› › Autonomy And Dependence In Old Age

Dependence and Autonomy in Old Age

Author : George Agich

Publisher : Cambridge University Press

Page : 222 pages

File Size : 19,81 MB

Release : 2003-08-07

Category : Family & Relationships

ISBN : 9780521009201

Get eBook

Book Description

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.



Families Caring for an Aging America

Author : National Academies of Sciences, Engineering, and Medicine

Publisher : National Academies Press

Page : 367 pages

File Size : 47,67 MB

Release : 2016-11-08

Category : Medical

ISBN : 0309448093

Get eBook

Book Description

Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.



Autonomy and Long-term Care

Author : George J. Agich

Publisher :

Page : 238 pages

File Size : 10,98 MB

Release : 1993

Category : Family & Relationships

ISBN : 9780195074956

Get eBook

Book Description

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.



Long-term Care for the Elderly in Europe

Author : Bent Greve

Publisher : Routledge

Page : 204 pages

File Size : 26,2 MB

Release : 2016-12-01

Category : Social Science

ISBN : 1317103505

Get eBook

Book Description

Long-term care is an increasingly important issue in many contemporary welfare states around the globe given ageing populations. This ground-breaking book provides detailed case studies of 11 EU-member states’ welfare regimes within Europe to show how welfare states organize, structures and deliver long-term care and whether there is a social investment perspective in the delivery of long-term care. This perspective is important because the effect of demographic transitions is often used as an argument for the existence of economic pressure on welfare states and a need for either direct retrenchment or attempts to reduce welfare state spending. The book’s chapters will look specifically into how different welfare states have focussed on long-term care in recent years and what type of changes have taken place with regard to ageing populations and ambitions to curb increases in public sector spending in this area. They describe the development in long-term care for the elderly after the financial crisis and also discuss the boundaries between state and civil society in the different welfare states' approaches to the delivery of care.



Social Isolation and Loneliness in Older Adults

Author : National Academies of Sciences, Engineering, and Medicine

Publisher : National Academies Press

Page : 317 pages

File Size : 31,19 MB

Release : 2020-05-14

Category : Social Science

ISBN : 0309671035

Get eBook

Book Description

Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.



Researching Ageing

Author : Maria Łuszczyńska

Publisher : Routledge

Page : 693 pages

File Size : 30,55 MB

Release : 2020-06-07

Category : Social Science

ISBN : 1000080242

Get eBook

Book Description

This book explores the diversity of methodological approaches to researching ageing, considering which methodological paradigm best captures the phenomenon. Interdisciplinary in scope, it brings together research from scholars from Austria, Canada, France, Hong Kong, Israel, Poland, UK and USA to uncover the conditions under which qualitative and quantitative approaches to research on ageing can best be reconciled and rendered complementary. Presenting international reflection on methods for studying old age from a variety of research backgrounds, Researching Ageing showcases the latest research in the field and will appeal to scholars across the social sciences, including sociology, demography, psychology, economics and geography, with interests in gerontology, ageing and later life.



Technology for Adaptive Aging

Author : National Research Council

Publisher : National Academies Press

Page : 321 pages

File Size : 45,99 MB

Release : 2004-04-25

Category : Social Science

ISBN : 0309091160

Get eBook

Book Description

Emerging and currently available technologies offer great promise for helping older adults, even those without serious disabilities, to live healthy, comfortable, and productive lives. What technologies offer the most potential benefit? What challenges must be overcome, what problems must be solved, for this promise to be fulfilled? How can federal agencies like the National Institute on Aging best use their resources to support the translation from laboratory findings to useful, marketable products and services? Technology for Adaptive Aging is the product of a workshop that brought together distinguished experts in aging research and in technology to discuss applications of technology to communication, education and learning, employment, health, living environments, and transportation for older adults. It includes all of the workshop papers and the report of the committee that organized the workshop. The committee report synthesizes and evaluates the points made in the workshop papers and recommends priorities for federal support of translational research in technology for older adults.



