Footnote:
In English
Mode of access: Internet via World Wide Web
Description:
Frontmatter -- Contents -- Foreword -- Preface -- Acknowledgements -- Introduction -- Chapter One: Organic Sources, Signs, and Course of Dementia -- Chapter Two: Perspectives on Dementia and the Person -- Chapter Three: Historical Background to Dementia Caregiving and the Ethnographic Research Methodology -- Chapter Four: The Research Setting and the Residents -- Chapter Five: Historical and Cultural Context of Caregiving in Snow 1: Three Case Studies -- Chapter Six: Historical and Cultural Context of Caregiving in Snow 2: Three Case Studies -- Chapter Seven: Comparing Caregiving of Snow 1 with Snow 2 -- Chapter Eight: Conclusions and Recommendations for Future Dementia Caregiving -- Chapter Nine: External Barriers to Quality Dementia Care -- Chapter Ten: Conclusion: Toward a New Vision of Dementia Care -- Appendix A: Linking Neuropathology to Specific Diseases -- Appendix B: Dementia as a Demographic Problem: Social and Policy Implications -- Appendix C: Contributions of Previous Ethnographic Studies to Nursing Home Research -- Appendix D: This Ethnography as a Journey -- Appendix E: Methodological Details -- Works Cited and Recommended Reading -- Index
Winner of the Society for Medical Anthropology's 2009 New Millennium Award Imagine 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