Ethics in Community-Based Elder Care

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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.

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Product Details

  • ISBN-13: 9780826100894
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 9/5/2000
  • Series: Springer Series on Ethics, Law and Aging
  • Pages: 336
  • Sales rank: 1,031,607
  • Product dimensions: 6.10 (w) x 9.10 (h) x 0.80 (d)

Meet the Author

Martha B. Holstein, PhD, is an Associate for Research at the Park Ridge Center for the Study of Health, Faith, and Ethics in Chicago, where her focus is applied ethics in health care and other settings. She holds a PhD from the Institute for the Medical Humanities at the University of Texas Medical Branch and was formerly on the staff of the Hastings Center, Associate Director of the American Society of Aging, and a planner for the San Francisco Commission on Aging. For much of her work life, she has been interested in the bridge between theory and practice; for the past fifteen years this effort has focused on ethics, especially in the area of aging. She has been involved in aging-related issues since 1973 and believes that "doing" ethics is an evolving skill that starts from one's values and stance in the world but does not end there. She also believes that ethical analysis is an engaged enterprise; to try to affect background conditions that help create many problems is the task of the ethicist as citizen. Dr. Holstein writes, teaches, lectures, and conducts training on the subject of ethics and aging.

Phyllis Mitzen, ACSW, LCSW, received her MA from the University of Chicago, School of Social Service Administration. She has been at the Council for Jewish Elderly since 1980, where she is currently Director of Development. In her prior role at CJE she managed community-based home-care programs which led her in 1984 to initiate a community ethics committee at CJE. In the 1990's, she chaired the advisory committee to Illinois' community Care Program as it incorporated client-centered concepts into the sate run program. The Ethics in Home-Care Project emerged from this work. She has always believed that the problems in home care are too complex and too numerous to be left only to agencies and the state, but that they require reflection by individuals. She has promoted these ideas while serving on home-care boards and commissions. She has written articles, book chapters and has made numerous local, national and international presentations on this topic. In 1995, she was a delegate to the White House Conference on Aging.

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Table of Contents



Part I: Introduction
• Elders in the Community: Moral Lives, Moral Quandaries, Martha B. Holstein & Phyllis Mitzen
Part II: Background/Theory
• Ethics & Aging: A Historical Perspective, Brian F. Hofland
• Bringing Ethics Home: A New Look at Ethics in the Home and the Community, Martha B. Holstein
• The Ethical Importance of Home Care, Mark Waymack
• An Ethic of Care, Joan C. Tronto
• Old Ethical Frameworks: What Works, What Doesn’t?, Mark Waymack
Part III: Organizations/Care Providers/Care Receivers
• Creating an Ethical Organization, David M. McCurdy
• Organizational Ethics in a Nonprofit Agency: Changing Practice, Enduring Values, Phyllis Mitzen
• Ethics in Clinical Practice with Older Adults: Recognizing Biases and Respecting Boundaries, Robyn L. Golden & Sallie Sonneborn
• Ethics and the Frontline Worker: A Challenge for the 21st Century, Robyn I. Stone & Yoshiko Yamada
• When the Helper Needs Help: A Social Worker’s Experience in Receiving Home Care, Nan G. O’Connor
• Care at Home: Virtue in Multigenerational Households, Hilde Lindemann Nelson & James Lindemann Nelson
Part IV: Practice
• Mapping the Jungle: A Proposed Method for Ethical Decision Making in Geriatric Social Work, David Fireman, Sharon Dornberg-Lee, & Lisa Moss
• Adult Day Services: Ethics and Daily Life, Pat Stacy Cohen
• Is Home Care Always the Best Care?, Daniel Kuhn
• A Good Death? Finding a Balance Between the Interests of Patients and Caregivers, Stephen Ellingson & Jon D. Fuller
• Case Managers Meeting to Discuss Ethics, Gail McClelland
• Who’s Safe? Who’s Sorry?: The Duty to Protect the Safety of HCBS Consumers, Rosalie A. Kane & Carrie A. Levin
• Addressing Prejudice: A Layered Analysis, David E. Guinn
• Cross-Cultural Geriatric Ethics: Negotiating Our Differences, Harry R. Moody
Part V: Policy
• The Science and Ethics of Long-Term Care, Larry Polivka
• Paid Family Caregiving: A Practical and Ethical Conundrum, Martha B. Holstein and Phyllis Mitzen The Case Against Paid Family Caregivers: Ethical and Practical Issues, C. Jean Blaser Payments to Families Who Provide Care: An Option That Should be Available, Lori Simon-Rusinowitz, Kevin J. Mahoney, and A.E. Benjamin
• Ethics, the State, and Public Policy: From the Inside, From the Outside, June L. Noel


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