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Caring For/Caring About

Caring For/Caring About: Women, Home Care, and Unpaid Caregiving

Karen R. Grant
Carol Amaratunga
Pat Armstrong
Madeline Boscoe
Ann Pederson
Kay Willson
Copyright Date: 2004
Pages: 202
  • Book Info
    Caring For/Caring About
    Book Description:

    Caring For/Caring Aboutexplores the complex nature of caring in Canadian society today by examining current research on women, home care, and unpaid caregiving.

    eISBN: 978-1-4426-0241-0
    Subjects: Sociology, Health Sciences

Table of Contents

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  1. Front Matter
    (pp. i-iv)
  2. Table of Contents
    (pp. v-vi)
  3. Acknowledgements
    (pp. vii-viii)
  4. Introduction
    (pp. 1-4)

    We typically think of care in personal rather than social terms. Many authors have argued that the organization and delivery of care continues to be based upon the assumption that caringaboutsomeone naturally leads to caringforthem (Noddings 1984; Tronto 1993). This way of thinking reinforces current patterns of family caregiving in which women are estimated to comprise nearly 80 percent of those providing unpaid, direct personal care in Canada and are the majority of workers providing paid home care.

    Current trends in health care reform in recent years reinforced the vision that care is a “private trouble,”...

  5. Thinking It Through: Women, Work and Caring in the New Millennium
    (pp. 5-44)
    Pat Armstrong and Hugh Armstrong

    The U.S. feminist Deborah Stone, an eloquent analyst of women’s caring, talks about being a “‘lumper’ rather than a ‘splitter’” (Stone 2000:91). For “lumpers,” the emphasis is on what is common about women’s work, what women share. At the same time, there remains in her publications a clear recognition of tensions and differences. Miriam Glucksmann’s revealing analyses of British women’s work speaks of “slicing” data, theory and concepts to create multiple and complex pictures of particular peoples in particular places (Glucksmann 2000:16). Her purpose is to look at the various ways in which work is divided up within what she...

  6. One Hundred Years of Caregiving
    (pp. 45-74)
    Pat Armstrong and Olga Kits

    Caregiving is not a simple act but rather a complex social relationship - one embedded in personal histories and located within specific conditions. These relationships can be found throughout our society and in a multitude of forms. Caregiving exists within health care institutions and in hostels, in households and on the street. Where it happens, and with whom, changes over time and with place, even for the same individuals. Partners and friends, mothers and fathers, daughters and sons, relatives and strangers, old and young participate in caregiving, although there are clear patterns linked to gender, age and social circumstance. Informal...

  7. Designing Home and Community Care For the Future: Who Needs to Care?
    (pp. 75-90)
    Nancy Guberman

    Before answering the question posed in the second part of the title (that is, “Who Needs to Care?”) I would like to look at the first half: “Designing Home and Community Care.” Examining the concepts of home and community care will ultimately lead me to my answer to the question of who needs to care.

    As presented in the title, the terms “home and community care” could suggest that we are talking about two realities, or at least two locations: care in the home and care in the community. But, in fact, in current policy, practice and the lived experience...

  8. What Research Reveals About Gender, Home Care and Caregiving: Overview and the Case For Gender Analysis
    (pp. 91-114)
    Marika Morris

    More than two-thirds of home care¹ recipients are women and the vast majority of unpaid caregivers are women. Beyond the difference in numbers, the experiences of women and men recipients and caregivers vary as a result of male-female differences in socioeconomic status, social roles, lifestyles, physiological and psychological factors and responsibilities. This chapter is based on a review of 45 gender-sensitive research studies on home care and caregiving primarily in Canada,² and outlines the differential impact of unpaid caregiving on women and men, in areas such as health, income, employment and benefits, violence in the home, relationships between the recipient...

  9. Redefining Home Care for Women With Disabilities: A Call for Citizenship
    (pp. 115-146)
    Kari Krogh

    For disabled women, home care is more than the provision of assistance that facilitates physical or emotional well-being, it is an essential prerequisite for achieving full citizenship. Without formal and informal home care, women with disabilities cannot access the world and engage in their communities. Specifically, many women with long-term impairments require assistance with bathing, dressing and eating before they can attend class, go to work, participate in a community event or go out dancing with a friend.

    In this chapter, I will explore ways that gender issues intersect with home care and home care policy to affect the lives...

  10. Aboriginal Women and Home Care
    (pp. 147-166)
    Shelley Thomas Prokop, Erika Haug, Michelle Hogan, Jason McCarthy and Lorraine MacDonald

    Aboriginal women have always played a central role as caregivers and healers within their families and communities. Over the course of their lives, many Aboriginal women will go back and forth between being care providers and requiring care themselves. As is the case with other Canadian women, providing care has been a taken-for-granted part of Aboriginal women’s unpaid work in the home. While women in Canada provide 80 percent of caregiving, which includes both paid and unpaid work, the gender discrepancy is arguably even higher in Aboriginal communities, due to a number of factors including cultural values of caring for...

  11. “Just Fed and Watered”: Women’s Experiences of the Gutting of Home Care in Ontario
    (pp. 167-184)
    Jane Aronson

    The intersecting effects of economic restructuring, health care reform and population aging have placed new and heightened demands on the home care sector (Armstrong and Armstrong 1996, 1999). Until relatively recently, home care was concerned largely with the needs of frail elderly people and people with disabilities for long-term assistance at home. Now it is also required to address the medical needs of patients discharged quickly from acute hospitals in order to relieve pressure on dwindling hospital beds and budgets. Home care in Canada is still subject to no national standards and provincial governments have, over time, developed various mixes...

  12. Conclusions
    (pp. 185-188)

    “Home care, now more than ever.” This was a headline inThe Globe and Mailat the height of what we now know was the first outbreak of Severe Acute Respiratory Syndrome (SARS) in Toronto in the spring of 2003. The columnist, Jamie Swift, hailed home- and community-based care as the obvious panacea for a troubled public health system, one that is far too dependent on centralized hospital-based care. The failings of our current system of care could be better addressed, Swift believes, by enhancing home-based care. His model is the kind of care pioneered some 100 years ago by...

  13. About the Contributors
    (pp. 189-190)
  14. Index
    (pp. 191-200)