Self-determination in Health Care

Self-determination in Health Care

Author: Leroy C. Edozien

Publisher: Routledge

Published: 2016-03-03

Total Pages: 293

ISBN-13: 1317057422

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It is generally accepted in legal and bioethical discourse that the patient has a right to self-determination. In practice though, this is often not the case. Paternalism is waning and it is increasingly recognised that there are values other than medical factors which determine the choices that patients make. Unfortunately, these developments have not resulted in huge advances for patient self-determination, which is largely because the consent model has fundamental flaws that constrain its effectiveness. This book sets out to offer an alternative model to consent. In the property model proposed here, the patient’s bodily integrity is protected from unauthorised invasion, and their legitimate expectation to be provided with the relevant information to make an informed decision is taken to be a proprietary right. It is argued that the property model potentially overcomes the limitations of the consent model, including the obstacle caused by the requirement to prove causation in consent cases. The author proposes that this model could in the future provide an alternative or complementary approach for the courts to consider when dealing with cases relating to self-determination in health care.


Book Synopsis Self-determination in Health Care by : Leroy C. Edozien

Download or read book Self-determination in Health Care written by Leroy C. Edozien and published by Routledge. This book was released on 2016-03-03 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is generally accepted in legal and bioethical discourse that the patient has a right to self-determination. In practice though, this is often not the case. Paternalism is waning and it is increasingly recognised that there are values other than medical factors which determine the choices that patients make. Unfortunately, these developments have not resulted in huge advances for patient self-determination, which is largely because the consent model has fundamental flaws that constrain its effectiveness. This book sets out to offer an alternative model to consent. In the property model proposed here, the patient’s bodily integrity is protected from unauthorised invasion, and their legitimate expectation to be provided with the relevant information to make an informed decision is taken to be a proprietary right. It is argued that the property model potentially overcomes the limitations of the consent model, including the obstacle caused by the requirement to prove causation in consent cases. The author proposes that this model could in the future provide an alternative or complementary approach for the courts to consider when dealing with cases relating to self-determination in health care.

The Wiley Handbook of Healthcare Treatment Engagement

The Wiley Handbook of Healthcare Treatment Engagement

Author: Andrew Hadler

Publisher: John Wiley & Sons

Published: 2020-01-30

Total Pages: 550

ISBN-13: 1119129524

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Against a global backdrop of problematic adherence to medical treatment, this volume addresses and provides practical solutions to the simple question: “Why don’t patients take treatments that could save their lives?” The Wiley handbook of Healthcare Treatment Engagement offers a guide to the theory, research and clinical practice of promoting patient engagement in healthcare treatment at individual, organizational and systems levels. The concept of treatment engagement, as explained within the text, promotes a broader view than the related concept of treatment adherence. Treatment engagement encompasses more readily the lifestyle factors which may impact healthcare outcomes as much as medication-taking, as well as practical, economic and cultural factors which may determine access to treatment. Over a span of 32 chapters, an international panel of expert authors address this far-reaching and fascinating field, describing a broad range of evidence-based approaches which stand to improve clinical services and treatment outcomes, as well as the experience of users of healthcare service and practitioners alike. This comprehensive volume adopts an interdisciplinary approach to offer an understanding of the factors governing our healthcare systems and the motivations and behaviors of patients, clinicians and organizations. Presented in a user-friendly format for quick reference, the text first supports the reader’s understanding by exploring background topics such as the considerable impact of sub-optimal treatment adherence on healthcare outcomes, before describing practical clinical approaches to promote engagement in treatment, including chapters referring to specific patient populations. The text recognizes the support which may be required throughout the depth of each healthcare organization to promote patient engagement, and in the final section of the book, describes approaches to inform the development of healthcare services with which patients will be more likely to seek to engage. This important book: Provides a comprehensive summary of practical approaches developed across a wide range of clinical settings, integrating research findings and clinical literature from a variety of disciplines Introduces and compliments existing approaches to improve communication in healthcare settings and promote patient choice in planning treatment Presents a range of proven clinical solutions that will appeal to those seeking to improve outcomes on a budget Written for health professionals from all disciplines of clinical practice, as well as service planners and policy makers, The Wiley Handbook of Healthcare Treatment Engagement is a comprehensive guide for individual practitioners and organizations alike.


