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Author Lidz, Charles W.
Title The erosion of autonomy in long-term care / Charles W. Lidz, Lynn Fischer, Robert M. Arnold.
Imprint New York : Oxford University Press, 1992.

Author Lidz, Charles W.
Subject Nursing home patients -- United States.
Autonomy (Psychology) in old age.
Older people -- Long-term care.
Homes for the Aged.
Interpersonal Relations.
Long-Term Care.
Nursing Homes.
Patient Advocacy.
United States.
Alt Name Fischer, Lynn, 1956-
Arnold, Robert M., 1957-
Description 1 online resource (xiii, 195 pages)
polychrome rdacc
Bibliography Note Includes bibliographical references (pages 183-186) and index.
Contents 1. The Meaning of Autonomy in Long-Term Care. Different Concepts of Autonomy. Autonomy, Privacy, and Liberty -- 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 -- 3. The Research Setting and Strategies. The Research Setting. Research Strategy -- The Use of Participant Observational. Techniques. Nonethnographic Data Collection. Informed Consent. Analysis -- 4. The Value Basis of Long-Term Care. Positive Staff Evaluations. Negative Staff Evaluations. Family Values. Residence Staff Values -- 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 -- 6. Restrictions. Preserving the Body. Compliance with Fiscal Policies. Maintenance of Institutional Routines -- 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 -- 8. Interaction Patterns and Autonomy. Staff-Patient Interaction Patterns. Staff-Resident Interactions.
Summary 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.
ISBN 1429407417 (electronic bk.)
9781429407410 (electronic bk.)
0195073940 (alk. paper)
OCLC # 666963890
Additional Format Print version: Lidz, Charles W. Erosion of autonomy in long-term care. New York : Oxford University Press, 1992 9780195073942 (DLC) 92006085 (OCoLC)25372264.

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