The erosion of autonomy in long-term care:
Gespeichert in:
Bibliographische Detailangaben
1. Verfasser: Lidz, Charles W. (VerfasserIn)
Format: Elektronisch E-Book
Sprache:English
Veröffentlicht: New York Oxford University Press 1992
Schlagworte:
Online-Zugang:FAW01
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Volltext
Beschreibung:Includes bibliographical references (p. 183-186) and index
1 - The Meaning of Autonomy in Long-Term Care - Different Concepts of Autonomy - Autonomy, Privacy, and Liberty -- - 2 - How Did We Get Here? A Brief History of the Nursing Home - The Colonial Period - The Rise of Institutions - The Jacksonian Approach - The Early Twentieth Century - Social Security and the Advent of Proprietary Homes - The Emerging Medical Model - The Growth of Regulation - The Regulatory Criteria at the Time of This Study -- - 3 - The Research Setting and Strategies - The Research Setting - Research Strategy -- The Use of Participant Observational - Techniques - Nonethnographic Data Collection - Informed Consent - Analysis -- - 4 - The Value Basis of Long-Term Care - Positive Staff Evaluations - Negative Staff Evaluations - Family Values - Residence Staff Values -- - 5 - Caring and Cared-for: Role Relationships in Long-Term Care - The Role Relationships of Patient and Physician - Role Relationships in Intermediate and Skilled Care - Family Roles - Role Relationships in the Residence -- - 6 - Restrictions - Preserving the Body - Compliance with Fiscal Policies - Maintenance of Institutional Routines -- - 7 - Activities and Schedules: The Routine of Daily Life - Temporal Autonomy - Schedules of Care - Scheduled Breaks in the Routine -- Weekly Activities - Residence Routines and Schedules -- - 8 - Interaction Patterns and Autonomy - Staff-Patient Interaction Patterns - Staff-Resident Interactions
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
Beschreibung:1 Online-Ressource (xiii, 195 p.)
ISBN:0195073940
1280526106
1429407417
9780195073942
9781280526107
9781429407410

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