Book Synopsis The Wiley Handbook of Healthcare Treatment Engagement by : Andrew Hadler

Download or read book The Wiley Handbook of Healthcare Treatment Engagement written by Andrew Hadler and published by John Wiley & Sons. This book was released on 2020-01-30 with total page 550 pages. Available in PDF, EPUB and Kindle. Book excerpt: Against a global backdrop of problematic adherence to medical treatment, this volume addresses and provides practical solutions to the simple question: “Why don’t patients take treatments that could save their lives?” The Wiley handbook of Healthcare Treatment Engagement offers a guide to the theory, research and clinical practice of promoting patient engagement in healthcare treatment at individual, organizational and systems levels. The concept of treatment engagement, as explained within the text, promotes a broader view than the related concept of treatment adherence. Treatment engagement encompasses more readily the lifestyle factors which may impact healthcare outcomes as much as medication-taking, as well as practical, economic and cultural factors which may determine access to treatment. Over a span of 32 chapters, an international panel of expert authors address this far-reaching and fascinating field, describing a broad range of evidence-based approaches which stand to improve clinical services and treatment outcomes, as well as the experience of users of healthcare service and practitioners alike. This comprehensive volume adopts an interdisciplinary approach to offer an understanding of the factors governing our healthcare systems and the motivations and behaviors of patients, clinicians and organizations. Presented in a user-friendly format for quick reference, the text first supports the reader’s understanding by exploring background topics such as the considerable impact of sub-optimal treatment adherence on healthcare outcomes, before describing practical clinical approaches to promote engagement in treatment, including chapters referring to specific patient populations. The text recognizes the support which may be required throughout the depth of each healthcare organization to promote patient engagement, and in the final section of the book, describes approaches to inform the development of healthcare services with which patients will be more likely to seek to engage. This important book: Provides a comprehensive summary of practical approaches developed across a wide range of clinical settings, integrating research findings and clinical literature from a variety of disciplines Introduces and compliments existing approaches to improve communication in healthcare settings and promote patient choice in planning treatment Presents a range of proven clinical solutions that will appeal to those seeking to improve outcomes on a budget Written for health professionals from all disciplines of clinical practice, as well as service planners and policy makers, The Wiley Handbook of Healthcare Treatment Engagement is a comprehensive guide for individual practitioners and organizations alike.

Self-Determination Theory in Practice

Self-Determination Theory in Practice

Author: Independently Published

Publisher:

Published: 2017-02-26

Total Pages: 283

ISBN-13: 9781520661353

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What gets you started making a health behavior change? And what keeps you going with those changes over the long haul? Many books and tutorials offer solutions to these questions, but these solutions often don't work or don't last long. This book is the most comprehensive manual to date detailing how to cultivate high-quality and lasting motivation for healthy living using the tools and strategies from Self-Determination Theory - one of the world's most acclaimed and groundbreaking theories of motivation. Fortune 500 companies and best-selling books such as "How Google Works" and "Drive" have adopted Self-Determination Theory as a blueprint for developing the climates that support deeper and more effective motivation and satisfaction. If you're a healthcare practitioner, researcher, leader in your organization, public health advocate, or just an individual who wants to be able to easily understand and digest four decades of scientific research on human motivation, this book provides you the fundamentals for creating programs that support long-lasting health behavior change.


Book Synopsis Self-Determination Theory in Practice by : Independently Published

Download or read book Self-Determination Theory in Practice written by Independently Published and published by . This book was released on 2017-02-26 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: What gets you started making a health behavior change? And what keeps you going with those changes over the long haul? Many books and tutorials offer solutions to these questions, but these solutions often don't work or don't last long. This book is the most comprehensive manual to date detailing how to cultivate high-quality and lasting motivation for healthy living using the tools and strategies from Self-Determination Theory - one of the world's most acclaimed and groundbreaking theories of motivation. Fortune 500 companies and best-selling books such as "How Google Works" and "Drive" have adopted Self-Determination Theory as a blueprint for developing the climates that support deeper and more effective motivation and satisfaction. If you're a healthcare practitioner, researcher, leader in your organization, public health advocate, or just an individual who wants to be able to easily understand and digest four decades of scientific research on human motivation, this book provides you the fundamentals for creating programs that support long-lasting health behavior change.

Self-Determination Theory

Self-Determination Theory

Author: Richard M. Ryan

Publisher: Guilford Publications

Published: 2018-11-06

Total Pages: 770

ISBN-13: 1462538967

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"Among the most influential models in contemporary behavioral science, self-determination theory (SDT) offers a broad framework for understanding the factors that promote human motivation and psychological flourishing. In this authoritative work, SDT cofounders Richard M. Ryan and Edward L. Deci systematically review the theory's conceptual underpinnings, empirical evidence base, and practical applications across the lifespan. Ryan and Deci demonstrate that supporting people's basic needs for competence, relatedness, and autonomy is critically important for virtually all aspects of individual and societal functioning."--Jacket.


