By Martha B. Holstein PhD, Phyllis B. Mitzen ACSW LCSW
Taking good care of elders open air of associations is the quickest growing to be zone folks health and wellbeing care. construction on their examine research on the Park Ridge middle, editors Holstein and Mitzen, including a workforce of specialists, study the complexities fascinated about constructing an ethics for community-based long term care. additionally they problem policymakers to make domestic care a extra manageable choice for older humans in desire. Chapters handle the various moral and functional difficulties that come up within the care of older individuals with actual and psychological disabilities--including easy methods to allocate scarce cash, the best way to preserve reliable caregivers, easy methods to stability matters of autonomy, probability and protection, and employee tension. the amount is a wonderful source for practitioners, policymakers, and scholars.
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Extra resources for Ethics in Community-Based Elder Care
The importance of everyday ethics. Everyday ethics, as opposed to life-and-death ethics, make up the bulk of long term care and are therefore the part and parcel of long term care ethics. A strong contribution of the Initiative was that many day-to-day ethical issues were examined for the first time, including nursing home admission agreements, the existence and selection of roommates, selection of one's care provider, and scheduling preferences. These everyday ethical issues typically lack the drama of life-and-death matters but also are deserving of attention.
These case narratives suggest the importance of understanding both motives for and meanings of actions and offer the chance to explore the different perspectives of each person involved in the situation. They bring ethical analysis very close to the ground by emphasizing the particular features of each situation, features that cannot be ignored in community-based long-term care where decisions are cumulative, situations complex and generally filled with unexplored meanings for clients and families, and rarely involve immediate threats to the client's health.
This project started with practical ends: case managers and supervisors sought an ethics mechanism to address the myriad of problems that confronted them. Behind that practical need, however, was an unarticulated sense that as yet minimally explored connections between ethics and care could affect their clients' lives and support the state's focus on consumer-centered care (personal communication, P. Mitzen, June 1996). The ethics that many of us had learned, an ethics reflected in many professional codes, could not grapple adequately with this undefined something we were looking for, which is, at bottom, I believe, the fundamental task of morality—to help us (and by extension, our clients) understand and live a good, fully human life (Murray, 1997).