Charles W Lidz, Lynn Fischer, Robert M Arnold

The Erosion of Autonomy in Long-Term Care

• Gebundenes Buch

Produktbeschreibung

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.

Produktdetails

• Verlag: Oxford University Press, USA
• Seitenzahl: 216
• Erscheinungstermin: 24. September 1992
• Englisch
• Abmessung: 244mm x 164mm x 24mm
• Gewicht: 454g
• ISBN-13: 9780195073942
• ISBN-10: 0195073940
• Artikelnr.: 22263951

Inhaltsangabe

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