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    The Erosion of Autonomy in Long-Term Care

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    Authors
    Lidz, Charles W.
    Fischer, Lynn
    Arnold, Robert M.
    UMass Chan Affiliations
    Department of Psychiatry
    Document Type
    Book
    Publication Date
    1992-01-01
    Keywords
    Long-Term Care
    Aged
    Homes for the Aged
    Personal Autonomy
    Health Services Research
    Mental and Social Health
    Psychiatric and Mental Health
    Psychiatry
    Psychiatry and Psychology
    
    Metadata
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    Link to Full Text
    http://books.google.com/books?id=Kin7OE6zIWwC
    Abstract
    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 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.
    Source
    Lidz CW, Fischer LB & Arnold RM: The Erosion of Autonomy in Long Term Care. New York: Oxford University Press, 1992. ISBN 0195073940, 9780195073942. Partial preview available via Google Books.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/45013
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    UMass Chan Faculty and Researcher Publications

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