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Author: George J. Agich
Publisher:
ISBN: 9780195074956
Category : Family & Relationships
Languages : en
Pages : 238
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Book Description
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: George J. Agich
Publisher:
ISBN: 9780195074956
Category : Family & Relationships
Languages : en
Pages : 238
Get Book Here
Book Description
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: Charles W. Lidz
Publisher: Oxford University Press, USA
ISBN: 0195073940
Category : Medical
Languages : en
Pages : 210
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Book Description
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: Thomas Nys
Publisher: Peeters Publishers
ISBN: 9789042918801
Category : Medical
Languages : en
Pages : 196
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Book Description
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: Lucia M. Gamroth
Publisher:
ISBN:
Category : Family & Relationships
Languages : en
Pages : 272
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Book Description
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: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309132746
Category : Medical
Languages : en
Pages : 344
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Book Description
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: Paul R. Katz, MD
Publisher: Springer Publishing Company
ISBN: 9780826168344
Category : Education
Languages : en
Pages : 176
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Book Description
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: Robert H. Binstock
Publisher: JHU Press
ISBN: 9780801853203
Category : Family & Relationships
Languages : en
Pages : 298
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Book Description
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: Dale Dannefer
Publisher: SAGE
ISBN: 1446248399
Category : Social Science
Languages : en
Pages : 713
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Book Description
This SAGE Handbook integrates basic research on social dimensions of aging. It presents programmatic applications of research in areas not often seen in Handbooks including imprisonment, technology and aging, urban society aged, and elderly migration. The authors constitute a Who′s Who of international gerontology, and the focus on globalization and aging is unique among Handbooks today. This Handbook should be in the library of every social gerontologist. - Vern L. Bengtson, Professor of Gerontology, University of Southern California This volume reflects the emergence of ageing as a global concern, including chapters by international scholars from Asia, Australasia, Europe and North America. It provides a comprehensive overview of key trends and issues in the field, drawing upon the full range of social science disciplines. The Handbook is organized into five parts, each exploring different aspects of research into social aspects of ageing: Disciplinary overviews: summaries of findings from key disciplinary areas within social gerontology. Social relationships and social differences: explores area like social inequality, gender, religion, inter-generational ties, social networks, and friendships. Individual characteristics and change in later life: examines different aspects of individual aging, including self and identity, cognitive processes, and bio-social interactions and their impact on physical and psychological aging. Comparative perspectives and cultural innovations: topics include ageing and development, ageing in a global context, migration, and cross-cultural perspectives on grandparenthood. Policy issues: covering policy concerns such aslong-term care, technology and older people, end of life issues, work and retirement, and the politics of old age. This will be essential reading for all students, researchers and policy-makers concerned with the major issues influencing the lives of older people across the globe.
Author: Eileen E. Morrison
Publisher: Jones & Bartlett Publishers
ISBN: 1449649459
Category : Business & Economics
Languages : en
Pages : 456
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Book Description
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: Margaret Urban Walker
Publisher: Rowman & Littlefield Publishers
ISBN: 1461639409
Category : Philosophy
Languages : en
Pages : 299
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Book Description
This collection of original essays opens up a novel area of inquiry: the distinctively ethical dimension of women's experiences of aging. Fifteen distinguished contributors here explore assumptions, experiences, practices, and public policies that affect women's well-being and dignity in later life. The book brings to the study of women's aging a reflective dimension missing from the empirical work that has predominated to date. Ethical studies of aging have so far failed to emphasize gender. And feminist ethics has neglected older women, even when emphasizing other dimensions of 'difference.' Finally work on aging in all fields has focused on the elderly, while this volume sees aging as an extended process of negotiating personal and social change.
