Person in Dementia

A Study of Nursing Home Care in the US

AvAthena McLean

E-bok

PDF, Engelska, 2006

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Beskrivning

Winner of the Society for Medical Anthropology's 2009 New Millennium AwardImagine yourself in advanced age, forced to depend on others for all your basic needs. What would you want to retain of your personal life?This question is at the heart of a set of case studies that examine the lives of nursing home residents who were diagnosed with senile dementia. Based on two years of intensive comparative ethnographic study in a nursing home in a Northeastern American city, The Person in Dementia dramatically contrasts the outcomes of two approaches to dementia care for elders with severely disturbed behaviors: a task-oriented approach based on a biomedical view of disease progression and a flexible person-sustaining approach focusing on individual needs and communication. By emphasizing "personhood," which looks beyond physical and reasoning abilities to a person's will and relationship with others, McLean conceptualizes dementia care as a moral enterprise. She encourages innovative and compassionate elder care and accountability across the spectrum from direct care-givers to nursing home owners to those at the highest levels of government. McLean also offers a fine-tuned analysis of how relations among direct care-giving, professional, and administrative staff within a facility can dramatically affect the quality of dementia care. The book includes policy recommendations that are geared to long-term care administrators and policy-makers as well as to caregivers, families, and elders with dementia.

Produktinformation

Utgivningsdatum:2006-10-01
Språk:Engelska
Antal sidor:320
Filformat:PDF
Kopieringsskydd:LCP
ISBN:9781442603196
Förlag:University of Toronto Press
Serie:Teaching Culture: UTP Ethnographies for the Classroom
Dimensioner:152 x 229 x 25 mm
Vikt:1 g

Utforska kategorier

Hälso- och sjukvård inom Medicin

Mer om författaren

Athena McLean is Professor of Anthropology at Central Michigan University, Mount Pleasant, Michigan. She has written numerous articles on aging, dementia, and community mental health.

Recensioner i media

This beautifully written book by McLean illuminates inadequacies in delivering quality care in nursing homes to persons with dementia. Drawing on rich ethnographic evidence, McLean breaks down the socially constructed concept of dementia as disease, and highlights the dangers one faces when becoming a patient. - CHOICE

Innehållsförteckning

Foreword, Robert L. Rubinstein PrefaceAcknowledgements Introduction Part One: Theoretical and Methodological Considerations in Dementia Care1. Organic Sources, Signs, and Course of Dementia2. Perspectives on Dementia and the Person3. Historical Background to Dementia Caregiving and the Ethnographic Research Methodology 4. The Research Setting and the Residents Part Two: Ethnographic Case Studies and Analyses5. Historical and Cultural Context of Caregiving in Snow 1: Three Case Studies6. Historical and Cultural Context of Caregiving in Snow 2: Three Case Studies7. Comparing Caregiving of Snow 1 with Snow 28. Conclusions and Recommendations for Future Dementia Caregiving Part Three: Looking Ahead in Dementia Care9. External Barriers to Quality Dementia Care10. Conclusion: Toward a New Vision of Dementia CareAppendix A: Linking Neuropathology to Specific DiseasesAppendix B: Dementia as a Demographic Problem: Social and Policy ImplicationsAppendix C: Contributions of Previous Ethnographic Studies to Nursing Home ResearchAppendix D: This Ethnography as a JourneyAppendix E: Methodological DetailsWorks Cited and Recommended Reading Index