Book Synopsis Self-Determination Theory by : Richard M. Ryan

Download or read book Self-Determination Theory written by Richard M. Ryan and published by Guilford Publications. This book was released on 2018-11-06 with total page 770 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Among the most influential models in contemporary behavioral science, self-determination theory (SDT) offers a broad framework for understanding the factors that promote human motivation and psychological flourishing. In this authoritative work, SDT cofounders Richard M. Ryan and Edward L. Deci systematically review the theory's conceptual underpinnings, empirical evidence base, and practical applications across the lifespan. Ryan and Deci demonstrate that supporting people's basic needs for competence, relatedness, and autonomy is critically important for virtually all aspects of individual and societal functioning."--Jacket.

The Patient Self-Determination Act

The Patient Self-Determination Act

Author: Lawrence P. Ulrich

Publisher: Georgetown University Press

Published: 2001-07-18

Total Pages: 370

ISBN-13: 9781589014534

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The Patient Self-Determination Act of 1990 required medical facilities to provide patients with written notification of their right to refuse or consent to medical treatment. Using this Act as an important vehicle for improving the health care decisionmaking process, Lawrence P. Ulrich explains the social, legal, and ethical background to the Act by focusing on well-known cases such as those of Karen Quinlan and Nancy Cruzan, and he explores ways in which physicians and other caregivers can help patients face the complex issues in contemporary health care practices. According to Ulrich, health care facilities often address the letter of the law in a merely perfunctory way, even though the Act integrates all the major ethical issues in health care today. Ulrich argues that well-designed conversations between clinicians and patients or their surrogates will not only assist in preserving patient dignity — which is at the heart of the Act—but will also help institutions to manage the liability issues that the Act may have introduced. He particularly emphasizes developing effective advance directives. Ulrich examines related issues, such as the negative effect of managed care on patient self-determination, and concludes with a seldom-discussed issue: the importance of being a responsible patient. Showing how the Patient Self-Determination Act can be a linchpin of more meaningful and effective communication between patient and caregiver, this book provides concrete guidance to health care professionals, medical ethicists, and patient-rights advocates.


Book Synopsis The Patient Self-Determination Act by : Lawrence P. Ulrich

Download or read book The Patient Self-Determination Act written by Lawrence P. Ulrich and published by Georgetown University Press. This book was released on 2001-07-18 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Self-Determination Act of 1990 required medical facilities to provide patients with written notification of their right to refuse or consent to medical treatment. Using this Act as an important vehicle for improving the health care decisionmaking process, Lawrence P. Ulrich explains the social, legal, and ethical background to the Act by focusing on well-known cases such as those of Karen Quinlan and Nancy Cruzan, and he explores ways in which physicians and other caregivers can help patients face the complex issues in contemporary health care practices. According to Ulrich, health care facilities often address the letter of the law in a merely perfunctory way, even though the Act integrates all the major ethical issues in health care today. Ulrich argues that well-designed conversations between clinicians and patients or their surrogates will not only assist in preserving patient dignity — which is at the heart of the Act—but will also help institutions to manage the liability issues that the Act may have introduced. He particularly emphasizes developing effective advance directives. Ulrich examines related issues, such as the negative effect of managed care on patient self-determination, and concludes with a seldom-discussed issue: the importance of being a responsible patient. Showing how the Patient Self-Determination Act can be a linchpin of more meaningful and effective communication between patient and caregiver, this book provides concrete guidance to health care professionals, medical ethicists, and patient-rights advocates.

Intrinsic Motivation

Intrinsic Motivation

Author: Edward L. Deci

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 325

ISBN-13: 1461344468

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As I begin to write this Preface, I feel a rush of excitement. I have now finished the book; my gestalt is coming into completion. Throughout the months that I have been writing this, I have, indeed, been intrinsically motivated. Now that it is finished I feel quite competent and self-determining (see Chapter 2). Whether or not those who read the book will perceive me that way is also a concern of mine (an extrinsic one), but it is a wholly separate issue from the intrinsic rewards I have been experiencing. This book presents a theoretical perspective. It reviews an enormous amount of research which establishes unequivocally that intrinsic motivation exists. Also considered herein are various approaches to the conceptualizing of intrinsic motivation. The book concentrates on the approach which has developed out of the work of Robert White (1959), namely, that intrinsically motivated behaviors are ones which a person engages in so that he may feel competent and self-determining in relation to his environment. The book then considers the development of intrinsic motiva tion, how behaviors are motivated intrinsically, how they relate to and how intrinsic motivation is extrinsically motivated behaviors, affected by extrinsic rewards and controls. It also considers how changes in intrinsic motivation relate to changes in attitudes, how people attribute motivation to each other, how the attribution process is motivated, and how the process of perceiving motivation (and other internal states) in oneself relates to perceiving them in others.


