Sociologický časopis / Czech Sociological Review | DOI: 10.13060/csr.2026.007

Food Provision as a Practice of Individualised Care: A Discourse Analysis of Care in Nursing Homes and Memory Care Units

Martina Němcová ORCID..., Marcela Petrová Kafková ORCID...
Katedra sociologie, Fakulta sociálních studií, Masarykova univerzita, Brno

This article examines how the broader societal discourse of individualisation permeates the field of care for older adults through the example of food provision in nursing homes and memory care units. Drawing on a critical discursive analysis of interviews with care staff, the study identifies key discourses that shape how individualisation is articulated and enacted within institutional settings. The analysis highlights how economic, organisational, and institutional factors, as well as the roles attributed to clients and their families, contribute to specific constructions of individualised food provision. The article explores how the rhetoric of individualisation is embedded in professional talk and reflects broader shifts in the governance and expectations of care.

Keywords:
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individualisation, food, older adults, residential care home, critical discursive analysis

Received: September 18, 2025; Revised: February 12, 2026; Accepted: February 18, 2026; Prepublished online: March 17, 2026 

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References

  1. Artner, L. (2018). Materialities in and of institutional care for elderly people. Frontiers in Sociology, 3. https://www.frontiersin.org/journals/sociology/articles/10.3389/fsoc.2018.00030 Go to original source...
  2. Asociace poskytovatelů sociálních služeb. (2015). Doporučený standard kvality pro domovy pro seniory ČR. https://www.apsscr.cz/files/files/Doporu%C4%8Den%C3%BD%20standard_FINAL(2).pdf
  3. Beck, U. a Beck-Gernsheim, E. (2001). Individualization: Institutionalized individualism and its social and political consequences. Sage. https://doi.org/10.4135/9781446218693 Go to original source...
  4. Carrier, N., West, G. E. a Ouellet, D. (2009). Dining experience, foodservices and staffing are associated with quality of life in elderly nursing home residents. The Journal of Nutrition, Health and Aging, 13(6), 565-570. https://doi.org/10.1007/s12603-009-0108-8 Go to original source...
  5. Caspar, S., Davis, E., Berg, K., Slaughter, S. E., Keller, H. a Kellett, P. (2021). Stakeholder engagement in practice change: Enabling person-centred mealtime experiences in residential care homes. Canadian Journal on Aging / La Revue Canadienne Du Vieillissement, 40(2), 248-262. https://doi.org/10.1017/S0714980820000082 Go to original source...
  6. Caspar, S., O'Rourke, N. a Gutman, G. M. (2009). The differential influence of culture change models on long-term care staffempowerment and provision of individualized care. Canadian Journal on Aging / La Revue canadienne du vieillissement, 28(2), 165-175. Cambridge Core. https://doi.org/10.1017/S0714980809090138 Go to original source...
  7. Davidson, K., Arber, S. a Marshall, H. (2009). Gender and food in later life: Shifting roles and relationships. In M. Raats, L. de Groot a W. van Staveren (ed.), Food for the ageing population (s. 110-127). Woodhead Publishing. https://doi.org/10.1533/9781845695484.1.110 Go to original source...
  8. Dawson, M. (2012). Reviewing the critique of individualization: The disembedded and embedded theses. Acta Sociologica, 55(4), 305-319. https://doi.org/10.1177/0001699312447634 Go to original source...
  9. Doyle, P. J. a Rubinstein, R. L. (2014). Person-centered dementia care and the cultural matrix of othering. The Gerontologist, 54(6), 952-963. https://doi.org/10.1093/geront/gnt081 Go to original source...
  10. Edvardsson, D., Fetherstonhaugh, D. a Nay, R. (2010). Promoting a continuation of self and normality: Person-centred care as described by people with dementia, their family members and aged care staff. Journal of Clinical Nursing, 19(17-18), 2611-2618. https://doi.org/10.1111/j.1365-2702.2009.03143.x Go to original source...
  11. Fairclough, N. (2003). Analysing discourse: Textual analysis for social research. https://doi.org/10.4324/9780203697078 Go to original source...
