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Rehabilitative bodywork: cleaning up the dirty work of homecare

机译:康复身体:清理家庭护理的肮脏工作

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Care work for elderly people has been characterised as dirty work, owing to its proximity to the (dys) functions and discharges of aged bodies and the notions of disease, decay and death associated with the idea of old age. However, a wave of reform programmes in Danish municipalities promoting rehabilitative care practices aiming to empower, train and activate elderly citizens provides opportunities for homecare workers to renegotiate their status and reconstruct their work and occupational identities with a cleaner and more optimistic image. Drawing on ethnographic fieldwork in two Danish homecare units, this article analyses how rehabilitative care practices, drawing on a narrative of the third age, provide an optimistic and anti-ageist framing of homecare work that informs the development of new occupational identities for care workers as coaches rather than carers in relation to citizens. Furthermore, rehabilitation efforts change the bodywork of care, rendering it more distanced and physically passive, and rehabilitation efforts also involve extensive motivational work aiming to help citizens to see themselves as capable, resourceful and self-reliant. However, while rehabilitation efforts become a new resource in care workers' taint management; they also entail potentially negative consequences in terms of responsibilising and disciplinary approaches to elderly citizens.
机译:由于老年人的护理工作与老年人身体的功能(功能失调)和排出物以及与老年观念有关的疾病,衰败和死亡的观念密切相关,因此被视为肮脏的工作。但是,丹麦市政当局进行的一系列改革计划旨在促进康复护理实践,旨在赋予老年人权力,培训和激活他们,这为家庭护理工作者提供了机会,以更清洁,更乐观的形象重新谈判其身份并重建其工作和职业身份。本文利用丹麦两个家庭护理部门的人种学实地调查,分析了第三年龄段的叙述,介绍了康复护理的实践如何为家庭护理工作提供了乐观和抗衰老的框架,从而为护理工作者提供了新的职业认同感。与公民有关的教练而不是照顾者。此外,康复工作改变了护理的身体,使其变得更加疏远和身体被动,康复工作还涉及广泛的激励工作,旨在帮助公民将自己视为有能力,足智多谋和自力更生。然而,尽管康复工作已成为护理人员污渍管理的新资源;在对老年人的责任和纪律处分方面,它们还带来潜在的负面后果。

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