Book Synopsis Intrinsic Motivation by : Edward L. Deci

Download or read book Intrinsic Motivation written by Edward L. Deci and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: As I begin to write this Preface, I feel a rush of excitement. I have now finished the book; my gestalt is coming into completion. Throughout the months that I have been writing this, I have, indeed, been intrinsically motivated. Now that it is finished I feel quite competent and self-determining (see Chapter 2). Whether or not those who read the book will perceive me that way is also a concern of mine (an extrinsic one), but it is a wholly separate issue from the intrinsic rewards I have been experiencing. This book presents a theoretical perspective. It reviews an enormous amount of research which establishes unequivocally that intrinsic motivation exists. Also considered herein are various approaches to the conceptualizing of intrinsic motivation. The book concentrates on the approach which has developed out of the work of Robert White (1959), namely, that intrinsically motivated behaviors are ones which a person engages in so that he may feel competent and self-determining in relation to his environment. The book then considers the development of intrinsic motiva tion, how behaviors are motivated intrinsically, how they relate to and how intrinsic motivation is extrinsically motivated behaviors, affected by extrinsic rewards and controls. It also considers how changes in intrinsic motivation relate to changes in attitudes, how people attribute motivation to each other, how the attribution process is motivated, and how the process of perceiving motivation (and other internal states) in oneself relates to perceiving them in others.

Choice, Preference, and Disability

Choice, Preference, and Disability

Author: Roger J. Stancliffe

Publisher: Springer Nature

Published: 2020-04-17

Total Pages: 375

ISBN-13: 3030356833

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This book examines choice and preference in the lives of people with disability, focusing on people with intellectual and developmental disabilities. It provides an overview of choice and examines foundational concepts related to choice and preference, including self-determination and supported decision making. Chapters examine a range of critical service and policy issues, such as guardianship, individualized funding, the health care system, and the situation regarding choices for people with disability in international contexts. In addition, chapters explore issues ranging from the development of preference and choice in childhood to choices in older age and end of life matters. It provides in-depth analysis of particular choices faced at different points across the lifespan. The book concludes with implications for policy and practice. Topics featured in this book include: Supported decision making for adults with intellectual disabilities or acquired brain injury. The role of parents and families in the development of choice-making skills. Preference assessments for individuals who cannot tell us what they prefer. Employment opportunities for people with intellectual disabilities. Sexual and reproductive rights for people with intellectual disabilities. Disability and the choice to become a parent. Choice, Preference, and Disability is an essential resource for researchers, professors, clinicians, therapists, and other professionals as well as graduate students in the fields of developmental and positive psychology, rehabilitation, social work, special education, occupational, speech and language therapy, public health, and healthcare policy.


Book Synopsis Choice, Preference, and Disability by : Roger J. Stancliffe

Download or read book Choice, Preference, and Disability written by Roger J. Stancliffe and published by Springer Nature. This book was released on 2020-04-17 with total page 375 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines choice and preference in the lives of people with disability, focusing on people with intellectual and developmental disabilities. It provides an overview of choice and examines foundational concepts related to choice and preference, including self-determination and supported decision making. Chapters examine a range of critical service and policy issues, such as guardianship, individualized funding, the health care system, and the situation regarding choices for people with disability in international contexts. In addition, chapters explore issues ranging from the development of preference and choice in childhood to choices in older age and end of life matters. It provides in-depth analysis of particular choices faced at different points across the lifespan. The book concludes with implications for policy and practice. Topics featured in this book include: Supported decision making for adults with intellectual disabilities or acquired brain injury. The role of parents and families in the development of choice-making skills. Preference assessments for individuals who cannot tell us what they prefer. Employment opportunities for people with intellectual disabilities. Sexual and reproductive rights for people with intellectual disabilities. Disability and the choice to become a parent. Choice, Preference, and Disability is an essential resource for researchers, professors, clinicians, therapists, and other professionals as well as graduate students in the fields of developmental and positive psychology, rehabilitation, social work, special education, occupational, speech and language therapy, public health, and healthcare policy.

