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9780826186805

Enhancing Autonomy in Long-Term Care

by ; ;
  • ISBN13:

    9780826186805

  • ISBN10:

    0826186807

  • Format: Hardcover
  • Copyright: 1995-01-01
  • Publisher: Springer Pub Co
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Summary

This volume assesses the importance of autonomy to quality of life in long-term care facilities. First addressing conceptual issues, the editors then pose such questions as: What is autonomy and what does it mean in the context of physically and/or cognitively impaired elders? What is the effect of nursing home financing and federal regulations? How does the traditional medical model, which casts residents as "patients," affect autonomy? How does the physical environment make a difference? The contributors then go on to describe six successful models of care that provide a more meaningful quality of life through promoting autonomy. Contributors include Robert and Rosalie Kane, Keren Brown Wilson, and Bart Collopy.

Table of Contents

Foreword
Contributors
Introduction: Setting the Stage for Change
Acknowledgments
Power, Paternalism, and the Ambiguities of Autonomyp. 3
Resident Autonomy in Long-Term Care: Paradoxes and Challengesp. 15
The Nursing Home Populationp. 34
Cognitive Impairment and Autonomyp. 44
The Impact of Long-Term Care Financing on Personal Autonomyp. 58
Autonomy and Regulation in Long-Term Care: An Odd Couple, An Ambiguous Relationshipp. 68
The Medical Model and its Effect on Autonomy: A Comparison of Two Long-Term Care Settingsp. 87
A Resident's View of Autonomyp. 109
The Graberget Model of Carep. 121
The Skaevinge Project: A Model for Future Primary Health Care - The English Summaryp. 131
Assisted Living as a Model of Care Deliveryp. 139
The Politics of Autonomy: Lessons from the Lazarus Projectp. 155
The Regenerative Community: The Live Oak Living Center and the Quest for Autonomy, Self-Esteem, and Connection in Elder Carep. 169
Lessons from a Restraint Reduction Projectp. 193
Prologue to the Futurep. 207
Appendixp. 219
Indexp. 235
Table of Contents provided by Blackwell. All Rights Reserved.

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