The erosion of autonomy in long-term care

著者

書誌事項

The erosion of autonomy in long-term care

Charles W. Lidz, Lynn Fischer, Robert M. Arnold

Oxford University Press, 1992

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注記

Bibliography: p. [183]-186

Includes Index

内容説明・目次

内容説明

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 a detailed description of the organizational patterns that erode autonomy of the elderly. Their observations lead to a substantial rethinking of what the concept of autonomy means in these settings. The book concludes with concrete suggestions on methods to increase the autonomy of elderly individuals in long-term care institutions.

目次

  • 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

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