Self-Determination Theory in the Clinic

Self-Determination Theory in the Clinic

Author: Kennon M. Sheldon

Publisher: Yale University Press

Published: 2008-10-01

Total Pages: 216

ISBN-13: 0300128665

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Self-determination theory is grounded in the belief that people work best and are happiest when they feel that they are in control of their own lives. This invaluable book explains the ramifications of the theory and provides clinical examples to show that it can be used to motivate patients undergoing treatment for such physical or psychological issues as diabetes management, smoking cessation, post-traumatic stress, obsessive-compulsive disorder, and depression. The first part of the book provides historical background to self-determination theory, showing that it is humanistically oriented and has three decades of empirical research behind it. In the process, the authors discuss why humanistic psychology fell out of favor in academic psychology; why “self-help” and New Age books have such perennial popularity; and why it is so important for authorities to support patients’ sense of self. The remainder of the book presents many specific case examples to describe the theory’s application.


Book Synopsis Self-Determination Theory in the Clinic by : Kennon M. Sheldon

Download or read book Self-Determination Theory in the Clinic written by Kennon M. Sheldon and published by Yale University Press. This book was released on 2008-10-01 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Self-determination theory is grounded in the belief that people work best and are happiest when they feel that they are in control of their own lives. This invaluable book explains the ramifications of the theory and provides clinical examples to show that it can be used to motivate patients undergoing treatment for such physical or psychological issues as diabetes management, smoking cessation, post-traumatic stress, obsessive-compulsive disorder, and depression. The first part of the book provides historical background to self-determination theory, showing that it is humanistically oriented and has three decades of empirical research behind it. In the process, the authors discuss why humanistic psychology fell out of favor in academic psychology; why “self-help” and New Age books have such perennial popularity; and why it is so important for authorities to support patients’ sense of self. The remainder of the book presents many specific case examples to describe the theory’s application.

Handbook of Self-determination Research

Handbook of Self-determination Research

Author: Edward L. Deci

Publisher: University Rochester Press

Published: 2004

Total Pages: 484

ISBN-13: 9781580461566

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Over the past twenty years an increasing number of researchers from various universities have been investigating motivational issues underlying the self-regulation of behavior. Using either Self-Determination Theory or closely related theoretical perspectives, these researchers have performed laboratory experiments, as well as field studies in a variety of real-world settings. In April 1999 thirty of these researchers convened at the University of Rochester to present their work, share ideas, and discuss future research directions. This book is an outgrowth of that important and fascinating conference. It summarizes the research programs of these social, personality, clinical, developmental, and applied psychologists who have a shared belief in the importance of self-determination for understanding basic motivational processes and for solving pressing real-world problem. (Midwest).


Book Synopsis Handbook of Self-determination Research by : Edward L. Deci

Download or read book Handbook of Self-determination Research written by Edward L. Deci and published by University Rochester Press. This book was released on 2004 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past twenty years an increasing number of researchers from various universities have been investigating motivational issues underlying the self-regulation of behavior. Using either Self-Determination Theory or closely related theoretical perspectives, these researchers have performed laboratory experiments, as well as field studies in a variety of real-world settings. In April 1999 thirty of these researchers convened at the University of Rochester to present their work, share ideas, and discuss future research directions. This book is an outgrowth of that important and fascinating conference. It summarizes the research programs of these social, personality, clinical, developmental, and applied psychologists who have a shared belief in the importance of self-determination for understanding basic motivational processes and for solving pressing real-world problem. (Midwest).

Self-Determination, Dignity and End-of-Life Care

Self-Determination, Dignity and End-of-Life Care

Author: Stefania Negri

Publisher: BRILL

Published: 2012-02-03

Total Pages: 487

ISBN-13: 9004223584

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By providing an interdisciplinary reading of advance directives regulation in international, European and domestic law, this book offers new insights into the most controversial legal issues surrounding the debate over dignity and autonomy at the end of life.


Book Synopsis Self-Determination, Dignity and End-of-Life Care by : Stefania Negri

Download or read book Self-Determination, Dignity and End-of-Life Care written by Stefania Negri and published by BRILL. This book was released on 2012-02-03 with total page 487 pages. Available in PDF, EPUB and Kindle. Book excerpt: By providing an interdisciplinary reading of advance directives regulation in international, European and domestic law, this book offers new insights into the most controversial legal issues surrounding the debate over dignity and autonomy at the end of life.