Respecting the autonomy of disabled people is an important ethical issue for providers of long-term care. In this influential book, George Agich abandons comfortable abstractions to reveal the concrete threats to personal autonomy in this setting, where ethical conflict, dilemma and tragedy are inescapable. He argues that liberal accounts of autonomy and individual rights are insufficient, and offers an account of autonomy that matches the realities of long-term care. The book therefore offers a framework for carers to develop 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, this revised edition, in paperback for the first time, takes account of recent work and develops the author's views of what autonomy means in the real world. It will have wide appeal among bioethicists and health care professionals.
The realities and misconceptions of long-term care and the challenges it presents for the ethics of autonomy are analyzed in this perceptive work. While defending the concept of autonomy, the author argues that the standard view of autonomy as non-interference and independence has only a limited applicability for long-term care. He explains that autonomy should be understood as a comprehensiveness that defines the overall course of a person's life rather than as a way of responding to an isolated situation. Agich distinguishes actual and ideal autonomy and argues that actual autonomy is better revealed in the everyday experiences of long-term care than in dramatic, conflict-ridden paradigm situations such as decisions to institutionalize, to initiate aggressive treatments, or to withhold or to withdraw life-sustaining treatments. Through a phenomenological analysis of long-term care, he develops an ethical framework for it by showing how autonomy is actually manifest in certain structural features of the social world of long-term care. Throughout this timely work, the rich sociological and anthropological literature on aging and long-term care is referenced and the practical ethical questions of promoting and enhancing the exercise of autonomy are addressed.
After the war, Dr. Mitchell established his medical practice in Marshall, where, he observes, he was among sixteen physicians in a rural county with a population of less than twenty thousand people. Within twenty-five years, the number of doctors had dropped to only four. In this memoir, Dr. Mitchell conveys his unwillingness to just sit by and watch the health needs of his community increase while medical and other services decline. He, instead, became a community activist, representing rural concerns to the state medical society, organizing the first emergency medical technician teams in the county, masterminding the planning of a regional medical center, campaigning successfully for improved highway safety, and spurring the extension of reliable telephone service throughout his area." "As Dr. Mitchell recounts the house calls, farm accidents, emergency surgeries, and family counseling that comprised the life of this country doctor, he offers the keen insights of a clinician trained to look beyond what others only see. Still a practicing physician, Dr. Mitchell ably comprehends the values of the people he has treated and marks the transition from post-World War I medicine to high-tech healing."--BOOK JACKET.
Increasingly, legislators at the state and federal levels of government are forced to evaluate and act upon the unique problems presented by an aging American public. A domino effect has occurred, evoking concern in educational circles to deal with the varied, complex issues associated with the "new" gerontology. This expanded focus brings in not only mental and public health delivery issues, but reaches and impacts on the social sciences, ethics, law and medicine as well as public policy. In response to these matters, Legal and Healthcare Ethics for the Elderly provides a balanced analytical presentation of the complicated socio-legal, medico-ethical and political perspectives which interact with gerontology as a field of study. In a straightforward and unambiguous style, it covers information on access and financing healthcare, the ethics of rationing healthcare and the inevitable link to the quality of life, guardianship issues in a nursing home setting, informed consent, living wills and durable powers of attorney, elder abuse, and death with dignity. The economics of care giving is charted and directed by the sometimes harsh realities of the marketplace. Thus, the various philosophical and ethical dilemmas which confront the process of aging are examined here both from a micro- and from a macro-economic perspective. This book exemplifies that it is vitally important to be educated now, to be prepared for the future and thereby make informed decisions - for both ourselves and our loved ones.
For approximately three decades, the abortion debate has polarized America. Views range from the extreme conservative position that all abortions are morally objectionable to the extreme liberal position that abortion throughout all nine months of pregnancy is acceptable. In the middle are those who advocate laws limiting the number of valid reasons for abortion. This comprehensive volume includes bibliographic citations that address the moral and religious aspects of abortion. It covers such topics as the various arguments both for and against abortion, the status of the fetus, and overviews of several religions' stances on abortion. Citations also include references on how Christianity has influenced abortion politics and law, discussions of Operation Rescue, and official statements on abortion by the Catholic Church and several Protestant denominations. Researchers, as well as anyone interested in the moral and religious elements of abortion, will find this resource invaluable. It covers the literature on abortion and religion found in books, essays, journal articles, academic dissertations and Web sites. And, unlike many of the available bibliographies, this one focuses only on the religious and moral issues, therefore providing greater depth on those two issues within one work.
Comprehensive multidisciplinary encyclopedia dealing with aging processes and older adults. Intended for "the educated inquirer who needs a brief authoritative introduction to key topics and issues in aging." Signed entries contain cross references. Contains lengthy bibliography. General index.
This book is a contribution to the current philosophical discussion on the nature of health and illness. It contains a comparative analysis and reevaluation of four influential contemporary theories in this field. These are the biostatistical theory of Christopher Boorse which represents the mainstream thinking in medicine, and three versions of a holistic and normative understanding of health and illness which are the theories of Lawrie Reznek, K. W. M. Fulford, and Lennart Nordenfelt. In this unusual volume of assessment, Nordenfelt critically reexamines his own theory, and George Khushf and K. W. M. Fulford contribute critical responses.
The realities and misconceptions of long-term care and the challenges it presents for the ethics of autonomy are analyzed in this perceptive work. While defending the concept of autonomy, the author argues that the standard view of autonomy as non-interference and independence has only a limited applicability for long-term care. He explains that autonomy should be understood as a comprehensiveness that defines the overall course of a person's life rather than as a way of responding to an isolated situation. Agich distinguishes actual and ideal autonomy and argues that actual autonomy is better revealed in the everyday experiences of long-term care than in dramatic, conflict-ridden paradigm situations such as decisions to institutionalize, to initiate aggressive treatments, or to withhold or to withdraw life-sustaining treatments. Through a phenomenological analysis of long-term care, he develops an ethical framework for it by showing how autonomy is actually manifest in certain structural features of the social world of long-term care. Throughout this timely work, the rich sociological and anthropological literature on aging and long-term care is referenced and the practical ethical questions of promoting and enhancing the exercise of autonomy are addressed.
In this influential book, George Agich abandons comfortable abstractions to reveal the concrete threats to personal autonomy in long-term care. His book therefore offers a framework for carers to develop an ethic of long-term care within the complex environment in which many dependent and aged people find themselves.
This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.
This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.
This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.
This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.
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