Department of Geography, University of Washington, Seattle, Washington 98195, USA.
Sociol Health Illn. 2011 Feb;33(2):206-19. doi: 10.1111/j.1467-9566.2010.01331.x.
Body work is a key element of home healthcare. Recent restructuring of health and social care services means the home is increasingly a key site of long-term care. While there is a growing literature on the social dynamics between care recipients and their family caregivers, less is known about the formal work dynamic between paid care workers and care recipients and family caregivers. Drawing on interview data from an Ontario-based study of long-term home care, we explore how body work is negotiated through the embodied practices of care in the home and through care relationships associated with home care. In particular we focus on how the practices of intimate body care (such as bathing, toileting, and catheter management) show the diverse dynamics of care work through which caregivers, care recipients and homespace are constituted. We argue that the practices of care are shaped by a complex interweaving of regulatory mechanisms associated with home care along with the physical and affective dimensions of intimate body work. In turn this suggests the need for new ways of understanding body work in contemporary landscapes of care.
身体护理是家庭医疗保健的一个关键要素。最近医疗和社会保健服务的重组意味着家庭越来越成为长期护理的一个重要场所。虽然关于护理接受者及其家庭照顾者之间的社会动态的文献越来越多,但对于付费护理工作者与护理接受者和家庭照顾者之间的正式工作动态却知之甚少。本研究利用安大略省长期家庭护理研究的访谈数据,探讨了身体护理是如何通过家庭护理中的身体护理实践以及与家庭护理相关的护理关系来协商的。我们特别关注亲密身体护理(如洗澡、上厕所和导尿管理)等实践如何通过构成护理人员、护理接受者和家庭空间的多样化护理工作动态来展示。我们认为,护理实践受到与家庭护理相关的监管机制以及亲密身体护理的身体和情感维度的复杂交织的影响。反过来,这表明需要用新的方式来理解当代护理环境中的身体护理。