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

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floors 1, 2, 4, and 5; 2) Personal care apartments on the 3 rd floor; 3) Health Centre will provide intermediate nursing and skilled nursing; 4) Small cottage-type condominiums for residents approaching retirement age.” Thus, the concept of the Continuing Care Retirement Community (CCRC) was officially adopted once the renovations were completed. The phased living concept along with consolidating those residents who needed extra help and assistance with the activities of daily living gave rise to an architecture of a segregated senior living model (see figures 1 and 2). Figure 1 A rendition of Tacoma Pastures’s early construction site 41
Figure 2 Sketch of Tacoma Pastures’s main building In addition to Tacoma Pastures’s prior financial troubles, life in Tacoma Pastures was not without its problems. Ms. Phyllis Rapone, Tacoma Pastures’s executive director, started off as a dietician when she came to Tacoma Pastures in 1981. 14 When she first arrived, the resident committee (referred to later on as the resident association) was in her words “very strong.” She said: “The council members of the association were the overseers; they ran the operations and made all the decisions regarding the food and the activities without really getting everyone’s input.” She attributed their uncontested power to the fact that most of them came from positions of local power and influence. They were an independent body; Phyllis remarked that: “You had to be in that social circle and have the right name to be in the association.” Phyllis started working at Tacoma Pastures when those in power, ex-board members of the Joint Church Manors and resident association officers, really started to age. They were pushing eighty years old, and no one dared to say anything to them about ageing. Phyllis also stated that the staff members who were working in the dining rooms had no management experience let alone any background in nutritional science. She said: “Things were a lot more 14 I interviewed Phyllis Rapone on July 14, 2011. 42
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 40 and 41: their desire to effect a plan under
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
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
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main floor next to the spacious for
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grapple with mechanical E-Z stands
Page 102 and 103:
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
Page 124 and 125:
had to bring the wheelchair over, c
Page 126 and 127:
drawn out process involving a mixtu
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* * * Betsy and I were subject to T
Page 130 and 131:
Chapter 6: The Exigency of Care: Ca
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Betty When I first met Betty, she w
Page 134 and 135:
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
Page 180 and 181:
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
Page 190 and 191:
It will be useful now to venture in
Page 192 and 193:
y taking up oneself in real duratio
Page 194 and 195:
organisation of a CCRC for example,
Page 196 and 197:
Furthermore, the post-Cartesian min
Page 198 and 199:
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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