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Designated a Doody's Core Title! Winner of an AJN Book of the Year Award!

A comprehensive and thoughtful examination of the ethical issues that arise in long-term care. The first two chapters set the stage by exploring the pre-nursing home experiences of families living with dementia and, in contrast, how residents and family members experience life in the nursing home. The following chapters contain detailed hypothetical cases that include questions, possible actions, and insightful commentary to illustrate practical approaches to understanding ethical everyday issues affecting nursing home residents. The book also contains a useful Appendix focusing on creating a Nursing Home Ethics Committee.

Tabla de contenidos provista por Syndetics

• Foreword(p. ix)
• Introduction(p. xi)
• Acknowledgments(p. xx)
• Chapter 1 Living With Dementia(p. 1)
• Overview(p. 1)
• "It was such an unexpected thing"(p. 2)
• "It came to the point where we needed a diagnosis"(p. 5)
• "She fought me tooth and nail"(p. 10)
• "It was traumatic for her and for us"(p. 16)
• "There was no way we could let her live alone"(p. 18)
• "I don't think they watched her very well"(p. 20)
• "We decided to move in with her"(p. 22)
• "I wanted to make everything right and you just can't"(p. 23)
• "I felt like I'd be betraying him"(p. 24)
• "It's brought us close together"(p. 26)
• Postscript(p. 28)
• Chapter 2 The Nursing Home Experience(p. 29)
• Overview(p. 29)
• "I remember thinking, 'This just is happening too fast'"(p. 29)
• "I have to be her advocate"(p. 33)
• "I want to go home"(p. 37)
• Care Concerns--"That's not my idea ... but I would never say anything"(p. 38)
• Social Concerns--"Days are slow and not very interesting"(p. 42)
• Environmental Concerns--"Sharing a room was very hard"(p. 44)
• Nursing Homes and Long Term Care--"It's the way society is today"(p. 54)
• Chapter 3 Ethics in Action(p. 59)
• Overview(p. 59)
• What Counts as an Ethical Matter(p. 60)
• Application of Ethics in Practice(p. 62)
• Contextual Considerations(p. 67)
• Organizational Subcultures(p. 69)
• Universal Moral Concerns(p. 71)
• Frameworks for Assessing Resident-Focused Issues(p. 74)
• Chapter 4 Case Examples(p. 100)
• Overview(p. 100)
• Case Examples(p. 101)
• My Favorite Things(p. 109)
• Breaking Bad News(p. 112)
• I'm Scared of Him(p. 115)
• It Feels Just Like Jail(p. 119)
• Night and Day(p. 124)
• As I Remember Him(p. 132)
• Timing is Everything(p. 135)
• Don't Get Around Much Anymore(p. 142)
• A Moving Experience(p. 145)
• I'm Ready to Go Home(p. 151)
• Please, Just One More Bite(p. 156)
• Get Me Out Of Here(p. 164)
• Appendix
• Nursing Home Ethics Committee Q & A(p. 171)
• Sample Case Review Record(p. 193)
• Sample Resources(p. 195)
• References(p. 197)
• Index(p. 209)