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Chapter 10

Chapter 10

8 pages33 viewsWinter 2011

Department
Sociology
Course Code
SOC246H1
Professor
William Magee
Chapter
10

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Week 10: March 21
CARE & LACK OF CARE
Chapter 10 Caring for the Frail Elderly
A Profile of Caregiving
Activities of daily living: eating, bathing, dressing, getting in and out of bed,
and walking
oSome people who have no limitations in ADLs still cannot manage to
live independently because the y are unable to perform instrumental
activities of daily living: keeping track of money, doing light
housework, taking medicine, and running errands
Long-term care: a range of services designed to help people with chronic
conditions compensate for limitations in their ability to function independently
oTypically involves help with ADLs and IADLs
oLong-term care of frail older is provided by their families, especially by
their children
Hispanic elderly are significantly more likely to be cared for by their children
than are either black or white elderly
Support from children is most extensive in Japan because of the tradition of
filial responsibility
Spouses also provide a good deal of the care (however less than children)
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Gender Differences in Caregiving
Primary caregivers: women are usually the primary caregivers of ill and
disabled family members
When sons provide care, they tend to perform different tasks than female
caregivers
oDaughters—more likely to provide hands-on care such as feeding,
dressing, bathing
oSons—more likely to do household chores, arrange transportation and
social services, and provide with house repairs and financial
management
Gender differences in the amount of care provided
oWomen provide more hours of care than men
No difference between sons and daughters in their expressed sense of moral
obligation to provide care
Then, why do women provide more care?
oBecause of gender division of labour—men have been socialized to be
family breadwinners. Womens primary responsibility has been for
domestic labor
Men and women respond differently to caregiving
oDaughters perceive higher levels of stress and less satisfaction with life
than sons
Work and Caregiving
Full-time employment did not preclude a women from becoming a caregiver
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Women are more likely to leave labor force once they begin caring for a family
member
Caregiving has significant consequences for economic security in later life
oCaregivers who stop working to provide care for the frail older are more
likely to live in poverty later in life
The Caregiver Burden
Caregivers of the frail elderly experience many costs
oLoss of familiar lifestyle—disrupted plans
oFinancial worry associated with having to pay for home care services,
helath care, and nursing home care
Caregiver burden: refers to management of the tasks
Caregiver stress: refers to strain felt by caregiver
oDepends on the coping skills one may have developed to deal with
other life events and partly the kind of social support available
oWomen who are not employed—greatest levels of stress
Caregiving isolates the individual from normal daily contacts.
Isolation—depression and anxiety—lead to stress
For homebound caregivers—no boundaries in time, no sense of
completion, and no time off
Employed caregivers may have a heavier burden but feel less
stress because work provides satisfaction and stimulation
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