Autonomy and Long-term Care

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Author :
Release : 1993
Genre : Medical
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Book Rating : 956/5 ( reviews)

Autonomy and Long-term Care - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Autonomy and Long-term Care write by George J. Agich. This book was released on 1993. Autonomy and Long-term Care available in PDF, EPUB and Kindle. 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.

Enhancing Autonomy in Long-term Care

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Author :
Release : 1995
Genre : Family & Relationships
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Book Rating : /5 ( reviews)

Enhancing Autonomy in Long-term Care - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Enhancing Autonomy in Long-term Care write by Lucia M. Gamroth. This book was released on 1995. Enhancing Autonomy in Long-term Care available in PDF, EPUB and Kindle. 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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Release : 1992
Genre : Medical
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Book Rating : 940/5 ( reviews)

The Erosion of Autonomy in Long-term Care - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook The Erosion of Autonomy in Long-term Care write by Charles W. Lidz. This book was released on 1992. The Erosion of Autonomy in Long-term Care available in PDF, EPUB and Kindle. 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.

Dependence and Autonomy in Old Age

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Release : 2003-08-07
Genre : Family & Relationships
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Book Rating : 201/5 ( reviews)

Dependence and Autonomy in Old Age - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Dependence and Autonomy in Old Age write by George Agich. This book was released on 2003-08-07. Dependence and Autonomy in Old Age available in PDF, EPUB and Kindle. 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.

Improving the Quality of Long-Term Care

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Release : 2001-02-27
Genre : Medical
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Book Rating : 746/5 ( reviews)

Improving the Quality of Long-Term Care - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Improving the Quality of Long-Term Care write by Institute of Medicine. This book was released on 2001-02-27. Improving the Quality of Long-Term Care available in PDF, EPUB and Kindle. Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.