Philip Y. Kao PhD thesis - Research@StAndrews:FullText

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on other residents, but for some reason she did not feel the need to say anything regarding Norman. One of the caregivers who worked fulltime in Lana’s section said to me out in the hall as we were waiting for Lana to finish on the toilet that, “Norman is overassertive. He is frustrated and doesn’t know what to do with his wife. He is still in denial and because of that he takes it out on everyone around him.” * * * On the fourth floor, residents were aware that they had to share caregivers, and that no one could monopolise any one caregiver. Within this context, some residents were in competition with others for attention. Some were very vocal about this while others were subtler in the ways they anticipated and expected caregivers to aid them, asserting control over the things they could control. A struggle for attention and for asserting personal domain in light of one’s social and physical condition in the face of the caregivers occupied much of the residents’ energy. Care became a navigational set of procedures for the residents. For the caregivers, care was about managing residents in various situations and circumstances that arose against the backdrop of residentresident relations and family histories that came to bear everyday in the daily life world of Tacoma Pastures. The residents at Tacoma Pastures looked to their caregivers for a variety of things. They wanted someone to appear before them in a timely manner whenever and wherever they pushed their call buttons. For some of the residents, caregivers were people they could talk to, joke around with, appraise, and evaluate. Caregivers provided the residents with attention and a set of ears. Some of the residents viewed the caregivers as custodians of goodwill as well. When I asked some of the residents what they wanted from their caregivers, they often told me that, “A good caregiver is someone who is good at their job, but also friendly and nice.” Caregivers often relayed their residents’ concerns to the nurses, and in some exceptional cases, to the directors as well. There was never the desire for the residents to dissolve the formalities involved in their interactions with the caregivers. Perhaps it was a sign of their generation that they were for the most part courteous and polite; they wanted communicative formality, as well as something personal and friendly in their care. Whether or not they wanted to or not, they were sharing their experiences of ageing with the caregivers, and part of the 111
caregivers’ job was to maintain their tasks in light of this fact. Not all residents wanted caregivers to like them, but many of them did. They wanted to make caregiving socially meaningful in the sense of having the caregivers return to them the following day, remembering who they were yesterday, and what routines they could both orchestrate together. 112
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THE VICTIMS OF A SORTED LIFE : AGEI
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THE VICTIMS OF A SORTED LIFE: CAREG
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“In the animal kingdom, the rule
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ACKNOWLEDGEMENTS Many people have e
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ACRONYMS Activities of Daily Living
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The Tacoma Pastures Family ........
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Introduction i) Ageing and an Anthr
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the one hand we have the shifting p
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social relations among residents, s
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abyss that caregivers are confronte
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ased; other sponsors such as univer
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especially in light of the period
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a frozen liminality, “a sphere of
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nature of social relations. I was c
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esidents, and to abide by the gover
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order and tension that obtains betw
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offer palliation and there is a gen
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esidents for one-day plane trips to
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seriously think about.” 11 Early
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their desire to effect a plan under
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floors 1, 2, 4, and 5; 2) Personal
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chaotic back then.” I was told to
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the third floor is electronically l
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Chapter 2: The Accidental Caregiver
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transfer residents out of beds and
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on the third floor in Memory Care,
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On the second day, Nathan took me a
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Jennifer was doing so-so. He said,
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was from, even though I had just an
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affect; the balloon could be launch
Page 62 and 63: eminded me of a 1960s hospital room
Page 64 and 65: Ryan began complaining more about h
Page 66 and 67: know if you are working for someone
Page 68 and 69: in old age, especially when they al
Page 70 and 71: translation. 19 What follows is an
Page 72 and 73: class by telling us that dementia i
Page 74 and 75: The 3 rd Floor Layout Many CCRCs, i
Page 76 and 77: ested in between their tasks at thi
Page 78 and 79: sofa, others will simply give her a
Page 80 and 81: morning, the med tech and the careg
Page 82 and 83: caregivers to try their best to go
Page 84 and 85: could still communicate with me in
Page 86 and 87: In the two weeks that followed, Ken
Page 88 and 89: the trips that she remembered fondl
Page 90 and 91: Pastures received this. For now, it
Page 92 and 93: Chapter 4: Independent Plus: Care o
Page 94 and 95: Although the fifth floor is an “i
Page 96 and 97: the fourth floor did not need much
Page 98 and 99: main floor next to the spacious for
Page 100 and 101: grapple with mechanical E-Z stands
Page 102 and 103: Grant was not the only person who c
Page 104 and 105: The situation involving these three
Page 106 and 107: Brendan escorted me into Heather’
Page 108 and 109: Teri Teri was a resident in the sam
Page 110 and 111: Lana Lana lived next door to Teri a
Page 114 and 115: Part 2 Chapter 5: A Long Way From M
Page 116 and 117: largely associated with the domain
Page 118 and 119: into Žižek’s ticklish borders b
Page 120 and 121: “Thanks.” I go into the back of
Page 122 and 123: insurmountable abyss. The silence w
Page 124 and 125: had to bring the wheelchair over, c
Page 126 and 127: drawn out process involving a mixtu
Page 128 and 129: * * * Betsy and I were subject to T
Page 130 and 131: Chapter 6: The Exigency of Care: Ca
Page 132 and 133: Betty When I first met Betty, she w
Page 134 and 135: Sometimes the caregivers were succe
Page 136 and 137: company. The CHR is licensed differ
Page 138 and 139: said, slightly solemnly: “Hi.”
Page 140 and 141: Tacoma Pastures and into hospice. F
Page 142 and 143: Looking out into the setting sun fr
Page 144 and 145: control, over the bodies and action
Page 146 and 147: Figure 12 An Eden plaque At Tacoma
Page 148 and 149: way to community. The main dining r
Page 150 and 151: They cannot just be a passive board
Page 152 and 153: hearing the director go on about cr
Page 154 and 155: golf flat-cap, and behind his squar
Page 156 and 157: This chapter has been motivated by
Page 158 and 159: complex and generative space openin
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just down the road from Tacoma Past
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link fence of post-industrial subur
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The young woman came back after adm
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as she made the rounds on the third
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I decided to confront Sylvia about
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* * * Mistakes were made in the fie
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work. If care is inevitably and hum
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was being uttered in their negative
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an X-ray, and that we could issue a
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parental responsibilities and care
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caregivers and care recipients? Doe
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was not a structure or discourse th
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and McKechnie 1999, 1). Furthermore
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extending the period of training fo
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It will be useful now to venture in
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y taking up oneself in real duratio
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organisation of a CCRC for example,
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Furthermore, the post-Cartesian min
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Pastures when it is institutionalis
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Appendix Ethics Form 199
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A Room with No View In the corner r
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A Blue-Gray Raga Some places the sm
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Diamond, T. Making Grey Gold: Narra
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Hummert, Mary Lee Nussbaum Jon F. "
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Nouwen, H. and Gaffney, W. Aging: T
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Williams, Allison. "Therapeutic Lan
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