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Communication Across the Life Span

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Edited By Jon F. Nussbaum

As we grow up and grow old, embrace new experiences, try new roles, and adopt new technologies, our senses of time, space, connection, and identity are fundamentally explored through communication. Why, how, with whom, and to what end humans communicate reflect and shape our ever-changing life span position. And while the «life span» can be conceived as a continuum, it is also one hinged by critical junctures and bound by cultural differences that can be better understood through communication.
The chapters in this collection, chosen from among the invited plenary speakers, top research papers, and ideas discussed in San Juan, explore the multiple ways communication affects, reflects, and directs our life transition. Capturing the richness and diversity of scholarship presented at the conference, chapters explore communication technologies that define a generation; communication and successful aging; stereotyping and family communication; sexual communication and physiological measurement; life span communication and the digital divide; and home-based care contexts across the world, among others.
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Chapter Eleven: Constructing the Carer Across the Life Span of Care: Home-Based Care Contexts Across the Globe

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← 148 | 149 →CHAPTER ELEVEN

Constructing the Carer Across the Life Span of Care

Home-Based Care Contexts Across the Globe

KIRSTIE MCALLUM, CARLA L. FISHER, MURIEL SCOTT, MARY SIMPSON, JOHN OETZEL, KAY BERRYMAN, RANGIMAHORA REDDY, AND JILL YAMASAKI



Given the increasing incidence of age-related infirmity and chronic illnesses in developed countries, models of care such as “aging in place” and home-based treatment are growing in popularity with policy-makers and the general population, as evidenced by documents with titles such as “Home is the option of choice” (Ministry of Health and Social Services, 2003). Within this framework, government health departments provide specialist ambulatory medical and nursing services in the home or in out-patient clinics, allowing individuals to continue “living in the community, with some level of independence, rather than in residential care” (Davey, Nana, de Joux, & Arcus, 2004, p. 133). Using the home and wider community as the site of care is linked to higher levels of autonomy for care recipients and greater access to networks of social support from friends and family (Wiles, Leibing, Guberman, Reeve, & Allen, 2011).

Depending on the structure of the health care system, the scope and intensity of need, and the care recipient’s preferences, home-based models of care usually rely on some combination of paid and unpaid caregivers to provide personal care, assistance with the tasks of daily living, and help with household tasks. Policy-makers in many countries have developed initiatives to improve...

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