Skip to main content

Self-Determination in Later Life: Case Studies in Geriatric Care

  • Chapter
Ethical Dimensions of Geriatric Care

Part of the book series: Philosophy and Medicine ((PHME,volume 25))

  • 206 Accesses

Abstract

The trans-disciplinary approach is a crucial factor in determining appropriate care for older adults. Connecticut Community Care, Inc. is a statewide private, non-profit agency; the only licensed case management agency in Connecticut, with eight years of experience in using an interdisciplinary team. The function is to provide assessments of older adults, coordination of all services, benefits and entitlements, and monitoring of services correlated to the clients’ response. Connecticut Community Care contracts with existing agencies to provide a variety of services such as adult day care, home health care, counseling, companion, and meals. The agency facilitates access and entry into a complex health and social service system, and assists frail elderly clients in obtaining maximum benefits from the system. The targeted population is defined as “high risk, frail elderly” because of multiple problems which warrant the response of an interdisciplinary team. Referrals are taken from any source and assessments of social, financial and health care needs are conducted with the client regardless of the client’s location in the health care continuum.

Yes I am old — my strength declines And wrinkles tell the touch of time. Yet I might fancy these the signs Not of decay, but Manhood’s prime For all within is young and glowing Spite of old age’s outward showing. Yes, I am old, experience now That best of guides hath made me sage, And thus instructed I avow My firm conviction that old Age Of all our various terms of living Demands our warmest, best Thanksgiving. Isaac Bell, 1857.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliography

  1. Austin, C. D. and Seidl, F. W.: 1981, ‘Validating Professional Judgement in a Home Care Agency’, Health and Social Work 6(1), 50–56.

    PubMed  CAS  Google Scholar 

  2. Barney, J. L.: 1977, ‘The Prerogative of Choice in Long Term Care’, The Gerontologist 17(4), 309–314.

    Article  PubMed  CAS  Google Scholar 

  3. Brody, D. S.: 1980, ‘The Patient’s Role in Clinical Decision-Making’, Annals of Internal Medicine 93(5), 718–722.

    PubMed  CAS  Google Scholar 

  4. Dervin, J., Dervin, P. and Jonsen, A. R.: 1981, ‘Ethical Considerations in Elder Care’, in O’Hara-Devereaux (eds.). Elder Care, Grune & Stratton, New York.

    Google Scholar 

  5. Dreher, B: 1981, ‘Deciding With the Elderly’, Geriatric Nursing 2(2), 122–126.

    Article  PubMed  CAS  Google Scholar 

  6. Langer, E. J. and Rodin, J.: 1976, ‘The Effects of Choice and Enhanced Personal Responsibility for the Aged: A Field Experiment in an Institutional Setting’, Journal of Personality & Social Psychology 34(2), 191–198.

    Article  CAS  Google Scholar 

  7. Pace, W. D. and Anstett, R. E.: 1984, ‘Placement Decisions for the Elderly: A Family Crisis’, The Journal of Family Practice 18(1), 31–46.

    PubMed  CAS  Google Scholar 

  8. Putt, A.: 1981, ‘The Hardest Decision’, Geriatric Nursing 2(2), 122–125.

    Article  PubMed  CAS  Google Scholar 

  9. Schulz, R., and Hanusa, B. H.: 1978, ‘Long Term Effects of Control and Predictability-Enhancing Interventions: Findings & Ethical Issues’, Journal of Personality and Social Psychology 36(11), 1194–1201.

    Article  PubMed  CAS  Google Scholar 

  10. Shelley, F.: 1983, ‘When to Intrude in Your Parents’ Lives’, Life Options 1(1) 43–56.

    Google Scholar 

  11. Smallegan, M.: 1981, ‘Decision Making for Nursing Home Admission: A Preliminary Study’, Journal of Gerontological Nursing 7(5), 280–285.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1987 D. Reidel Publishing Company

About this chapter

Cite this chapter

Gavin, M.R., Kataja, G. (1987). Self-Determination in Later Life: Case Studies in Geriatric Care. In: Spicker, S.F., Ingman, S.R., Lawson, I.R. (eds) Ethical Dimensions of Geriatric Care. Philosophy and Medicine, vol 25. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-3391-0_9

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-3391-0_9

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8020-0

  • Online ISBN: 978-94-009-3391-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics