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.
This article explores how a nationwide reform initiative, calling for a rehabilitative, activating and 'training' approach to elderly people in Danish homecare services, may transform gendered and embodied conceptions of 'the professional care worker'. Care work for the elderly is a low-paid and low-status occupation, affected by the stigma connected with elderly bodies. Drawing on an ethnographic case study of a homecare unit, this article shows how the adoption of a new distanced, goal-oriented approach to elderly bodies attempts to transform professional identities, and how care work is constructed as reflexive and change oriented, in contrast to emotional and relational approaches. This transformation potentially leads to a more advantageous position for care workers in gendered professional hierarchies. Simultaneously this process seems to render care workers' own bodies more visible, problematizing what are perceived as uncontrolled and unhealthy care worker bodies. The article thus argues that rehabilitative eldercare leads to an intertwining of two forms of bodywork, where work on the care worker's own body and the elderly body mutually constitute each other in a novel body-body articulation.
This paper addresses how the introduction of welfare technologies in Denmark makes the body- work of eldercare an object of public governance, and investigates how wash-and-dry toilets co-constitute professional care work. First, a theoretical frame is established for studying care, with an emphasis on bodywork as a sociomaterial and collective accomplishment. The paper then unfolds the great expectations tied to welfare technologies in general, and wash-and-dry toilets specifically. Turning to differentiated examples of situated uses of the toilets, the complexity of making the toilets work within the context of professional eldercare is illustrated. Some of the uses of the toilets in care work are in concordance with policy expectations. Other uses demonstrate difficulties in satisfying the great expectations and call for a more complex understanding of what it takes to achieve dignified, technologically assisted care without silencing the skills and profes- sionalism of care workers.
In ongoing efforts of rationalization and retrenchment in the Danish health care sector, tasks are increasingly moved from costly specialized hospital departments to the primary health care sec- tor, where less specialized personnel take on these tasks. Telemedicine plays an important role in facilitating local access to specialized competences at central hospitals through ICT systems and establishes new virtual spaces for cross-sectoral cooperation between hospital and municipal health care workers. In an explorative ethnographic study, comprising interviews and participant observation, of telemedicine-based interaction between community nurses and specialized hospi- tal nurses, we show how the ‘tele-ulcer’ system becomes a site for professional development for community nurses, although a hierarchization of professional knowledge also takes place. Further- more, extensive articulation work is necessary to make the tele-ulcer system work.We illuminate how contradictory divisions of responsibility may result from the design of the sociotechnical sys- tem, leaving professionals to deal with risks and insecurity.
Based on an ethnographic study in a Danish residential care center, this article shows how the interplay of a sensor-floor technology and currently influential values of person-centeredness, privacy, and security in care transforms care work and care interactions between residents and care workers. Based on an understanding of care as realized in a heterogeneous collective of human and nonhuman actors, this article illustrates how new modes of monitoring and interpreting residents’ care needs at a distance arise, and how a new organization of work focusing on quick and responsive care is established. These new care practices lead to conflicts between the values of privacy and security, to ambivalent experiences among care workers of simultaneously increased security and insecurity in work, and, paradoxically, also often to a decentering rather than person-centering of care. Instead of accommodating simultaneous compliance to the values of privacy, security, and person-centeredness, the use of the sensor-floors makes the tensions between these values continuously and loudly present in daily care practices.
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