The Erosion of Autonomy in Long-Term Care / Edition 1

The Erosion of Autonomy in Long-Term Care / Edition 1

by Charles W. Lidz, Lynn Fischer, Robert M. Arnold
     
 

ISBN-10: 0195073940

ISBN-13: 9780195073942

Pub. Date: 09/28/1992

Publisher: Oxford University Press, USA

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

Overview

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.

Product Details

ISBN-13:
9780195073942
Publisher:
Oxford University Press, USA
Publication date:
09/28/1992
Pages:
216
Product dimensions:
6.44(w) x 9.56(h) x 0.90(d)

Table of Contents

1. The Meaning of Autonomy in Long-Term Care
2. How Did We Get There? A Brief History of the Nursing Home
3. The Setting and Research Strategies
4. The Value Basis of Long-Term Care
5. Caring and Cared For: Role Relationships in Long-Term Care
6. Restrictions
7. Activities and Schedules: The Routine of Daily Life
8. Interaction Patterns and Autonomy
9. Privacy: Access to Space and Property
10. Physical Redirection and Restraint
11. Summary and Implications for Long-Term Care

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