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

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their desire to effect a plan under Chapter XI of the US Bankruptcy Code. The board alleviated worried residents, who had just moved in less than two years prior, that the Chapter XI filing would stop the mortgage foreclosure and allow everyone time to work out a new financing plan. Letters were sent out in September of that year to every Joint Church Manors debentures holder with the subject heading: Mission Possible. The letter stated that given the unforeseen problems including adverse economic conditions, high real estate taxes, and slow fill-up, created a serious cash flow problem, resulting in Chapter XI proceedings. An appeal was made to debenture holders to forfeit and make a gift of their debentures. The board thought that if debenture debt were significantly reduced, a reformulation of a plan would be more likely. Several people responded and donated their debentures. Letters of thanks from the board read: “Not only have you made a wise investment, for we are on the edge of success, but you are making it possible to carry out what is a vital Christian mission, the proper housing and care of our retired.” Despite the board’s diligent efforts, it became clear that there were still not enough funds to rehabilitate the situation, and on February 4, 1977, the district court gave permission for a foreclosure. The lending bank acquired the title from Joint Church Manors and began looking for a new buyer. It was not until August 1979 that a final order issued by a district court judge cleared the path for a new board of directors to take ownership. A last-hour will amounting to $200,000 helped to subsidise some of the increased costs, especially outstanding life leases. When the complications of the will were finally resolved, the court dismissed the Chapter XI case and dissolved the Joint Church Manors, Inc. In the end, Tacoma Pastures was able to form a new board of directors and began operating as a not-for-profit retirement centre again. In order to convince the new financiers that their restructuring was sound, the board of directors decided to enlist the help of a Tennessee based company in 1978. The company offered many services including marketing, management consulting, administration, human resources, nursing care, and nutrition consultancy. Tacoma Pastures paid this company a monthly fee for managing the property under a three to five year contract. 13 A few years later, 13 Another organisation in the early 1990s replaced this company. This Orlando, FL based company manages Tacoma Pastures today, and is the largest owner and operator of senior living communities in the United States. As of 2011, this company, which 39
Tacoma Pastures enlisted the services of a boutique investment bank located in Orlando, Florida to underwrite $19.7 million worth of nonrated bonds. These bonds were used to advance refund an existing bond issue in order to generate cash flow earnings. These tax exempt bonds were sold to retail and institutional investors with yields of 5.25% to 5.32% and maturities ranging from 2026–2037, extending its previous 2019 senior bond maturity. * * * On July 14, 1983 the executive director of Tacoma Pastures announced plans for making extensive alterations to the third floor. One corridor on that floor was already designated and equipped for supervisory care. The new plan would be to make the entire floor entirely devoted to ‘personal care’ apartments. The renovations would also entail knocking down some pre-existing apartments in order to build a spacious dining room, an enlarged lounge and lobby as well as a closed centre for nurses and caregivers. These changes were motivated by Tacoma Pastures’s opinion that more of the residents throughout the main building required additional supervision and assistance, but not enough to need the services provided by the therapy and health centre. By consolidating these residents together, Tacoma Pastures could serve these residents in a more cost effective way. A second reason for the change was that Tacoma Pastures was losing prospective residents who could not live independently; there was no space to accommodate them with only one wing of the third floor dedicated to supervisory care already full. In a Tacoma Pastures newsletter dated October 1983, the president of the residents’ association introduced personal care apartments as a new type of residency. The president of the residents’ association wrote that: “Personal care is indicative of the phased living concept our consultants advocate, that is where all levels of care are provided on a single campus, so residents may shift easily form one level of care to another as needed.” The newsletter went on to explain that: “The Tacoma Pastures campus will include the following phases of care: 1) Independent living apartments on happened to be founded in 1978, operates over 570 senior retirement communities in the country. They have 35,000 staff and 55,000 residents. 40
Page 1 and 2: THE VICTIMS OF A SORTED LIFE : AGEI
Page 4 and 5: THE VICTIMS OF A SORTED LIFE: CAREG
Page 6 and 7: “In the animal kingdom, the rule
Page 8 and 9: ACKNOWLEDGEMENTS Many people have e
Page 10 and 11: ACRONYMS Activities of Daily Living
Page 12 and 13: The Tacoma Pastures Family ........
Page 14 and 15: Introduction i) Ageing and an Anthr
Page 16 and 17: the one hand we have the shifting p
Page 18 and 19: social relations among residents, s
Page 20 and 21: abyss that caregivers are confronte
Page 22 and 23: ased; other sponsors such as univer
Page 24 and 25: especially in light of the period
Page 26 and 27: a frozen liminality, “a sphere of
Page 28 and 29: nature of social relations. I was c
Page 30 and 31: esidents, and to abide by the gover
Page 32 and 33: order and tension that obtains betw
Page 34 and 35: offer palliation and there is a gen
Page 36 and 37: esidents for one-day plane trips to
Page 38 and 39: seriously think about.” 11 Early
Page 42 and 43: floors 1, 2, 4, and 5; 2) Personal
Page 44 and 45: chaotic back then.” I was told to
Page 46 and 47: the third floor is electronically l
Page 48 and 49: Chapter 2: The Accidental Caregiver
Page 50 and 51: transfer residents out of beds and
Page 52 and 53: on the third floor in Memory Care,
Page 54 and 55: On the second day, Nathan took me a
Page 56 and 57: Jennifer was doing so-so. He said,
Page 58 and 59: was from, even though I had just an
Page 60 and 61: 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
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Pastures received this. For now, it
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Chapter 4: Independent Plus: Care o
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Although the fifth floor is an “i
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the fourth floor did not need much
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main floor next to the spacious for
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grapple with mechanical E-Z stands
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Grant was not the only person who c
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The situation involving these three
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Brendan escorted me into Heather’
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Teri Teri was a resident in the sam
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Lana Lana lived next door to Teri a
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on other residents, but for some re
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Part 2 Chapter 5: A Long Way From M
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largely associated with the domain
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into Žižek’s ticklish borders b
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“Thanks.” I go into the back of
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insurmountable abyss. The silence w
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had to bring the wheelchair over, c
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drawn out process involving a mixtu
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* * * Betsy and I were subject to T
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Chapter 6: The Exigency of Care: Ca
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Betty When I first met Betty, she w
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Sometimes the caregivers were succe
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company. The CHR is licensed differ
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said, slightly solemnly: “Hi.”
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Tacoma Pastures and into hospice. F
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Looking out into the setting sun fr
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control, over the bodies and action
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Figure 12 An Eden plaque At Tacoma
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way to community. The main dining r
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They cannot just be a passive board
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hearing the director go on about cr
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golf flat-cap, and behind his squar
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This chapter has been motivated by
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complex and generative space openin
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family represents where one comes f
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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
Page 192 and 193:
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
Page 202 and 203:
A Room with No View In the corner r
Page 204 and 205:
A Blue-Gray Raga Some places the sm
Page 206 and 207:
Diamond, T. Making Grey Gold: Narra
Page 208 and 209:
Hummert, Mary Lee Nussbaum Jon F. "
Page 210 and 211:
Nouwen, H. and Gaffney, W. Aging: T
Page 212:
Williams, Allison. "Therapeutic Lan
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