Nursing Home Ethics: Everyday Issues Affecting Residents with Dementia

Nursing Home Ethics: Everyday Issues Affecting Residents with Dementia

by Bethel Ann Powers
     
 

ISBN-10: 0826119646

ISBN-13: 9780826119643

Pub. Date: 09/09/2003

Publisher: Springer Publishing Company

Designated a Doody's Core Title!

Winner of an AJN Book of the Year Award!

A comprehensive and thoughtful examination of the ethical issues that arise in long-term care. The first two chapters set the stage by exploring the pre-nursing home experiences of families living with dementia and, in contrast, how residents and family members

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Overview

Designated a Doody's Core Title!

Winner of an AJN Book of the Year Award!

A comprehensive and thoughtful examination of the ethical issues that arise in long-term care. The first two chapters set the stage by exploring the pre-nursing home experiences of families living with dementia and, in contrast, how residents and family members experience life in the nursing home. The following chapters contain detailed hypothetical cases that include questions, possible actions, and insightful commentary to illustrate practical approaches to understanding ethical everyday issues affecting nursing home residents. The book also contains a useful Appendix focusing on creating a Nursing Home Ethics Committee.

Product Details

ISBN-13:
9780826119643
Publisher:
Springer Publishing Company
Publication date:
09/09/2003
Edition description:
Older Edition
Pages:
240
Product dimensions:
6.02(w) x 9.04(h) x 0.49(d)

Table of Contents

Foreword
Introduction
Acknowledgments
Chapter 1Living With Dementia1
Overview1
"It was such an unexpected thing."2
"It came to the point where we needed a diagnosis."5
"She fought me tooth and nail."10
"It was traumatic for her and for us."16
"There was no way we could let her live alone."18
"I don't think they watched her very well."20
"We decided to move in with her."22
"I wanted to make everything right and you just can't."23
"I felt like I'd be betraying him."24
"It's brought us close together."26
Postscript28
Chapter 2The Nursing Home Experience29
Overview29
"I remember thinking, 'This just is happening too fast.'"29
"I have to be her advocate."33
"I want to go home."37
Care Concerns - "That's not my idea ... but I would never say anything."38
Social Concerns - "Days are slow and not very interesting."42
Environmental Concerns - "Sharing a room was very hard."44
Nursing Homes and Long Term Care - "It's the way society is today."54
Chapter 3Ethics in Action59
Overview59
What Counts as an Ethical Matter60
Application of Ethics in Practice62
Contextual Considerations67
Organizational Subcultures69
Universal Moral Concerns71
Frameworks for Assessing Resident-Focused Issues74
Chapter 4Case Examples100
Overview100
Case Examples101
My Favorite Things109
Breaking Bad News112
I'm Scared of Him115
It Feels Just Like Jail119
Night and Day124
As I Remember Him132
Timing is Everything135
Don't Get Around Much Anymore142
A Moving Experience145
I'm Ready to Go Home151
Please, Just One More Bite156
Get Me Out Of Here164
Appendix
Nursing Home Ethics Committee Q & A171
Sample Case Review Record193
Sample Resources195
References197
Index209

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