Cognitive Aging

Author : Institute of Medicine

Publisher : National Academies Press

Page : 300 pages

File Size : 45,49 MB

Release : 2015-07-21

Category : Medical

ISBN : 0309368650

Get eBook

Book Description

For most Americans, staying "mentally sharp" as they age is a very high priority. Declines in memory and decision-making abilities may trigger fears of Alzheimer's disease or other neurodegenerative diseases. However, cognitive aging is a natural process that can have both positive and negative effects on cognitive function in older adults - effects that vary widely among individuals. At this point in time, when the older population is rapidly growing in the United States and across the globe, it is important to examine what is known about cognitive aging and to identify and promote actions that individuals, organizations, communities, and society can take to help older adults maintain and improve their cognitive health. Cognitive Aging assesses the public health dimensions of cognitive aging with an emphasis on definitions and terminology, epidemiology and surveillance, prevention and intervention, education of health professionals, and public awareness and education. This report makes specific recommendations for individuals to reduce the risks of cognitive decline with aging. Aging is inevitable, but there are actions that can be taken by individuals, families, communities, and society that may help to prevent or ameliorate the impact of aging on the brain, understand more about its impact, and help older adults live more fully and independent lives. Cognitive aging is not just an individual or a family or a health care system challenge. It is an issue that affects the fabric of society and requires actions by many and varied stakeholders. Cognitive Aging offers clear steps that individuals, families, communities, health care providers and systems, financial organizations, community groups, public health agencies, and others can take to promote cognitive health and to help older adults live fuller and more independent lives. Ultimately, this report calls for a societal commitment to cognitive aging as a public health issue that requires prompt action across many sectors.



Old Age in Modern Society

Author : Christina R. Victor

Publisher : Springer

Page : 270 pages

File Size : 19,60 MB

Release : 2013-11-11

Category : Social Science

ISBN : 1489930752

Get eBook

Book Description

Old age is a part of the lifecycle about which there are numerous myths and stereotypes. To present an overstatement of commonly held beliefs, the old are portrayed as dependent individuals, characterized by a lack of social autonomy, unloved and neglected by both their immediate family and friends; and posing a threat to the living standards of younger age groups by being a 'burden' that consumes without producing. Older people are perceived as a single homogeneous group, and the experiment of ageing characterized as being the same for all individuals, irrespective of the diversity of their circumstances before the onset of old age. In this book, detailed statistical material is used to portray the circum stances of older people in modern society in an attempt to evaluate the appropriateness (or otherwise) of the major stereotypes of later life. This volume does not address ageing from a psychological or micro-social per spective. In particular, we do not explore major issues relating to old age. Rather we feel that, from the extensive collection of surveys concerned with the elderly, we can provide a context within which individual eld erly people can be studied from more anthropological or biographical perspectives.



Social Exclusion in Later Life

Author : Kieran Walsh

Publisher : Springer Nature

Page : 450 pages

File Size : 18,31 MB

Release : 2021-03-30

Category : Social Science

ISBN : 3030514064

Get eBook

Book Description

Drawing on interdisciplinary, cross-national perspectives, this open access book contributes to the development of a coherent scientific discourse on social exclusion of older people. The book considers five domains of exclusion (services; economic; social relations; civic and socio-cultural; and community and spatial domains), with three chapters dedicated to analysing different dimensions of each exclusion domain. The book also examines the interrelationships between different forms of exclusion, and how outcomes and processes of different kinds of exclusion can be related to one another. In doing so, major cross-cutting themes, such as rights and identity, inclusive service infrastructures, and displacement of marginalised older adult groups, are considered. Finally, in a series of chapters written by international policy stakeholders and policy researchers, the book analyses key policies relevant to social exclusion and older people, including debates linked to sustainable development, EU policy and social rights, welfare and pensions systems, and planning and development. The book’s approach helps to illuminate the comprehensive multidimensionality of social exclusion, and provides insight into the relative nature of disadvantage in later life. With 77 contributors working across 28 nations, the book presents a forward-looking research agenda for social exclusion amongst older people, and will be an important resource for students, researchers and policy stakeholders working on ageing.