By Martha B. Holstein PhD, Phyllis B. Mitzen ACSW LCSW
Taking good care of elders outdoors of associations is the quickest transforming into quarter folks health and wellbeing care. development on their study examine on the Park Ridge middle, editors Holstein and Mitzen, including a group of specialists, research the complexities fascinated by constructing an ethics for community-based long term care. additionally they problem policymakers to make domestic care a extra plausible choice for older humans in desire. Chapters handle a few of the moral and functional difficulties that come up within the care of older individuals with actual and psychological disabilities--including the right way to allocate scarce cash, the best way to preserve sturdy caregivers, the right way to stability matters of autonomy, probability and security, and employee tension. the quantity is a superb source for practitioners, policymakers, and scholars.
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Additional info for Ethics in Community-Based Elder Care
Ethical values differ from other values because they deal with matters of deep significance—how to live and how to be with others. Thus, we must develop a sound approach to making moral judgments about which we have confidence. Since ethics also asks questions about the meaning and purpose of life, identity, and all that flows from having a sense of self—self-respect, self-esteem, agency—we also need to feel justified in the personal choices we make (Flanagan, 1996). We return to the age-old philosophical question: How ought I to live?
Each ethical situation has a wide range of complex and comprehensive readings. The hermeneutic ethicist, in facing ethical dilemmas, helps the participants to interpret and re-interpret their own stories to achieve consensus and mutual understanding. Narrative Ethics To a narrative ethicist, the facts of a case are not enough. Storytelling is central in considering and resolving ethical cases, because the storyline of any given ethical situation far exceeds the simple facts. It involves multiple layers of personal, psychological, social and historical meaning.
Yet her needs also could be defined in terms of maintaining independence. Here, the removal of interior barriers, such as door thresholds and scatter rugs, and the use of a walker would be appropriate. There is no a priori way of weighing the good of security against the good of maintaining independence. In such long-term-care situations, the patient's values and beliefs serve as the basis for defining needs and evaluating the appropriateness of alternative interventions (Hofland, 1988). The Initiative was pioneering in its efforts to go beyond the medical dimensions of ethical issues in long-term care.