  12. Fairclough, N. a Wodak, R. (1997). Critical discourse analysis. In T. A. van Dijk (ed.), Discourse as social interaction (s. 258-284). Sage.
  13. Faraday, J., Abley, C., Patterson, J. M. a Exley, C. (2024). An ethnography of mealtime care for people living with dementia in care homes. Dementia, 23(6), 907-926. https://doi.org/10.1177/14713012241234160 Go to original source...
  14. Ferguson, H. (2001). Social work, individualization and life politics. The British Journal of Social Work, 31(1), 41-55. https://doi.org/10.1093/bjsw/31.1.41 Go to original source...
  15. Garrett, P. M. (2012). Bourdieu. In M. Gray a S. Webb (ed.), Social work theories and methods (2. vyd.). Sage.
  16. Gilleard, C. a Higgs, P. (2000). Cultures of ageing: Self, citizen, and the body. Perason Education.
  17. Gilleard, C. a Higgs, P. (2010). Aging without agency: Theorizing the fourth age. Aging & Mental Health, 14(2), 121-128. https://doi.org/10.1080/13607860903228762 Go to original source...
  18. Girard, A. a El Mabchour, A. (2019). Meal context and food offering in Quebec public nursing homes: The perspectives of first-generation immigrant residents, family members, and frontline care aides. International Journal of Migration Health and Social Care, 15(3), 226-246. https://doi.org/10.1108/IJMHSC-02-2019-0015 Go to original source...
  19. Goffman, E. (1961). Asylums: Essays on the social situations of mental patients and other inmates. (s. xiv, 386). Doubleday (Anchor).
  20. Grenier, A. (2012). Transitions and the lifecourse: Challenging the constructions of 'growing old'. Bristol University Press; Cambridge Core. https://doi.org/10.46692/9781847426932 Go to original source...
  21. Higgs, P. a Gilleard, C. (2015). Rethinking old age: Theorising the fourth age. Bloomsbury Academic. https://doi.org/10.1007/978-1-137-38400-3 Go to original source...
  22. Higgs, P. a Gilleard, C. (2016). Personhood, identity and care in advanced old age. Policy Press. https://doi.org/10.1332/policypress/9781447319054.001.0001 Go to original source...
  23. Higgs, P. a Gilleard, C. (2025). Rethinking the sociology of ageing: Towards a sociology of later life. Edward Elgar Publishing. https://doi.org/10.4337/9781802202120 Go to original source...
  24. Higgs, P. a Jones, I. (2008). Medical sociology and old age: Towards a sociology of health in later life. https://doi.org/10.4324/9780203888728 Go to original source...
  25. Houston, S. (2016). Beyond individualism: Social work and social identity. The British Journal of Social Work, 46(2), 532-548. https://doi.org/10.1093/bjsw/bcu097 Go to original source...
  26. Jacobs, L. M., Lynn Snow, A., Allen, R. S., Hartmann, C. W., Dautovich, N. a Parmelee, P. A. (2019). Supporting autonomy in long-term care: Lessons from nursing assistants. Geriatric Nursing, 40(2), 129-137. https://doi.org/10.1016/j.gerinurse.2018.07.004 Go to original source...
  27. Kusmaul, N. a Tucker, G. G. (2020). Person-centered care in nursing homes: Many stakeholders, many perspectives. Journal of Gerontological Nursing, 46(5), 9-13. https://doi.org/10.3928/00989134-20200327-01 Go to original source...
  28. Leonard, P. (1997). Postmodern welfare: Reconstructing an emancipatory project. SAGE Publications Ltd. https://doi.org/10.4135/9781446278895 Go to original source...
  29. Maier, F. a Jäger, S. (2016). Analysing discourses and dispositives: A Foucauldian approach to theory and methodology. In R. Wodak a M. Meyer (eds.), Methods of critical discourse studies (s. 109-136). Sage.
  30. Mattos, M. K., Gibson, J. S., Wilson, D., Jepson, L., Ahn, S. a Williams, I. C. (2023). Shared decision-making in persons living with dementia: A scoping review. Dementia, 22(4), 875-909. https://doi.org/10.1177/14713012231156976 Go to original source...
  31. Milte, R., Shulver, W., Killington, M., Bradley, C., Miller, M. a Crotty, M. (2017). Struggling to maintain individuality-Describing the experience of food in nursing homes for people with dementia. Archives of Gerontology and Geriatrics, 72. https://doi.org/10.1016/j.archger.2017.05.002 Go to original source...
  32. Ministerstvo práce a sociálních služeb. (2002). Zavádění standardů kvality sociálních služeb do praxe: Průvodce poskytovatele. https://www.mpsv.cz/cms/documents/03c47aab-3238-9c60-66a5-bfd0a4927f6a/pruvodce%2B(1).pdf
