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Supportive care to family caregivers is not supportive enough: moving towards an equitable approach to dementia home care

机译:对家庭护理人员的支持性护理还不够支持:朝着公平的方法进行痴呆症家庭护理

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The current relationship between family caregivers and home care providers needs to be reconceptualized from one that is nonsupportive and potentially exploitive, to one that fosters a collaborative, empowering relationship. I present my argument in three parts. First I focus on the problem of the current complementary model of care, one in which home care workers supplement and compensate for the care provided by family caregivers. In effect, I outline how this model of dementia home care in Canada perpetuates an inequitable distribution of care between formal and familial caregivers. Here, I underscore the negative consequences of this complementary approach on the caregiver-provider relationship. In the second part, I call for a reappraisal of'supportive relationships' between home support workers and caregivers, identifying underlying values and principles (e.g., quity) that I believe should inform home care practices and policies in the future. Finally, I propose some possible strategies that may ultimately support both family caregivers and providers in promoting optimal dementia home care.
机译:家庭照护者和家庭护理提供者之间的当前关系需要从一种不支持和可能剥削的关系重新概念化,以促进一种协作,授权的关系。我的论点分为三个部分。首先,我着眼于当前的补充照护模式的问题,在该模式中,家庭护理人员会补充和补偿家庭护理人员提供的护理。实际上,我概述了加拿大的这种痴呆症家庭护理模式如何使正规和家庭护理人员之间的护理分配永久存在。在这里,我强调了这种补充方法对看护者与提供者之间关系的负面影响。在第二部分中,我呼吁重新评估家庭支持工作者与看护者之间的“支持关系”,确定我认为应该在将来为家庭护理实践和政策提供依据的潜在价值和原则(例如,现状)。最后,我提出一些可能的策略,这些策略最终可以支持家庭护理人员和提供者,以促进最佳的痴呆症家庭护理。

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