The Erosion of Autonomy in Long-Term Care by Charles W. LidzThe Erosion of Autonomy in Long-Term Care by Charles W. Lidz

The Erosion of Autonomy in Long-Term Care

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

Hardcover | March 1, 1988

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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 andare 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 rethinkingof 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.
Charles W. Lidz, Lynn Fischer, and Robert M. Arnold are all at the University of Pittsburgh School of Medicine.
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Title:The Erosion of Autonomy in Long-Term CareFormat:HardcoverDimensions:216 pages, 9.57 × 6.46 × 0.91 inPublished:March 1, 1988Publisher:Oxford University Press

The following ISBNs are associated with this title:

ISBN - 10:0195073940

ISBN - 13:9780195073942

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Table of Contents

1. The Meaning of Autonomy in Long-Term Care2. How Did We Get There? A Brief History of the Nursing Home3. The Setting and Research Strategies4. The Value Basis of Long-Term Care5. Caring and Cared For: Role Relationships in Long-Term Care6. Restrictions7. Activities and Schedules: The Routine of Daily Life8. Interaction Patterns and Autonomy9. Privacy: Access to Space and Property10. Physical Redirection and Restraint11. Summary and Implications for Long-Term Care

From Our Editors

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.

Editorial Reviews

"The authors present a clear conceptual and historical framework which sets the context for the study's rationale and findings."--Disabilities Studies Quarterly