  33. Nyberg, M. a Sylow, M. (2021). Exploring food choice and flexibility practices among staff and residents at care homes in Denmark. Ageing & Society, 41(4), 854-874. https://doi.org/10.1017/S0144686X19001491 Go to original source...
  34. Petrová Kafková, M. (2017). Neviditelní senioři a jejich každodennost: Čtvrtý věk jako stárnutí s disabilitou. Centrum pro studium demokracie a kultury.
  35. Plastow, N. A., Atwal, A. a Gilhooly, M. (2015). Food activities and identity maintenance in old age: A systematic review and meta-synthesis. Aging & Mental Health, 19(8), 667-678. https://doi.org/10.1080/13607863.2014.971707 Go to original source...
  36. Ray, M. (2013). Critical perspectives on social work with older people. In J. Baars, J. Dohmen, A. Grenier a C. Phillipson (eds.), Ageing, meaning and social structure (s. 139-156). Bristol University Press. https://doi.org/10.2307/j.ctt9qgtp6 Go to original source...
  37. Reimer, H. D. a Keller, H. H. (2009). Mealtimes in nursing homes: Striving for person-centered care. Journal of Nutrition For the Elderly, 28(4), 327-347. https://doi.org/10.1080/01639360903417066 Go to original source...
  38. Slettebo, A., Skaar, R. a Brodtkorb, K. (2021). Social innovation toward a meaningful everyday life for nursing home residents: An ethnographic study. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.666079 Go to original source...
  39. Stöhr, D., Mayer, H. a Ammann, E. S. (2022). 'After mealtime is before mealtime'-An ethnographic exploration of nursing home residents' practices of dealing with meal requirements. BMC Geriatrics, 22(1). https://doi.org/10.1186/s12877-022-03595-2 Go to original source...
  40. Synek, M. a Carboch, R. (2014). Profesní slepota a režimy spěchu. Podpora soběstačnosti při jídle v institucionální péči o lidi s mentálním znevýhodněním. Biograf. Časopis (nejen) pro biografickou a reflexivní sociologii, 60.
  41. Synek, M., Hradcová, D., Jahodová, D. a Carboch, R. (2017). O (ne)soudržnosti pečování. Mnohočetné ontologie života s demencí. Biograf. Časopis (nejen) pro biografickou a reflexivní sociologii, 65-66, 5-51.
  42. Vaismoradi, M., Wang, I.-L., Turunen, H. a Bondas, T. (2016). Older people's experiences of care in nursing homes: A meta-synthesis. International Nursing Review, 63(1), 111-121. https://doi.org/10.1111/inr.12232 Go to original source...
  43. Vašát, P. (2008). Kritická diskursivní analýza: Sociální konstruktivismus v praxi. AntropoWEBZIN, 4(2-3), 101-112.
  44. Vyhláška č. 505/2006 Sb., vyhláška, kterou se provádí zákon o sociálních službách.
  45. Walker, A. (2002). A strategy for active ageing. International Social Security Review, 55(1), 121-139. https://doi.org/10.1111/1468-246X.00118 Go to original source...
  46. Walker, A. a Maltby, T. (2012). Active ageing: A strategic policy solution to demographic ageing in the European Union. International Journal of Social Welfare, 21(s1), S117-S130. https://doi.org/10.1111/j.1468-2397.2012.00871.x Go to original source...
  47. Walker, L., Porter, M., Gruman, C. a Michalski, M. (1999). Developing individualized care in nursing homes. Journal of Gerontological Nursing, 25(3), 30-35. https://doi.org/10.3928/0098-9134-19990301-11 Go to original source...
  48. Watkins, R., Goodwin, V. A., Abbott, R. A., Backhouse, A., Moore, D. a Tarrant, M. (2017). Attitudes, perceptions and experiences of mealtimes among residents and staff in care homes for older adults: A systematic review of the qualitative literature. Geriatric Nursing, 38(4), 325-333. https://doi.org/10.1016/j.gerinurse.2016.12.002 Go to original source...
  49. Williams, M. (1996). Heed the warning. New Scientist, 151(2048), 61.
  50. Willig, C. (2008). Discourse analysis. In J. A. Smith (ed.), Qualitative psychology: A practical guide to research methods (2. vyd.). SAGE Publications.
  51. Wodak, R. a Meyer, M. (2009). Methods for critical discourse analysis. Sage.
  52. Zábrodská, K. a Petrjánošová, M. (2013). Metody diskurzivní analýzy. In I. Čermák, T. Řiháček a R. Hytych (ed.), Kvalitativní analýza textů: Čtyři přístupy (s. 105-138). Masarykova univerzita.
  53. Zákon č. 108/2006 Sb., o sociálních službách, Sbírka zákonů ČR částka 37. https://www.zakonyprolidi.cz/cs/2006-108
  54. Zgola, J. M. a Bordillon, G. (2013). Bon appetit: Radost z jídla v dlouhodobé péči. Česká alzheimerovská společnost.

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