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The Erosion of Autonomy in Long-Term Care.

By: Contributor(s): Material type: TextTextPublisher: Oxford : Oxford University Press, Incorporated, 1992Copyright date: ©1992Edition: 1st edDescription: 1 online resource (210 pages)Content type:
  • text
Media type:
  • computer
Carrier type:
  • online resource
ISBN:
  • 9780199748730
Subject(s): Genre/Form: Additional physical formats: Print version:: The Erosion of Autonomy in Long-Term CareDDC classification:
  • 362.16
LOC classification:
  • RA997.L54
Online resources:
Contents:
Intro -- Contents -- 1. The Meaning of Autonomy in Long-Term Care -- Different Concepts of Autonomy -- Autonomy, Privacy, and Liberty -- Conclusion -- 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 -- Conclusion -- 3. The Research Setting and Strategies -- The Research Setting -- Research Strategy-The Use of Participant Observational Techniques -- Nonethnographic Data Collection -- Informed Consent -- Analysis -- Conclusion -- 4. The Value Basis of Long-Term Care -- Positive Staff Evaluations -- Negative Staff Evaluations -- Family Values -- Residence Staff Values -- Conclusion -- 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 -- Conclusion -- 6. Restrictions -- Preserving the Body -- Compliance with Fiscal Policies -- Maintenance of Institutional Routines -- Conclusion -- 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 -- Conclusion -- 8. Interaction Patterns and Autonomy -- Staff-Patient Interaction Patterns -- Staff-Resident Interactions -- Patient/Patient Interactions -- Conclusion -- 9. Privacy: Access to Space and Property -- Spatial Rights -- Privacy of Possessions -- Information Privacy -- Bodily Privacy -- Residential Units -- Conclusion -- 10. Physical Redirection and Restraint -- Physical Redirection -- Restraints -- Conclusion.
11. Summary and Implications for Long-Term Care -- Life on the Nursing Side-A "Total Institution"? -- The Impact of Nursing Homes on Autonomy -- Autonomy and Demented Patients -- The OBRA Regulations: A Regulatory Solution? -- Applying the Lessons of Residential Area to the Nursing Home -- References -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W -- Z.
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Intro -- Contents -- 1. The Meaning of Autonomy in Long-Term Care -- Different Concepts of Autonomy -- Autonomy, Privacy, and Liberty -- Conclusion -- 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 -- Conclusion -- 3. The Research Setting and Strategies -- The Research Setting -- Research Strategy-The Use of Participant Observational Techniques -- Nonethnographic Data Collection -- Informed Consent -- Analysis -- Conclusion -- 4. The Value Basis of Long-Term Care -- Positive Staff Evaluations -- Negative Staff Evaluations -- Family Values -- Residence Staff Values -- Conclusion -- 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 -- Conclusion -- 6. Restrictions -- Preserving the Body -- Compliance with Fiscal Policies -- Maintenance of Institutional Routines -- Conclusion -- 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 -- Conclusion -- 8. Interaction Patterns and Autonomy -- Staff-Patient Interaction Patterns -- Staff-Resident Interactions -- Patient/Patient Interactions -- Conclusion -- 9. Privacy: Access to Space and Property -- Spatial Rights -- Privacy of Possessions -- Information Privacy -- Bodily Privacy -- Residential Units -- Conclusion -- 10. Physical Redirection and Restraint -- Physical Redirection -- Restraints -- Conclusion.

11. Summary and Implications for Long-Term Care -- Life on the Nursing Side-A "Total Institution"? -- The Impact of Nursing Homes on Autonomy -- Autonomy and Demented Patients -- The OBRA Regulations: A Regulatory Solution? -- Applying the Lessons of Residential Area to the Nursing Home -- References -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W -- Z.

Description based on publisher supplied metadata and other sources.

Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.

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