The Erosion Of Autonomy In Long Term Care

Author : Charles W. Lidz
Publisher : Oxford University Press, USA
ISBN 13 : 0195073940
Total Pages : 210 pages
Book Rating : 4.42/5 ( download)

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Download or read book The Erosion of Autonomy in Long-term Care written by Charles W. Lidz and published by Oxford University Press, USA. This book was released on 1992 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: In few places in American society are adults so dependent on others as in nursing homes. Minimizing this dependency and promoting autonomy has become a major focus of policy and ethics in gerontology. Yet most of these discussions are divorced from the day-to-day reality of long-term care and are implicitly based on concepts of autonomy derived from acute medical care settings. Promoting autonomy in long-term care, however, is a complex task which requires close attention to everyday routines and a fundamental rethinking of the meaning of autonomy. This timely work is based on an observational study of two different types of settings which provide long-term care for the elderly. The authors offer detailed descriptions of the organizational patterns and routine practices that erode autonomy of the elderly. Their observations lead to a substantial rethinking of what the concept of autonomy means in long-term care. The book concludes with suggestions on how the autonomy of elderly individuals in long-term care institutions might be promoted.

Author : Lucia M. Gamroth
Publisher :
ISBN 13 :
Total Pages : 272 pages
Book Rating : 4.02/5 ( download)

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Download or read book Enhancing Autonomy in Long-term Care written by Lucia M. Gamroth and published by . This book was released on 1995 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume assesses the importance of autonomy to quality of life in long-term care facilities. First addressing conceptual issues, the editors then pose such questions as: What is autonomy and what does it mean in the context of physically and/or cognitively impaired elders? What is the effect of nursing home financing and federal regulations? How does the traditional medical model, which casts residents as "patients", affect autonomy? How does the physical environment make a difference? The contributors then go on to describe six successful models of care that provide a more meaningful quality of life through promoting autonomy. Contributors include Robert and Rosalie Kane, Keren Brown Wilson, and Bart Collopy.

Author : Thomas Nys
Publisher : Peeters Publishers
ISBN 13 : 9789042918801
Total Pages : 196 pages
Book Rating : 4.02/5 ( download)

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Download or read book Autonomy & Paternalism written by Thomas Nys and published by Peeters Publishers. This book was released on 2007 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, the triumph of autonomy has made paternalist interventions increasingly problematic. The value of a patient's right to self-determination and the practice of informed consent are considered supremely important in present-day health care ethics. In general, the idea of 'doctor knows best' has become more and more suspicious. This has left us with a situation in which paternalist medicine seems difficult to reconcile with respect for patient autonomy. This book offers a thorough reflection on the relationship between autonomy and paternalism, and argues that, from both theoretical and practical angles, the tension between these concepts is not as acute as it might seem. In long-term care, psychiatry, and care for the severely handicapped, the principle of respect for autonomy is particularly ill-suited. This, however, does not mean that such respect is totally irrelevant, but that it should take a different shape. Good care in those cases requires us to transcend the sharp dichotomy between autonomy and paternalism. In Autonomy and Paternalism: Reflections on the Theory and Practice of Health Care various acclaimed authors present their views on this interesting and extremely relevant debate.

Author : George J. Agich
Publisher : Oxford University Press, USA
ISBN 13 : 9780195074956
Total Pages : 238 pages
Book Rating : 4.55/5 ( download)

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Download or read book Autonomy and Long-term Care written by George J. Agich and published by Oxford University Press, USA. This book was released on 1993 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: The realities and misconceptions of long-term care and the challenges it presents for the ethics of autonomy are analyzed in this perceptive work. While defending the concept of autonomy, the author argues that the standard view of autonomy as non-interference and independence has only a limited applicability for long-term care. He explains that autonomy should be understood as a comprehensiveness that defines the overall course of a person's life rather than as a way of responding to an isolated situation. Agich distinguishes actual and ideal autonomy and argues that actual autonomy is better revealed in the everyday experiences of long-term care than in dramatic, conflict-ridden paradigm situations such as decisions to institutionalize, to initiate aggressive treatments, or to withhold or to withdraw life-sustaining treatments. Through a phenomenological analysis of long-term care, he develops an ethical framework for it by showing how autonomy is actually manifest in certain structural features of the social world of long-term care. Throughout this timely work, the rich sociological and anthropological literature on aging and long-term care is referenced and the practical ethical questions of promoting and enhancing the exercise of autonomy are addressed.

