Caring for elders outside of institutions is the fastest growing sector of US health care. Building on their research study at the Park Ridge Center, editors Holstein and Mitzen, together with a team of experts, examine the complexities involved in developing an ethics for community-based long-term care. They also challenge policymakers to make home care a more viable option for older people in need. Chapters address many of the ethical and practical problems that arise in the care of older people with physical and mental disabilities–including how to allocate scarce funds, how to keep good caregivers, how to balance concerns of autonomy, risk and safety, and worker stress. The volume is an excellent resource for practitioners, policymakers, and students.
Table of Content
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Contributors
Preface
Part I: Introduction
Elders in the Community: Moral Lives, Moral Quandaries, Martha B. Holstein & Phyllis Mitzen Part II: Background/Theory
Ethics & Aging: A Historical Perspective, Brian F. Hofland Bringing Ethics Home: A New Look at Ethics in the Home and the Community, Martha B. Holstein The Ethical Importance of Home Care, Mark Waymack An Ethic of Care, Joan C. Tronto Old Ethical Frameworks: What Works, What Doesnít?, Mark Waymack Part III: Organizations/Care Providers/Care Receivers
Creating an Ethical Organization, David M. Mc Curdy Organizational Ethics in a Nonprofit Agency: Changing Practice, Enduring Values, Phyllis Mitzen Ethics in Clinical Practice with Older Adults: Recognizing Biases and Respecting Boundaries, Robyn L. Golden & Sallie Sonneborn Ethics and the Frontline Worker: A Challenge for the 21st Century, Robyn I. Stone & Yoshiko Yamada When the Helper Needs Help: A Social Workerís Experience in Receiving Home Care, Nan G. OíConnor Care at Home: Virtue in Multigenerational Households, Hilde Lindemann Nelson & James Lindemann Nelson Part IV: Practice
Mapping the Jungle: A Proposed Method for Ethical Decision Making in Geriatric Social Work, David Fireman, Sharon Dornberg-Lee, & Lisa Moss Adult Day Services: Ethics and Daily Life, Pat Stacy Cohen Is Home Care Always the Best Care?, Daniel Kuhn A Good Death? Finding a Balance Between the Interests of Patients and Caregivers, Stephen Ellingson & Jon D. Fuller Case Managers Meeting to Discuss Ethics, Gail Mc Clelland Whoís Safe? Whoís Sorry?: The Duty to Protect the Safety of HCBS Consumers, Rosalie A. Kane & Carrie A. Levin Addressing Prejudice: A Layered Analysis, David E. Guinn Cross-Cultural Geriatric Ethics: Negotiating Our Differences, Harry R. Moody Part V: Policy
The Science and Ethics of Long-Term Care, Larry Polivka Paid Family Caregiving: A Practical and Ethical Conundrum, Martha B. Holstein and Phyllis MitzenThe Case Against Paid Family Caregivers: Ethical and Practical Issues,
C. Jean Blaser Payments to Families Who Provide Care: An Option That Should be Available,
Lori Simon-Rusinowitz, Kevin J. Mahoney, and A.E. Benjamin
Ethics, the State, and Public Policy: From the Inside, From the Outside, June L. Noel Index’
About the author
Phyllis Mitzen, ACSW, LCSW, has been at the Council for Jewish Elderly since 1980, where she is currently Director of Development.