The Age of Supported Independence - Voices of In-home Care

von: Beatrice Hale, Patrick Barrett, Robin Gauld

Springer-Verlag, 2010

ISBN: 9789048188147 , 131 Seiten

Format: PDF, OL

Kopierschutz: Wasserzeichen

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The Age of Supported Independence - Voices of In-home Care


 

Preface

6

Contents

8

Introduction: Stake in the Ground

14

Our Approach

16

Outline of Chapters

19

References

21

1 The Demographic and Policy Context of Supported Independence in Later Life

23

1.1 Introduction

23

1.2 Key Concepts

23

1.3 The Demographic Context

25

1.4 Policy Contexts

29

1.4.1 Determining Eligibility

30

1.4.2 Regulation, Choice and Control

32

1.5 Summary: Demographic and Policy Indicators of a New Social Category

32

References

33

2 The Move from Independence

35

2.1 Introduction

35

2.2 New Life Stage

36

2.2.1 Transitions

37

2.3 Rites of Passage

38

2.3.1 Transition as a Rite of Passage

19

2.3.2 Rites of Passage: Separation

41

2.4 Summary: Separation and the Move from Independence

47

References

21

3 Space and Liminality

51

3.1 Introduction: Older People at Home: Identity, Continuity, Stability

51

3.2 Home and Space

51

3.2.1 Spatial Disruption: Transition

54

3.2.2 New Landscapes at Home

55

3.3 Becoming

56

3.4 The Ageing Body

56

3.4.1 The Extended, Altered, Damaged, Limited Body

57

3.4.2 Bodily Space: The Liminal

58

3.4.3 Re-presenting the Body to Self

59

3.4.4 Re-presenting the Body to Others

60

3.4.5 Re-presenting the Body to Care Workers

61

3.5 Summary

62

References

63

4 Temporality and Liminality

66

4.1 Introduction

66

4.2 Time: Continuity

68

4.2.1 Temporal Disruption

71

4.2.2 Separation: First Rite of Passage

73

4.3 The Liminal Stage

74

4.4 Summary

76

References

78

5 Relational Transitions

81

5.1 Introduction

81

5.1.1 Relationships in Transition---An Overview and Background

82

5.2 Assessment and the Experience of Separation

84

5.3 Agency and Worker Relationships

85

5.3.1 'Fictive Kin'

86

5.3.2 Struggle Within the Care Relationship

87

5.4 Relationships with Families: Informal Caregivers and Experiences of Transition

88

5.4.1 Developing an Identity as a Family Caregiver: Separation

90

5.4.2 Experiences of Liminality: Responsibilities with and without Authority

91

5.4.3 Experiences of Liminality: Physical Challenges

91

5.4.4 Experiences of Liminality: The Changing Spatial Environment

92

5.4.5 Experiences of Liminality: Mixed Emotions and Feelings of Grief and Loss

93

5.5 Becoming an Informal Caregiver: The Experience of Men

93

5.6 Summary

94

References

96

6 Separation, Liminality and the Potential for Reconnections at Home with Care

98

6.1 Introduction

98

6.2 Separation: Trigger Processes and Assessments

99

6.3 Personal Liminality: Dealing with the Damaged Body at Home with Care

102

6.3.1 Liminality and the Relational Landscapes Through Time and Space at Home

105

6.4 The Potential for Reconnection

107

6.5 Summary

107

References

109

7 Care Work and Reconnections

112

7.1 Introduction

112

7.2 Meanings of Care

113

7.2.1 Care … and Its Potential

114

7.2.2 Does Paying for Care Change Its Essential Nature?

117

7.2.3 The Care Relationship and Agency Control

118

7.3 Issues with Current Care Policy and Practice

120

7.3.1 What Needs to Happen to Provide Reconnective Practice?

123

7.4 Summary

124

References

125

8 ReconnectionsSupported Independence and Agency in Frailty

128

8.1 Introduction

128

8.2 New Life Stage?

129

8.3 Care Services and Experiences of Liminality

129

8.3.1 The Potential of Home Care to Address Liminality

131

8.3.2 The Passage into Supported Independence

133

8.4 Implications: Policy and Practice for Reconnections

133

8.4.1 Strengthening the Capacity of Care Workers

135

8.4.2 A Community Development Focus

136

8.4.3 Coordination Between Sectors

137

8.4.4 Supported Housing Arrangements

138

8.5 Areas for Further Research

139

8.6 Summary

140

References

141

Index

143