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

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Although the fifth floor is an “independent plus community” at Tacoma Pastures, I will focus only on the fourth floor, where I spent most of my time working as a caregiver. The fifth floor residents did not require much help, but there were residents who did require help, but from just one caregiver at a time rather than two. I worked on the fifth floor as well, and there were some differences, but not significant enough to warrant a fuller treatment. It is useful to say, however, that only two caregivers were assigned to the entire fifth floor per shift. There were fewer call buttons going off on the fifth floor, and most of the residents did not need any help showering and/or toileting. There were exceptions, and the residents who needed assistance were able to spend more time with their caregivers as opposed to the fourth floor. The tasks on the fifth floor were more spread out and ad hoc in nature. When I worked on the fifth floor, some of my duties involved accompanying residents and their spouses to medical appointments in the city. 23 23 It is perhaps useful to note that the physical layout of the fifth floor is quite similar to that of the fourth floor (see figure 7). There are some interesting differences though. For one thing, residents do not congregate or sit around in the common areas. A small living room, without a television, is never used by the residents or the caregivers. The care plans and the point-of-care laptops that caregivers use to document their various tasks and assessments of the residents are purposively kept out of sight in the caregiver’s small office. The residents’ rooms are never left open; they are always shut. Also, the residents on the fifth floor do not have kitchens in their rooms, and the views from many of the rooms are impressive, overlooking small forest preserves. 93
Figure 7 The 5 th floor lobby area The 4 th Floor Layout Unlike the third floor, the fourth floor is busier. Residents on the third floor rarely pushed their call button necklaces. On the fourth floor, residents pushed their call buttons regularly. This meant that caregivers were always rushing between rooms to attend to call buttons in addition to doing their routine tasks. Because of this, it felt that each caregiver was assigned to look after twenty people, when in reality they had to help about a dozen. Some of the residents pushed their call buttons for specific requests, like finding out how to use the telephone to call their daughter, or to get a caregiver to help them use the toilet. More often than not, many of the residents pushed their buttons, because they wanted someone to just show up and engage with them. Caregivers followed the various care plans and each of them had a list of tasks to perform that they routinized. Therefore, they did not welcome these call buttons. Attending to ad hoc requests, and returning every ten minutes to someone’s room, because they simply sought attention, added to the overall stress on the fourth floor. Some of the residents on 94
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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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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
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Page 62 and 63: eminded me of a 1960s hospital room
Page 64 and 65: Ryan began complaining more about h
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Page 68 and 69: in old age, especially when they al
Page 70 and 71: translation. 19 What follows is an
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Page 74 and 75: The 3 rd Floor Layout Many CCRCs, i
Page 76 and 77: ested in between their tasks at thi
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Page 80 and 81: morning, the med tech and the careg
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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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Page 92 and 93: Chapter 4: Independent Plus: Care o
Page 96 and 97: the fourth floor did not need much
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Page 102 and 103: Grant was not the only person who c
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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
Page 114 and 115: Part 2 Chapter 5: A Long Way From M
Page 116 and 117: largely associated with the domain
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Page 120 and 121: “Thanks.” I go into the back of
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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
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Page 140 and 141: Tacoma Pastures and into hospice. F
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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
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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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Philip Y. Kao PhD thesis - Research@StAndrews:FullText

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