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Theorizing accommodation in supportive home care for older people
Christine Ceci1, Mary Ellen Purkis, Kristin Björnsdóttir
1University of Alberta, Edmonton Clinic Health Academy, 11405 87 Avenue, Edmonton, Alberta, Canada. christine.ceci@ualberta.ca
This study explores how "accommodation"—responsiveness to individual needs—can improve supportive home care for aging adults. It emphasizes personalized care over standardized practices for better independent living outcomes.
Area of Science:
- Gerontology
- Sociology of Health
- Care Studies
Background:
- Home care for older adults often struggles with personalization.
- Existing care models may not adequately address individual needs as frailty increases.
- The concept of 'accommodation' offers a new perspective on responsive elder care.
Purpose of the Study:
- To define and explore the concept of accommodation in home care for older adults.
- To investigate how accommodation can support independent living for aging individuals.
- To analyze the philosophical underpinnings of accommodation in care practices.
Main Methods:
- Analysis of ethnographic studies on home care practices in Canada and Iceland.
- Application of critical philosophical and social theory, specifically Agamben's 'The Coming Community'.
- Examination of organizational systems and interpersonal relations within home care.
Main Results:
- Accommodation requires a shift from standardized care to recognizing the singularity of older adults.
- Theoretical frameworks can help problematize existing care systems and relationships.
- Accommodation challenges the "organizational impulse to carry on in the usual way".
Conclusions:
- Accommodation is crucial for enhancing supportive home care and promoting independent living for elders.
- This concept offers a valuable addition to patient-centered care by reframing intentionality.
- Rethinking care through accommodation can lead to more responsive and individualized elder support.
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