Portions of text were originally published as the Fall 1998 issue of Generations, Journal of the American Society on Aging. Examines the complexities involved in developing ethics for community-based long-term care. Discusses ethical, practical, autonomy, risk, safety, and personnel issues.
Contributors
ix
Preface
xi
Part I. Introduction
Elders in the Community: Moral Lives, Moral Quandaries
3
(16)
Martha B. Holstein
Phyllis Mitzen
Part II. Background/Theory
Ethics and Aging: A Historical Perspective
19
(12)
Brian F. Hofland
Bringing Ethics Home: A New Look at Ethics in the Home and the Community
31
(20)
Martha B. Holstein
The Ethical Importance of Home Care
51
(9)
Mark Waymack
An Ethic of Care
60
(9)
Joan C. Tronto
Old Ethical Frameworks: What Works, What Dosen't?
69
(10)
Mark Waymack
Part III. Organization/Care Providers/Care Receivers
Creating an Ethical Organization
79
(15)
David B. McCurdy
Organizational Ethics in a Nonprofit Agency: Changing Practice, Enduring Values
94
(4)
Phyllis Mitzen
Ethics in Clinical Practice With Older Adults: Recognizing Biases and Respecting Boundaries
98
(13)
Robyn L. Golden
Sallie Sonneborn
Ethics and the Frontline Long-Term-Care Worker: A Challenge for the 21st Century
111
(11)
Robyn I. Stone
Yoshiko Yamada
When the Helper Needs Help: A Social Worker's Experiences in Receiving Home Care
122
(10)
Nan G. O'Connor
Care at Home: Virtue in Multigenerational Households
132
(13)
Hilde Lindemann Nelson
James Lindemann Nelson
Part IV. Practice
Mapping the Jungle: A Proposed Method for Ethical Decision Making in Geriatric Social Work
145
(21)
David Fireman
Sharon Dornberg-Lee
Lisa Moss
Adult Day Services: Ethics and Daily Life
166
(21)
Pat Stacy Cohen
Is Home Care Always the Best Care?
187
(13)
Daniel Kuhn
A Good Death? Finding a Balance Between the Interests of Patients and Caregivers
200
(8)
Stephen Ellingson
Jon D. Fuller
Case Managers Meeting to Discuss Ethics
208
(9)
Gail McClelland
Who's Safe? Who's Sorry?: The Duty to Protect the Safety of HCBS Consumers
Paid Family Caregiving: A Practical and Ethical Conundrum
276
(21)
Martha B. Holstein
Phyllis Mitzen
The Case Against Paid Family Caregivers: Ethical and Practical Issues
278
(8)
C. Jean Blaser
Payments to Families Who Provide Care: An Option That Should Be Available
286
(11)
Lori Simon-Rusinowitz
Kevin J. Mahoney
A. E. Benjamin
Ethics, the State, and Public Policy: From the Inside, From the Outside
297
(14)
June L. Noel
Index
311
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