As the population ages and the health care system focuses on
cost-containment, family caregivers have become the frontline
providers of most long-term and chronic care. Patient care at home
falls mainly on untrained and unprepared family members, who
struggle to adjust to the new roles, responsibilities, and
expenses. Because the culture of family caregivers-their values,
priorities, and relationships to the patient-often differs markedly
from that of professionals, the result can be conflict and
misunderstanding. In The Cultures of Caregiving, Carol Levine and
Thomas Murray bring together accomplished physicians, nurses,
social workers, and policy experts to examine the differences and
conflicts (and sometimes common ground) between family caregivers
and health care professionals-and to suggest ways to improve the
situation. Topics addressed include family caregivers and the
health care system; cultural diversity and family caregiving; the
changing relationship between nurses, home care aides, and
families; long-term health care policy; images of family caregivers
in film; and the ethical dimensions of professional and family
responsibilities. The Cultures of Caregiving provides needed
answers in the contemporary crisis of family caregiving for a
readership of professionals and students in medical ethics, health
policy, and such fields as primary care, geriatrics, oncology,
nursing, and social work. Contributors: Donna Jean Appell, R.N.,
Project DOCC: Delivery of Chronic Care; Jeffrey Blustein, Ph.D.,
Albert Einstein College of Medicine and Barnard College; Judith
Feder, Ph.D., Georgetown University; Gladys Gonzalaz-Ramos, M.S.W.,
Ph.D., New York University School of Social Work and NYU Medical
School; David A. Gould, Ph.D., United Hospital Fund in New York
City; Eileen Hanley, R.N., M.B.A., St. Vincent's Hospital Manhattan
/ Saint Vincent Catholic Medical Centers, New York City; Maggie
Hoffman, Project DOCC: Delivery of Chronic Care; Alexis Kuerbis,
C.S.W., Mount Sinai Medical Center; Carol Levine, M.A., United
Hospital Fund, in New York City; Jerome K. Lowenstein, M.D., New
York University Medical Center; Mathy Mezey, R.N., Ed.D., New York
University; Thomas H. Murray, Ph.D., The Hastings Center, Garrison,
New York; Judah L. Ronch, Ph.D., LifeSpan DevelopMental Systems;
Sheila M. Rothman, Ph.D., Columbia University Mailman School of
Public Health; Rick Surpin, Independence Care System.
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