The Erosion of Autonomy in Long-Term Care

Hardcover | March 1, 1988

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

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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.

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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 autonom...

From the Publisher

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...

Charles W. Lidz, Lynn Fischer, and Robert M. Arnold are all at the University of Pittsburgh School of Medicine.

other books by Charles W. Lidz

Format: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