Author : Paul R. Katz, MD
Publisher : Springer Publishing Company
ISBN 13 : 9780826168344
Total Pages : 176 pages
Book Rating : 4.45/5 ( download)

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Download or read book Vulnerable Populations in the Long Term Care Continuum written by Paul R. Katz, MD and published by Springer Publishing Company. This book was released on 2004 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since publication of the last series volume focusing on emerging systems, long term care has continued to evolve. This present volume brings to the forefront issues related to populations of varying age groups that have been neglected or under-reported. The chapters focus on populations or groups of professionals that are integral to long term care as recipients of services or as care providers. The authors present evidence to foster the creation of new paradigms of care and inform policy makers of the need for innovation. Topics examined include: Pediatric Skilled Nursing Facilities Mental Health Services Management of AIDS Patients Chronic Illness and Disability in the Prison Setting Sexuality in long Term Care Decision Making for Vulnerable Populations in the Nursing Home

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309064988
Total Pages : 345 pages
Book Rating : 4.89/5 ( download)

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Download or read book Improving the Quality of Long-Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-03-27 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Author : Robert H. Binstock
Publisher : JHU Press
ISBN 13 : 9780801853203
Total Pages : 298 pages
Book Rating : 4.06/5 ( download)

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Download or read book The Future of Long-Term Care written by Robert H. Binstock and published by JHU Press. This book was released on 1996 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: Binstock Ethical Issues in Long-Term Care Nancy Neveloff Dubler American Culture and Long-Term Care Otto von Mering Forecasting the Future of Long-Term Care Dennis L. Kodner

Author : Jacqueline Sullivan
Publisher : Routledge
ISBN 13 : 1136863664
Total Pages : 218 pages
Book Rating : 4.60/5 ( download)

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Download or read book Pastoral Care With Young and Midlife Adults in Long-Term Care written by Jacqueline Sullivan and published by Routledge. This book was released on 2013-01-11 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn how to work with people who are in need of long-term care to achieve a higher quality of life A person living with a disAbling condition has issues and challenges much different from others. Pastoral Care with Young and Midlife Adults in Long-Term Care puts a needed spotlight on various disAbling conditions needing long-term care; the issues facing people who are disAbled individually and collectively; theology available to address concerns; insights into individual spirituality; and practical recommendations for pastoral care staff. Focusing specifically on adults between the ages of 18 to 64 rather than those over that age, this source examines ways to effectively work with those who have disAbling conditions achieve a higher quality of life. Pastoral Care with Young and Midlife Adults in Long-Term Care discusses in-depth the issues which face people with physical or mental disAbling conditions. These include; the fragmentation of family life; health care issues; expenses; rights for people which varying disAbling conditions; labeling; suffering; ethics; sense of self; and coping with the adjustments of needing long-term care. The book contains a bibliography of source material; a glossary; and an annotated list of movies and videos that illuminate pastoral care issues and offer perspectives on death, dying, and grieving. Some issues covered in Pastoral Care with Young and Midlife Adults in Long-Term Care include: disAbling conditions health care of women health care of men economics of disAbility the impact of disAbling conditions upon the family long-term care rights and ethics for people with disAbling conditions language suffering grief acceptance spirituality and faith the faith journey ethics readjustment and more Pastoral Care with Young and Midlife Adults in Long-Term Care is an insightful, important book for pastoral care professionals, counselors, educators, health professionals, psychologists, and anyone with a disAbling condition.

Author : Eileen E. Morrison
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449649459
Total Pages : 456 pages
Book Rating : 4.56/5 ( download)

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Download or read book Health Care Ethics: Critical Issues for the 21st Century written by Eileen E. Morrison and published by Jones & Bartlett Publishers. This book was released on 2009-10-06 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: New Edition Available 5/1/2013 Building on the wisdom and forward thinking of authors John Monagle and David Thomasa, this thorough revision of Health Care Ethics: Critical Issues for the 21st Century brings the reader up-to-date on the most important issues in biomedical ethics today.

Author : Eileen E. Morrison
Publisher : Jones & Bartlett Learning
ISBN 13 : 076374526X
Total Pages : 456 pages
Book Rating : 4.64/5 ( download)

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Download or read book Health Care Ethics written by Eileen E. Morrison and published by Jones & Bartlett Learning. This book was released on 2009-10-06 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thorough revision of health care ethics brings the reader up to date on the most important issues in biomedical ethics today.