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Centre for Policy on Ageing | |
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| Analysis of key decision-making incidents in the life of a nursing home resident | | Author(s) | Celeste Shawler, Graham D Rowles, Dallas M High |
| Journal title | The Gerontologist, vol 41, no 5, October 2001 |
| Pages | pp 612-622 |
| Keywords | Residents [care homes] ; Rights [elderly] ; The Family ; Nursing homes ; Management [care] ; United States of America. |
| Annotation | Change in decision-making autonomy of an individual female nursing home resident was examined as part of a larger 3-year ethnographic investigation of decision-making events in American nursing homes. In this case analysis, the resident, her daughter, three staff members closely associated with the resident's care were each interviewed 5 times over a 15-month period. Analysis of interview transcripts revealed four themes in decision-making. Temporal change was evident in a complex scenario regarding room changes. Spatial context reflected the need for predictability and adaptability in decisions using space. Interdependence of decisions and decision makers was most evident with medical treatment and health care decisions. Awareness, being informed and knowing what was going on was the final theme. Despite having the best interest of the resident in mind, the process of decision-making may contribute to a pattern of gradual withdrawal of decisional autonomy from residents, regardless of their ability to make decisions. (RH). |
| Accession Number | CPA-011129212 A |
| Classmark | KX: IKR: SJ: LHB: QA: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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