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Mind the gap: The dynamics and work ...

Penney, Lauren.

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Mind the gap: The dynamics and work of aging and caring at home.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Mind the gap: The dynamics and work of aging and caring at home./
Author:	Penney, Lauren.
Description:	171 p.
Notes:	Source: Dissertation Abstracts International, Volume: 74-12(E), Section: A.
Contained By:	Dissertation Abstracts International74-12A(E).
Subject:	Anthropology, Cultural. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3592765
ISBN:	9781303343124

Mind the gap: The dynamics and work of aging and caring at home.
Penney, Lauren.

Mind the gap: The dynamics and work of aging and caring at home. - 171 p.

Source: Dissertation Abstracts International, Volume: 74-12(E), Section: A.

Thesis (Ph.D.)--The University of Arizona, 2013.

In the United States, a growing proportion of the population is aged 65 and older. Associated with this demographic transition is a rise in the number of people who are aging with chronic disease. While there is a cultural ideal for older adults to remain in the community and out of institutional settings ("aging in place"), there is little recognition of the work and experience of trying to accomplish this. In the following papers, I draw on 12 months of ethnographic research in the Southwest US to describe the work of "aging in place.".

ISBN: 9781303343124Subjects--Topical Terms:

735016
Anthropology, Cultural.

Mind the gap: The dynamics and work of aging and caring at home.
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020 $a 9781303343124
035 $a (MiAaPQ)AAI3592765
035 $a AAI3592765
040 $a MiAaPQ $c MiAaPQ
100 1 $a Penney, Lauren. $3 1281513
245 1 0 $a Mind the gap: The dynamics and work of aging and caring at home.
300 $a 171 p.
500 $a Source: Dissertation Abstracts International, Volume: 74-12(E), Section: A.
500 $a Adviser: Mimi Nichter.
502 $a Thesis (Ph.D.)--The University of Arizona, 2013.
520 $a In the United States, a growing proportion of the population is aged 65 and older. Associated with this demographic transition is a rise in the number of people who are aging with chronic disease. While there is a cultural ideal for older adults to remain in the community and out of institutional settings ("aging in place"), there is little recognition of the work and experience of trying to accomplish this. In the following papers, I draw on 12 months of ethnographic research in the Southwest US to describe the work of "aging in place.".
520 $a As a starting point, I use Medicare-funded home health care (HHC), which stands at the crossroads of acute-based institutional care and custodial, long-term care. In the first paper, using definitions of place from cultural geography, I explore the work of aging from the perspective of chronically ill older adult HHC users. I illustrate how bodies, practices, and places shift as processes of disease and medicalization inscribe them with risk, and the ways in which people accept, resist, and negotiate these changes. The second paper extends the work on audit culture to describe how Medicare's audit system has structured the organization and practice of HHC, and how this has reinforced the commodification of patients. I note how HHC nurses can draw on personal and professional logics in their documentation practices as a means of resisting rationalizing forces and opening up eligibility for care. The third paper uses case studies to push the literature on family caregiver burden to include the fraught, yet highly meaning-filled experience of caregiving. The cases show the difficulties and ambivalence in providing care to a chronically ill family member.
520 $a Throughout these articles, underlying the tensions, uncertainties, and gaps I explore questions about what type of care is needed, who is worthy of care, and how responsibilities are distributed. I focus on how people's worlds and work are structured by larger scale social, cultural, and economic forces, and attend to the ways in which they reproduce, contend, and negotiate these forces from their unique positions, in effort to protect what they value.
590 $a School code: 0009.
650 4 $a Anthropology, Cultural. $3 735016
650 4 $a Health Sciences, Aging. $3 1669845
690 $a 0326
690 $a 0493
710 2 $a The University of Arizona. $b Anthropology. $3 1020311
773 0 $t Dissertation Abstracts International $g 74-12A(E).
790 $a 0009
791 $a Ph.D.
792 $a 2013
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3592765