Enhancing Autonomy In Long Term Care
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Enhancing Autonomy In Long Term Care
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Author : Lucia M. Gamroth
language : en
Publisher:
Release Date : 1995
Enhancing Autonomy In Long Term Care written by Lucia M. Gamroth and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995 with Family & Relationships categories.
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.
The Erosion Of Autonomy In Long Term Care
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Author : Charles W. Lidz
language : en
Publisher: Oxford University Press
Release Date : 1992-09-24
The Erosion Of Autonomy In Long Term Care written by Charles W. Lidz and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1992-09-24 with Medical categories.
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.
Autonomy And Long Term Care
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Author : George J. Agich
language : en
Publisher: Oxford University Press, USA
Release Date : 1993
Autonomy And Long Term Care written by George J. Agich and has been published by Oxford University Press, USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 1993 with Medical categories.
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.
Quality Of Life And Well Being For Residents In Long Term Care Communities
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Author : Jennifer L. Johs-Artisensi
language : en
Publisher: Springer Nature
Release Date : 2022-06-06
Quality Of Life And Well Being For Residents In Long Term Care Communities written by Jennifer L. Johs-Artisensi and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-06-06 with Social Science categories.
This book explores key factors long-term care recipients have identified as impacting their quality of life and offers programmatic and policy recommendations to enhance well-being within long-term care communities. Leadership and staff who work in nursing homes and other residential care communities serve as gatekeepers to resident well-being, often without recognizing how residents’ quality of life is impacted by their decision-making. This book takes a life domain approach to build on research-based studies that document key drivers of care recipients’ quality of life, including relationships, autonomy and respect, activities and meals, environment, and care. Using a framework that enhances understanding of resident quality of life, it outlines practical, programmatic, and policy suggestions for long-term care stakeholders, such as administrators, managers, front-line staff, family members, and policy-makers, whose directives and actions impact the lived experience of long-term care residents. As such, this book serves as a roadmap for leaders and managers of long-term care communities, along with policymakers who regulate health and human services, to best structure care environments to maximize quality of life and well-being for long-term care recipients.
Ethics In Community Based Elder Care
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Author : Martha Holstein
language : en
Publisher: Springer Publishing Company
Release Date : 2001-10-11
Ethics In Community Based Elder Care written by Martha Holstein and has been published by Springer Publishing Company this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001-10-11 with Medical categories.
Caring for elders outside of institutions is the fastest growing sector of US health care. Building on their research study at the Park Ridge Center, editors Holstein and Mitzen, together with a team of experts, examine the complexities involved in developing an ethics for community-based long-term care. They also challenge policymakers to make home care a more viable option for older people in need. Chapters address many of the ethical and practical problems that arise in the care of older people with physical and mental disabilities--including how to allocate scarce funds, how to keep good caregivers, how to balance concerns of autonomy, risk and safety, and worker stress. The volume is an excellent resource for practitioners, policymakers, and students.
Aging Autonomy And Architecture
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Author : Benyamin Schwarz
language : en
Publisher: JHU Press
Release Date : 1999
Aging Autonomy And Architecture written by Benyamin Schwarz and has been published by JHU Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Architecture and the aged categories.
Examines various aspects of the design and function of aged care assisted living facilities. Includes the needs of people with dementia and people from culturally diverse backgrounds.
Dependence And Autonomy In Old Age
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Author : George Agich
language : en
Publisher: Cambridge University Press
Release Date : 2003-08-07
Dependence And Autonomy In Old Age written by George Agich and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003-08-07 with Family & Relationships categories.
Respecting the autonomy of disabled people is an important ethical issue for providers of long-term care. In this influential book, George Agich abandons comfortable abstractions to reveal the concrete threats to personal autonomy in this setting, where ethical conflict, dilemma and tragedy are inescapable. He argues that liberal accounts of autonomy and individual rights are insufficient, and offers an account of autonomy that matches the realities of long-term care. The book therefore offers a framework for carers to develop an ethic of long-term care within the complex environment in which many dependent and aged people find themselves. Previously published as Autonomy and Long-term Care, this revised edition, in paperback for the first time, takes account of recent work and develops the author's views of what autonomy means in the real world. It will have wide appeal among bioethicists and health care professionals.
