The Erosion of Autonomy in Long-Term CareOxford University Press, 1992 M09 24 - 216 páginas 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 a detailed description of the organizational patterns that erode autonomy of the elderly. Their observations lead to a substantial rethinking of what the concept of autonomy means in these settings. The book concludes with concrete suggestions on methods to increase the autonomy of elderly individuals in long-term care institutions. |
Contenido
The Meaning of Autonomy in LongTerm Care | 3 |
How Did We Get Here? A Brief History | 22 |
The Research Setting and Strategies | 40 |
The Value Basis of LongTerm Care | 57 |
Role Relationships | 69 |
Restrictions | 87 |
The Routine of Daily Life | 112 |
Access to Space and Property | 141 |
Physical Redirection and Restraint | 155 |
Summary and Implications for LongTerm Care | 168 |
References | 183 |
Otras ediciones - Ver todas
The Erosion of Autonomy in Long-term Care Charles W. Lidz,Lynn Fischer,Robert M. Arnold Vista previa limitada - 1992 |
Términos y frases comunes
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