The erosion of autonomy in long-term care / / Charles W. Lidz, Lynn Fischer, Robert M. Arnold

• Autore: Lidz Charles W
• Pubblicazione: New York, : Oxford University Press, 1992
• Edizione: 1st ed.
• Descrizione fisica: 1 online resource (210 p.)
• Disciplina: 362.160973
• Soggetto topico: Older people - Long-term care; Autonomy (Psychology) in old age; Nursing home residents - United States
• Altri autori: ArnoldRobert M. <1957-> FischerLynn <1956->
• Note generali: Previously issued in print: 1992.
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Intro -- Contents -- 1. The Meaning of Autonomy in Long-Term Care -- Different Concepts of Autonomy -- Autonomy, Privacy, and Liberty -- Conclusion -- 2. How Did We Get Here? A Brief History of the Nursing Home -- The Colonial Period -- The Rise of Institutions -- The Jacksonian Approach -- The Early Twentieth Century -- Social Security and the Advent of Proprietary Homes -- The Emerging Medical Model -- The Growth of Regulation -- The Regulatory Criteria at the Time of This Study -- Conclusion -- 3. The Research Setting and Strategies -- The Research Setting -- Research Strategy-The Use of Participant Observational Techniques -- Nonethnographic Data Collection -- Informed Consent -- Analysis -- Conclusion -- 4. The Value Basis of Long-Term Care -- Positive Staff Evaluations -- Negative Staff Evaluations -- Family Values -- Residence Staff Values -- Conclusion -- 5. Caring and Cared-for: Role Relationships in Long-Term Care -- The Role Relationships of Patient and Physician -- Role Relationships in Intermediate and Skilled Care -- Family Roles -- Role Relationships in the Residence -- Conclusion -- 6. Restrictions -- Preserving the Body -- Compliance with Fiscal Policies -- Maintenance of Institutional Routines -- Conclusion -- 7. Activities and Schedules: The Routine of Daily Life -- Temporal Autonomy -- Schedules of Care -- Scheduled Breaks in the Routine-Weekly Activities -- Residence Routines and Schedules -- Conclusion -- 8. Interaction Patterns and Autonomy -- Staff-Patient Interaction Patterns -- Staff-Resident Interactions -- Patient/Patient Interactions -- Conclusion -- 9. Privacy: Access to Space and Property -- Spatial Rights -- Privacy of Possessions -- Information Privacy -- Bodily Privacy -- Residential Units -- Conclusion -- 10. Physical Redirection and Restraint -- Physical Redirection -- Restraints -- Conclusion. ; 11. Summary and Implications for Long-Term Care -- Life on the Nursing Side-A "Total Institution"? -- The Impact of Nursing Homes on Autonomy -- Autonomy and Demented Patients -- The OBRA Regulations: A Regulatory Solution? -- Applying the Lessons of Residential Area to the Nursing Home -- References -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W -- Z.
• Sommario/riassunto: 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.
• Titolo autorizzato: The erosion of autonomy in long-term care
• ISBN: 0-19-770654-1; 1-280-52610-6; 9786610526109; 0-19-974873-X; 1-4294-0741-7
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910969260303321
• Lo trovi qui: Univ. Federico II
• Serie: Oxford scholarship online.