Sleep as Homework and Engagement in Rehabilitation

In today’s push for shorter and quicker hospitalisations, everyday life often becomes a place of rehabilitation for people after they undergo surgical procedures. In order for hospitals to manage shortened periods of admission and to facilitate post-operative rehabilitation, a patient‘s active engag...

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Autores principales:	Trine Schifter Larsen, Mari Holen
Formato:	article
Lenguaje:	EN
Publicado:	University Library System, University of Pittsburgh 2021
Materias:	sleep patient-engagement rehabilitation and everyday life aging relational ontology Anthropology GN1-890 Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/69bc0e3b754044cd98f9f70ebbc177d4
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id	oai:doaj.org-article:69bc0e3b754044cd98f9f70ebbc177d4
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spelling	oai:doaj.org-article:69bc0e3b754044cd98f9f70ebbc177d42021-11-11T19:34:31ZSleep as Homework and Engagement in Rehabilitation2374-226710.5195/aa.2021.284https://doaj.org/article/69bc0e3b754044cd98f9f70ebbc177d42021-11-01T00:00:00Zhttps://anthro-age.pitt.edu/ojs/index.php/anthro-age/article/view/284https://doaj.org/toc/2374-2267In today’s push for shorter and quicker hospitalisations, everyday life often becomes a place of rehabilitation for people after they undergo surgical procedures. In order for hospitals to manage shortened periods of admission and to facilitate post-operative rehabilitation, a patient‘s active engagement has become a central element to clinical treatment and care in Denmark. For example, in the recovery from orthopedic surgery, sleep becomes a type of "homework" assignment that is a vital element of the patient‘s rehabilitation trajectory. Building on the theoretical concept of ‘engagement’ developed by Gilles Deleuze and Félix Guattari (2005), we examine the patient‘s relation to sleep as part of recovery; we refer to this as ‘sleep engagement.’ In particular, we analyze sleep as part of an institutional pedagogy in rehabilitation, and we ask how this pedagogy mobilizes rehabilitation for older patients after they have been admitted to the hospital for an orthopedic surgical procedure. Using ethnographic material, our analysis leads to a discussion of institutional expectations for what it means to be engaged in one's own patient trajectory. The article presents three results: 1) Expectations of sleep as an institutionally defined homework assignment are fulfilled through the establishment of the ‘rehabilitable and non rehabilitable body’; 2) As an active attempt to mobilize resources in rehabilitation, patient sleep engagement becomes part of a historical and contextual nexus; and 3) Institutional sleep potential creates new points of ambivalence—on the one hand, sleep is an optimization-promoting requirement in order to exercise while, on the other hand, the midday nap reflects an outdated view of old age that opposes an active lifestyle perspective.Trine Schifter LarsenMari HolenUniversity Library System, University of Pittsburgharticlesleeppatient-engagementrehabilitation and everyday lifeagingrelational ontologyAnthropologyGN1-890GeriatricsRC952-954.6ENAnthropology & Aging, Vol 42, Iss 2, Pp 105-125 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep patient-engagement rehabilitation and everyday life aging relational ontology Anthropology GN1-890 Geriatrics RC952-954.6
spellingShingle	sleep patient-engagement rehabilitation and everyday life aging relational ontology Anthropology GN1-890 Geriatrics RC952-954.6 Trine Schifter Larsen Mari Holen Sleep as Homework and Engagement in Rehabilitation
description	In today’s push for shorter and quicker hospitalisations, everyday life often becomes a place of rehabilitation for people after they undergo surgical procedures. In order for hospitals to manage shortened periods of admission and to facilitate post-operative rehabilitation, a patient‘s active engagement has become a central element to clinical treatment and care in Denmark. For example, in the recovery from orthopedic surgery, sleep becomes a type of "homework" assignment that is a vital element of the patient‘s rehabilitation trajectory. Building on the theoretical concept of ‘engagement’ developed by Gilles Deleuze and Félix Guattari (2005), we examine the patient‘s relation to sleep as part of recovery; we refer to this as ‘sleep engagement.’ In particular, we analyze sleep as part of an institutional pedagogy in rehabilitation, and we ask how this pedagogy mobilizes rehabilitation for older patients after they have been admitted to the hospital for an orthopedic surgical procedure. Using ethnographic material, our analysis leads to a discussion of institutional expectations for what it means to be engaged in one's own patient trajectory. The article presents three results: 1) Expectations of sleep as an institutionally defined homework assignment are fulfilled through the establishment of the ‘rehabilitable and non rehabilitable body’; 2) As an active attempt to mobilize resources in rehabilitation, patient sleep engagement becomes part of a historical and contextual nexus; and 3) Institutional sleep potential creates new points of ambivalence—on the one hand, sleep is an optimization-promoting requirement in order to exercise while, on the other hand, the midday nap reflects an outdated view of old age that opposes an active lifestyle perspective.
format	article
author	Trine Schifter Larsen Mari Holen
author_facet	Trine Schifter Larsen Mari Holen
author_sort	Trine Schifter Larsen
title	Sleep as Homework and Engagement in Rehabilitation
title_short	Sleep as Homework and Engagement in Rehabilitation
title_full	Sleep as Homework and Engagement in Rehabilitation
title_fullStr	Sleep as Homework and Engagement in Rehabilitation
title_full_unstemmed	Sleep as Homework and Engagement in Rehabilitation
title_sort	sleep as homework and engagement in rehabilitation
publisher	University Library System, University of Pittsburgh
publishDate	2021
url	https://doaj.org/article/69bc0e3b754044cd98f9f70ebbc177d4
work_keys_str_mv	AT trineschifterlarsen sleepashomeworkandengagementinrehabilitation AT mariholen sleepashomeworkandengagementinrehabilitation
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Sleep as Homework and Engagement in Rehabilitation

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