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

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main floor next to the spacious formal dining room. Some of the residents preferred to eat in the formal dining room downstairs; those that were in wheelchairs required caregivers to escort them downstairs. Upon finishing their meals, they would push their call button necklaces, and an alert would buzz on the caregiver’s belt-clipped pager. Taking people up and down during mealtimes, also added to the traffic of people getting on and off the five-person elevator. There were considerably more visitors coming to the fourth floor than any other floor. Family members often spent several hours with their loved ones in the late mornings and afternoons. Caregivers would talk to family members about how the residents were doing in general, and whether they thought the residents were active, happy, and healthy. Family members and friends who came to visit also brought with them new supplies for their loved ones, such as new hearing aid batteries and clothes. Across from the dining room, a living room area with a small television and an upright piano offered visitors and residents a comfortable sitting place. Residents only used this space during informal events such as music hour; for the rest of the time, the caregivers used this space to enter in data on the point-of-care laptops. Care plans came in two forms. Firstly, there was a binder that listed a summary of the main tasks to be completed for each resident, including information such as allergies, shower days, appointments, dietary needs, and preferred times of waking up and sleeping. The same care plan along with other details, such as mood, and type of BM (bowel movement) in a radial button survey form had to be answered for every resident per each shift. Point-of-care laptops attached to an adjustable wheeled cart were used for entering information as part of the caregiver’s job (see figure 9 far left-hand side). Unlike the third floor, there was a small coatroom for the caregivers. Leaning against the corridor walls, one could easily spot a lifting Hoyer (see figure 10), used to transfer some of the residents in and out of bed, and onto the toilet or transportable commode in some cases. 97
Figure 9 The 4 th floor lobby area and Point-of-Care laptops Figure 10 Picture of a Hoyer-lift in resting position Caregivers are constantly being trained on new techniques and procedures for charting information and incorporating new medical devices into their practice. They had to 98
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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
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 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
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
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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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