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

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the third floor is electronically locked and referred to as a ‘neighbourhood’ taking its respective names from local rivers. Each neighbourhood has its own living space and dining room. The river neighbourhoods are devoted to those residents with dementia and Alzheimer’s. The second floor of the main building serves as the main public space, where visitors come to sign in and wait for their loved ones. Additionally, the formal dining room is also located on the second floor just steps away from the entrance. The second floor also has two hallways devoted to studio apartments designated Independent Living. One of these halls leads out to the garden, which features an impressive pond and waterfall, courtesy of a $25,000 donation. Meeting rooms, the kitchen for the formal dining room, the director’s office, and the mailroom are also located in this third hallway, which leads past the solarium to the CHR. Because the main building is perched on a hill, the CHR is located further down the hill and has only three levels. The bottom level of the CHR can be reached through the floor of the main building just past the Alzada Penderson Ballroom and down the hall from the beauty salon and exercise room. Walking past a set of electronically secured doors one spots an 8 ft. high birdcage with finches. Past this and through another set of electronically locked doors is the CHR, which because of its SNF license operates more like a hospital. Even though the resident centre and the CHR both belong to Tacoma Pastures, they are run by two different directors and have a completely different staff of caregivers and nurses. The first floor has small corridors for people who are intending to stay short term; the people here are mostly recovering from surgery or have medical conditions that require specialised nursing. On the first floor of the CHR, there are also offices for nurses and social workers along with the rehabilitation centre (a gym replete with rehabilitation and medical equipment) and another dining room. Past the dining room is another entrance to Tacoma Pastures used mainly by the ambulance to take people in and out of the CHR and the resident centre. This entrance is situated on the back end of Tacoma Pastures allowing for ambulances to transfer the recently deceased in black bags in a less conspicuous way. The second and third floors of the CHR have two hallways devoted to skilled nursing. In the CHR, two people usually share a room. The second floor of the CHR is known to have residents who are capable of wheeling themselves around, and 45
therefore there are two dining rooms to choose from. On the third floor, there is only one dining room. In 2010, $1 million was raised to finance a renovation of the main building. Renovations included: 1) A new covered entrance with heated pavements outside the entrance; 2) Converting more rooms for Memory Care, and 3) Expanding some Independent Living apartments to include kitchens, laundry facilities and private patios. Furthermore, another $3.5 million is being raised to add 14,000 square feet to the CHR, which now boasts a marketing slogan that reads, “Getting you back where you belong.” The CHR is scheduled to have one hundred and thirty-three beds for its “short term, post-acute and long-term care facility.” 46
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 42 and 43: floors 1, 2, 4, and 5; 2) Personal
Page 44 and 45: chaotic back then.” I was told to
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
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 112 and 113:
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
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
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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
Page 144 and 145:
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
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
Page 160 and 161:
family represents where one comes f
Page 162 and 163:
just down the road from Tacoma Past
Page 164 and 165:
link fence of post-industrial subur
Page 166 and 167:
The young woman came back after adm
Page 168 and 169:
as she made the rounds on the third
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I decided to confront Sylvia about
Page 172 and 173:
* * * Mistakes were made in the fie
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work. If care is inevitably and hum
Page 176 and 177:
was being uttered in their negative
Page 178 and 179:
an X-ray, and that we could issue a
Page 180 and 181:
parental responsibilities and care
Page 182 and 183:
caregivers and care recipients? Doe
Page 184 and 185:
was not a structure or discourse th
Page 186 and 187:
and McKechnie 1999, 1). Furthermore
Page 188 and 189:
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
Page 200 and 201:
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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