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The erosion of autonomy in long-term care /

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 im...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Lidz, Charles W.
Otros Autores: Fischer, Lynn, 1956-, Arnold, Robert M., 1957-
Formato: Electrónico eBook
Idioma:Inglés
Publicado: New York : Oxford University Press, 1992.
Temas:
Acceso en línea:Texto completo

MARC

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100 1 |a Lidz, Charles W. 
245 1 4 |a The erosion of autonomy in long-term care /  |c Charles W. Lidz, Lynn Fischer, Robert M. Arnold. 
260 |a New York :  |b Oxford University Press,  |c 1992. 
300 |a 1 online resource (xiii, 195 pages) 
336 |a text  |b txt  |2 rdacontent 
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504 |a Includes bibliographical references (pages 183-186) and index. 
505 0 0 |g 1.  |t The Meaning of Autonomy in Long-Term Care.  |t Different Concepts of Autonomy.  |t Autonomy, Privacy, and Liberty --  |g 2.  |t How Did We Get Here? A Brief History of the Nursing Home.  |t The Colonial Period.  |t The Rise of Institutions.  |t The Jacksonian Approach.  |t The Early Twentieth Century.  |t Social Security and the Advent of Proprietary Homes.  |t The Emerging Medical Model.  |t The Growth of Regulation.  |t The Regulatory Criteria at the Time of This Study --  |g 3.  |t The Research Setting and Strategies.  |t The Research Setting.  |t Research Strategy -- The Use of Participant Observational.  |t Techniques.  |t Nonethnographic Data Collection.  |t Informed Consent.  |t Analysis --  |g 4.  |t The Value Basis of Long-Term Care.  |t Positive Staff Evaluations.  |t Negative Staff Evaluations.  |t Family Values.  |t Residence Staff Values --  |g 5.  |t Caring and Cared-for: Role Relationships in Long-Term Care.  |t The Role Relationships of Patient and Physician.  |t Role Relationships in Intermediate and Skilled Care.  |t Family Roles.  |t Role Relationships in the Residence --  |g 6.  |t Restrictions.  |t Preserving the Body.  |t Compliance with Fiscal Policies.  |t Maintenance of Institutional Routines --  |g 7.  |t Activities and Schedules: The Routine of Daily Life.  |t Temporal Autonomy.  |t Schedules of Care.  |t Scheduled Breaks in the Routine -- Weekly Activities.  |t Residence Routines and Schedules --  |g 8.  |t Interaction Patterns and Autonomy.  |t Staff-Patient Interaction Patterns.  |t Staff-Resident Interactions. 
520 |a 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. 
546 |a English. 
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650 0 |a Nursing home residents  |z United States. 
650 0 |a Autonomy (Psychology) in old age. 
650 0 |a Older people  |x Long-term care. 
650 0 |a Old age homes. 
650 0 |a Long-term care of the sick. 
650 0 |a Older people. 
650 2 |a Homes for the Aged 
650 2 |a Interpersonal Relations 
650 2 |a Long-Term Care 
650 2 |a Aged 
650 2 |a Nursing Homes 
650 2 |a Patient Advocacy 
651 2 |a United States 
650 6 |a Patients d'établissements de soins, de cure, etc.  |z États-Unis. 
650 6 |a Autonomie chez la personne âgée. 
650 6 |a Personnes âgées  |x Soins de longue durée. 
650 6 |a Foyers pour personnes âgées. 
650 6 |a Soins de longue durée. 
650 6 |a Personnes âgées. 
650 6 |a Établissements de soins, de cure, etc. 
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650 7 |a nursing homes.  |2 aat 
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650 7 |a Altenheim  |2 gnd 
650 7 |a Langzeitbetreuung  |2 gnd 
650 7 |a Autonomie  |2 gnd 
650 1 7 |a Verpleeghuizen.  |2 gtt 
650 1 7 |a Autonomie (algemeen)  |2 gtt 
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653 0 |a Nursing homes. 
700 1 |a Fischer, Lynn,  |d 1956- 
700 1 |a Arnold, Robert M.,  |d 1957- 
776 0 8 |i Print version:  |a Lidz, Charles W.  |t Erosion of autonomy in long-term care.  |d New York : Oxford University Press, 1992  |z 9780195073942  |w (DLC) 92006085  |w (OCoLC)25372264 
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