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The Erosion of Autonomy in Long-Term Care (Hardcover, New)
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The Erosion of Autonomy in Long-Term Care (Hardcover, New)
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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 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 a detailed description of the
organizational patterns that erode autonomy of the elderly. Their
observations lead to a substantial rethinking of 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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