One Hundred Years of Caregiving

Armstrong, Pat; Kits, Olga

doi:10.3138/9781442602410-004

Cited by 26 publications

(30 citation statements)

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“…Finally, we suggest that this current policy landscape is deeply influenced by the gendered nature of family care‐giving. That women have historically been society’s caregivers is well established in the research literature (Armstrong & Kits 2001, Armstrong & Armstrong 2003, Armstrong et al. 2008).…”

Section: Discussionmentioning

confidence: 99%

“…Recently, the research literature has moved away from describing caregiver burden and burnout. Although the reasons for this are unknown, there appears to be a growing sense that the problems associated with care‐giving are sufficiently well understood to start addressing them, as well as a desire to recognise the positive aspects of care‐giving (Armstrong & Kits 2001, Brodaty et al. 2003, Nelis et al.…”

Section: Introductionmentioning

confidence: 99%

“…Despite the above‐mentioned initiatives, there has been a general lack of attention to the broader impact of health policy in shaping the caregiver experience. Historically, family care‐giving has been regarded as a private responsibility in Canada, not an area for public policy development (Armstrong & Kits 2001). What few services and supports caregivers had in the 1980s and 1990s were severely curtailed when the First Ministers’ 2003 Accord on Health Care Renewal (Health Council of Canada 2005) shifted government spending to short‐term acute home care and end of life services by decreasing investments in long‐term care for individuals living with chronic health conditions, such as Alzheimer’s disease.…”

Section: Introductionmentioning

confidence: 99%

“…At the same time, serious concerns have been raised about a future shortage of family caregivers. These stem in part from women’s increased labour force participation, the ageing demographic, smaller families that are more geographically dispersed and the longer duration and increasing complexity of unpaid care‐giving work (Armstrong & Kits 2001, Lilly et al. 2007).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Can we move beyond burden and burnout to support the health and wellness of family caregivers to persons with dementia? Evidence from British Columbia, Canada

Lilly

Robinson

Holtzman

et al. 2011

Health &Amp; Social Care in the Community

124

122

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After more than a decade of concerted effort by policy‐makers in Canada and elsewhere to encourage older adults to age at home, there is recognition that the ageing‐in‐place movement has had unintended negative consequences for family members who care for seniors. This paper outlines findings of a qualitative descriptive study to investigate the health and wellness and support needs of family caregivers to persons with dementia in the Canadian policy environment. Focus groups were conducted in 2010 with 23 caregivers and the health professionals who support them in three communities in the Southern Interior of British Columbia. Thematic analysis guided by the constant comparison technique revealed two overarching themes: (1) forgotten: abandoned to care alone and indefinitely captures the perceived consequences of caregivers’ failed efforts to receive recognition and adequate services to support their care‐giving and (2) unrealistic expectations for caregiver self‐care relates to the burden of expectations for caregivers to look after themselves. Although understanding about the concepts of caregiver burden and burnout is now quite developed, the broader sociopolitical context giving rise to these negative consequences for caregivers to individuals with dementia has not improved. If anything, the Canadian homecare policy environment has placed caregivers in more desperate circumstances. A fundamental re‐orientation towards caregivers and caregiver supports is necessary, beginning with viewing caregivers as a critical health human resource in a system that depends on their contributions in order to function. This re‐orientation can create a space for providing caregivers with preventive supports, rather than resorting to costly patient care for caregivers who have reached the point of burnout and care recipients who have been institutionalised.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Can we move beyond burden and burnout to support the health and wellness of family caregivers to persons with dementia? Evidence from British Columbia, Canada

Lilly

Robinson

Holtzman

et al. 2011

Health &Amp; Social Care in the Community

124

122

View full text Add to dashboard Cite

show abstract

“…While the individualization thesis fits with the idea that traditional gendered assumptions are becoming ungrounded in modern Western society, a feminist perspective on filial care work presents an image of “difficult and unwanted relations of dependence” between aging mothers and adult daughters (Aronson 1998a, 1998b). Many argue that women have no real “choice” about whether to provide care, given the lack of structural and ideological alternatives (Armstrong and Kits 2001; Aronson 1992; Calasanti and Slevin 2001).…”

Section: The Choice‐obligation Dichotomy In Theoretical and Empiricalmentioning

confidence: 99%

“Choice” in Filial Care Work: Moving beyond a Dichotomy

Funk

Kobayashi

2009

Canadian Review of Sociology

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In this paper, we discuss the concept of"choice" in filial care work. A dichotomy between choice and obligation is constructed in theoretical and empirical literature on filial care work. However, this dichotomy does not adequately reflect family caregiving experiences; for instance, choice and obligation are not mutually exclusive motivations. Rather, choice and obligation are "relational" and "contextual" and manifest in the interaction between macro- and micro-contexts. The choice-obligation dichotomy is also ideological. At the moral-political level, it promotes the downloading of responsibility by governments to family, obscures the complexity of filial relationships, and may even promote psychological ambivalence.

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No Longer Home Alone? Home Care and the Canada Health Act

Lanoix

2016

Health Care Anal

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In this paper, I argue that addressing the medical needs of older persons warrants expanding the array of insured services as described by the Canada Health Act (CHA) to include home care. The growing importance of chronic care supports my call for federally regulated home care services as the nature of disease management has changed significantly in the last decades. In addition, if the values of equity, fairness and solidarity, which are the keystone values of the CHA, are to be upheld within the current social and demographic context, then Canada's health care system should adapt accordingly. I focus my argument on the services provided to older persons for two main reasons. First, the changing nature of disease management is best seen in this population. If it is to be successfully argued that the transformations in medicine warrant an expansion of insured services covered by the CHA, it will be best illustrated by looking at the needs of older persons. Second, with the demographic shift looming large in the policy agenda, an exploration of this issue is not only crucial but timely.

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One Hundred Years of Caregiving

Cited by 26 publications

References 0 publications

Can we move beyond burden and burnout to support the health and wellness of family caregivers to persons with dementia? Evidence from British Columbia, Canada

Can we move beyond burden and burnout to support the health and wellness of family caregivers to persons with dementia? Evidence from British Columbia, Canada

“Choice” in Filial Care Work: Moving beyond a Dichotomy

No Longer Home Alone? Home Care and the Canada Health Act

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