Ethical Patient Care
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Author : Mathy D. Mezey
language : en
Publisher: JHU Press
Release Date : 2003-04-29
Ethical Patient Care written by Mathy D. Mezey and has been published by JHU Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003-04-29 with Medical categories.
The delivery of good medical care often involves professionals from various disciplines working together. Interdisciplinary health care teams can be especially valuable in managing patients with complex medical and social needs, such as older persons in hospital, community, or home settings. Such teams, however, can also complicate or even create problems because of their diverse views and responsibilities. Ethical Patient Care: A Casebook for Geriatric Health Care Teams is designed to teach effective and responsible group decision making to clinicians working in teams to treat older patients. The editors use the case study method to present ethical dilemmas that team members encounter in the management of geriatric patients. Patients with multiple chronic conditions so often require the care of more than one medical specialist, and in the introductory chapters the editors suggest ways to resolve conflicts among patients, health care professionals, and the institutions that support them, including hospitals, HMOs, insurance companies, and the government. The book is then divided into four sections, each dealing with one angle of the team-care picture. The first section treats the diverse ethical imperatives of various professionals, conflicts among disciplinary approaches, and and varying attitudes toward end-of-life- decision making. Section two focuses on the patient and covers patient confidentiality, family decisionmaking and interaction with the healthcare team, issues of patient and team nonadherence to the care plan, and elder abuse and neglect. Section three examines the emerging difficulties of decentralized health care in settings such as hospitals, nursing homes, and the home, including clinician accountability and how ethical dilemmas differ across settings. Section four discusses the problems arising from the increasing responsibility of clinicians to manage costs and serve the interests of hospitals and insurers. Ethical Patient Care is a valuable resource for bioethicists, gerontologists, and the physicians, nurses, social workers, and therapists who care for aging persons.
Equity Choices And Long Term Care Policies In Europe
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Author : August Oesterle
language : en
Publisher: Routledge
Release Date : 2017-07-05
Equity Choices And Long Term Care Policies In Europe written by August Oesterle and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-07-05 with Social Science categories.
This title was first published in 2001: Employing an interdisciplinary and comparative approach to equity in long-term care, this book addresses the fact that demographic changes leading to ageing populations, financial pressures and changes in traditional support systems have brought long-term care and the redesign of care systems to the top of the European social policy agenda. Despite the importance of this issue, however, the question of equity in long-term care has until now received relatively little attention in social policy research. Rather than focusing on theories of social justice or the analysis of specific interpretations of equity, this book develops key dimensions of equity choices in a framework for systematic comparative analysis. This tool is then used to investigate long-term care policies in Europe, exploring equity choices in both the provision and the finance of long-term care. These choices are discussed comparatively with regard to the implications for the various actors and are also contrasted with basic welfare state objectives. This book represents an important addition to comparative research into several key areas of welfare and welfare state design. It explores the division of responsibilities in long-term care systems between the public and private and formal and informal sectors, the relationships between different welfare state objectives, the different types of welfare state intervention, and the principles and choices surrounding the allocation of resources and burdens.
Ethics Law And Aging Review Volume 9
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Author : Marshall B. Kapp, JD, MPH, FCLM
language : en
Publisher: Springer Publishing Company
Release Date : 2003-08-15
Ethics Law And Aging Review Volume 9 written by Marshall B. Kapp, JD, MPH, FCLM and has been published by Springer Publishing Company this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003-08-15 with Law categories.
This volume explores the concept of safety as applied in the long term care context. Chapters examine the way in which the quest for safety may work either synergistically or adversely upon other worthy social goals. Among the initiatives considered are promoting the decision-making autonomy of patients/clients and their surrogates, enhancing the quality of care and quality of life available to long term care residents, and providing fair compensation for injured victims when serious harm occurs. Questions addressed that are of concern to legal and ethical theorists, social science researchers, and patient/client advocates include: To what extent do litigation and/or regulation accomplish the safety and other legitimate objectives of public policy in the long term care arena? Do the costs of various approaches outweigh the benefits in promoting safety and other goals? How do litigation and regulation compare with alternative approaches to achieving the same goals, in terms of an acceptable cost/benefit balance?