Council, 2016-00784The Foundation for Baltic and East European Studies, 4/2017Available from: 2021-08-18 Created: 2021-08-18 Last updated: 2023-07-10Bibliographically approved

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Gunnarson, Martin

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CiteExportLink to record
Permanent link

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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • harvard-anglia-ruskin-university
  • apa-old-doi-prefix.csl
  • sodertorns-hogskola-harvard.csl
  • sodertorns-hogskola-oxford.csl
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
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  • sv-SE
  • Other locale
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