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Dependence and Autonomy in Old Age

Dependence and Autonomy in Old Age
An Ethical Framework for Long-term Care

$110.00 (G)

  • Date Published: September 2003
  • availability: Available
  • format: Paperback
  • isbn: 9780521009201

$ 110.00 (G)

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About the Authors
  • To reveal the concrete threats to personal autonomy in long-term care, George Agich's book offers a framework for developing an ethic of long-term care within the complex environment in which many dependent and aged people find themselves. Previously published as Autonomy and Long-term Care (Oxford, 1993), this revised edition in paperback has wide appeal among bioethicists and health care professionals.

    • Translates the abstractions of ethical analysis into the real world of long-term care
    • Provides an ethical framework for people caring for the elderly
    • Builds on the author's earlier book Autonomy and Long-term Care, of which this is a revised edition, now in paperback for the first time
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    Reviews & endorsements

    "This is an excellent text on an important topic. The author's empathic understanding of the issues involved in the long-term care of frail older individuals makes this book one not only of useful instruction but also of sprirtual inspiration." Leila Toiviainen, University of Tasmania, Australia, Nursing Ethics

    "This book has been hailed by critics as a milestone in medical ethics...It challenges clinicians to reexamine many of the ethical principles on which they have based their interactions with patients in long-term care." New England Journal of Medicine

    "I found this book to be a fascinating read, one that made me pause, examine and re-examine the author's premises. I especially appreciate the author's phenomenological approach and his discussion of autonomy in the framework of four themes: space, time, communication, and affectivity and the role of autonomy in the choices of everyday life for older adults needing long-term care because of increasing frailty." Doody's Review Service*****5 Stars!

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    Product details

    • Date Published: September 2003
    • format: Paperback
    • isbn: 9780521009201
    • length: 218 pages
    • dimensions: 229 x 155 x 13 mm
    • weight: 0.376kg
    • availability: Available
  • Table of Contents

    1. Introduction
    Long-term care images
    Autonomy and long-term care: the problem
    2. The liberal theory of autonomy
    Pluralism, toleration, and neutrality
    The State and positive autonomy
    Some problems of positive autonomy
    Liberal principles in long-term care
    Nursing home admission practices
    The use of restraints
    The perils of liberal theory
    Communitarianism and the contextualist alternative
    Practical implications of the debate over the foundation of ethics
    Conflict and conversation
    The function of rights
    Limitation of rights
    Paternalism and the development of persons
    From paternalism to parentalism
    3. Long-term care: myth and reality
    Myths of old age
    Nursing homes
    Therapeutic relationships
    Concepts of illness and disease
    Models of care
    The concept of a practice
    Home care
    4. Actual autonomy
    Result-oriented theories
    Action-oriented theories
    The concrete view of persons
    Autonomy: a developmental perspective
    Narrative approaches
    Dependence in human development
    Sickness as dependence
    Autonomy and identification
    The paradox of development and problems of identification
    Implications for long-term care
    5. A phenomenological view of social action
    Sociality and the everyday world
    General Features of the social nature of persons
    6. Autonomy and long-term care: another look
    Social reality of Eastside
    Appeal to autonomy as independence
    A phenomenologically informed analysis
    Lessons from Eastside

  • Author

    George Agich, Bowling Green State University, Ohio
    George Agich is Chairman of the Department of Bioethics at the Cleveland Clinic Foundation, Professor of Clinical Medicine at Ohio State University and Adjunct Professor of Philosophy at Bowling Green State University. His previous books are Responsibility in Health Care (1982), and The Price of Health (1986), and he is a member of the editorial board of The American Journal of Bioethics and other journals.

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