SOC246H1 Lecture Notes - Utopia, Unlicensed Assistive Personnel, Dementia

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13 Apr 2012
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Documentary: Almost Home. St. Johns on the Lake
Model
how do they play out in the movie context
Independent living
his wife
He assumed that he will come back to the apartment but needs help, he
is confuse
Try to determine where is the best place to live
He said assisting living
but has to meet the criteria
He has a disease
not saying he wont get out of the nursery home but
need to stay there longer in order to get treat
Before people didn’t have a choice
worst situation early on, take away
from people’s life
Look at how they can reestablish choice
now allowed to choose when to
eat (7am, 9am), shower(own decision, their own will)
The physical needs were meet but lack on emotional need (spirit)
Doesn’t need to have a schedule and a uniform for patients
Those patients wouldn’t be there if they were able to take care of
themselves
need to guide them
Tradition
It used to be people had to wake up at a certain time and
were being under control
New culture empowers the elders. Approaches that had to be change
such as medication being in the room but also challenges to the nurses even
though trying to avoid social problems
***You cannot address social issues and not the medical needs
Have a gadget to keep track of them
His reality and reality of life not the same
2 different realities
***An individual’s life and the reality of life aren’t the same
They don’t want to be a burden
shadows that come over when they are
thinking
If deep culture change for ppl with different degree of dementia, it will
be interesting to see how to integrate these people
Workers have to left them alone to cool down or else the situation can
escalate
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It is hard to balance Dolores wants and the leader’s (husband)
expectation of what she wants
People with dementia are altered to their social environment
First man seen in the documentary
other couple: disturb his wife when
he doesn’t wear a burb because spit food on him
again partner expectation
They feel that they are acceptable in their older age-Dolores
Some envy her
having support form her husband( a good therapy for
them)
***Babyboomers need to start thinking about where they want to live in
the future
Too much time spending with workers talking to each other in front of
the residents and not including them in the conversation
Director wants to
change that, he wants them to feel part of the group
They claimed to be the Top services but services has deteriorated and
prices have gone up
Model being a team
work together ( not only stick to a single patient),
not really a determined task. Want to blur the roles of the workers in order fro
worker to work as a team ( food worker, certified nurse assistant)
Old-way
what the protocol was ( being told how to do it) but now being
more confusing
Should have a mutual relation, respect to respect
***Vast amount of people who work there that couldn’t afford to live
there
there is this dynamic btw residents and workers
A worker says that you have to be compassionate to have this job and it
is not all about the money
wouldn’t be able to survive if it was just about
money. Others say that residents are family
Expectation from other partner cannot be meet
All the processes being also hard on their kids
Fear of them own aging
so that’s why cant really take care or see her
husband
trying to slow the process (death)
Can still enjoy part of their life
Director made he decision to allow
residents to travel outside the nursing home without a staff
Dolores loss interest in physical relationship
she is not a compagnon
but a dependent—seen by her husband
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