Autonomy, Personal Empowerment, and Quality of Life in Long-Term Care

1988 ◽  
Vol 7 (3) ◽  
pp. 279-297 ◽  
Author(s):  
Phillip G. Clark

The philosophical principle of autonomy provides a conceptual framework within which an understanding of quality of life for the elderly can be developed. This structure provides the basis for designing interventions to enhance the quality of life of older persons by maintaining their autonomy in spite of long-term care service needs. Such programs should encourage proactive strategies to anticipate and plan for potential health crises, promote empowerment of the elderly, expand knowledge, and clarify personal and familial values regarding service options. Examples of the kinds of programs needed to enhance autonomy in community-based and institutional long-term care settings are presented to illustrate how independence can be supported even under conditions of increasing frailty and service needs. These applied approaches to enhancing personal autonomy give explicit recognition to the importance of ethical concepts in developing and implementing long-term care services to improve the elderly's quality of life.

Healthcare ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 157 ◽  
Author(s):  
Liao Zeng ◽  
Xiaocang Xu ◽  
Chunxun Zhang ◽  
Linhong Chen

The rapid growth of population aging makes providing adequate long-term care (LTC) services for the elderly a serious social dilemma in China. Thus, it is necessary to carry out a theoretical discussion on the LTC service needs of the elderly and find out their influencing factors. With four regions of the middle and upper reaches of the Yangtze River as the sample case, this study aims to explore the factors that affect LTC service needs of the elderly in the frame of the latest Anderson Model, which added psychosocial factors to predisposing characteristics, enabling factors, and need factors in the old version. Some interesting results have been found, for example, self-image evaluation is composed of several factors such as general physical health, attitude towards life, or psychosocial states. Finally, sub-analyses—namely, by age, by gender, and by educational level—were carried out since the choice of different long-term care service patterns is related to different age/gender/education groups.


2020 ◽  
Vol 5 (9) ◽  
pp. 152-169
Author(s):  
Cícera Alves de Luna ◽  
Allex Alves Sobral de Sousa ◽  
Iasmim Belém Silva Queiroz ◽  
Samyra Maria Lima Sampaio ◽  
Lucineide Coqueiro Gurgel ◽  
...  

Abstract: Aging is a physiological process that happens over time permeated by biological, psychosocial and cultural changes. Through the increase in life expectancy and, consequently, population aging worldwide, the Long Term Care Institutions for the Elderly (ILPI) stand out in caring for these elderly people, making it necessary to know what life is like for the elderly in this environment. Given the above, the study aimed to verify in the literature the perspective of institutionalized elderly about quality of life. Thus, the study is an integrative literature review with a qualitative approach, using Lilacs, Scielo and Medline databases as a means of research, taking advantage of the following Health Sciences Descriptors (DeCS): “Elderly”, “Quality of life” and “institutionalized”. The study sample consisted of 16 articles, which discussed the theme of the study, in which it was sought to verify the perception of institutionalized elderly about quality of life, it was decided to carry out two thematic categories: 01) Quality of Life for the Elderly Institutionalized, and 02) Perception of the Institutionalized Elderly. In view of the above, the study was able to show that the elderly who reside, live in a Long-Term Care Facility for the Elderly (ILPI), it is necessary to be active, dynamic, prepared to carry out their activities of daily living, in order to achieve their quality of life, harmonize health and promote healthy aging. Keywords: Elderly, Quality of Life, Institutionalized.


2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Hee-Kyung CHANG ◽  
Cho-Rong GIL ◽  
Hye-Jin KIM ◽  
Han-Ju BEA

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