Pickard, S.

Informal carers in the context of late modernity must negotiate two potentially conflicting discourses. One is associated with a post-traditional and increasingly individualized society characterized by ‘pure’ relationships with an emphasis on authenticity and choice. The other is a more traditional discourse found particularly in current health and social policy which relies explicitly on significant input by family carers. This ar ticle analyses the tensions arising from this paradox, specifically for older carers engaged in long-term care relationships.

This paper examines four specific themes relating to older carers' experience: care-giving in the context of particular roles and relationships embedded in biographical histories; care in the context of dementia; care involving skilled or complex health care-tasks; and care of an intimate/personal nature. In each case, we look at the nature of support provided by health care professionals. Analysis of the data suggests several conclusions. Older carers are carrying out a range of tasks including complex health care tasks, many of which were once part of a nurse's remit and role.