Transforming Homes and Hospitals
Hastings Center Report. 1994 Sep-Oct; 24(5, Suppl.): S11-S14.
...But there are, I think, more general troubles with this stark contrast between home and hospital. Most importantly for assessments of hospital-to-home transfers, it ignores transformations that illness often makes in family life and home. For example, illnesses and treatments can make familiar domestic settings alien, or they can confuse family roles and foster mutual deception, detachment, and resentment, even (or especially) in well-ordered families. Contrary to the common assumption, given such transformations hospitals may often allow patients greater autonomy than home and may better preserve family relationships than would home care. If so, then current domestication of care for seriously ill patients may be morally questionable in ways the sterotypes of home and hospital obscure.
Allowing to Die; Alternatives; Altruism; Autonomy; Chronically Ill; Deception; Family Members; Family Relationship; Females; Health; Health Care; Health Personnel; Home Care; Hospitals; Homeless Persons; Illness; Life; Paternalism; Patient Care; Patients; Patients' Rights; Privacy; Psychological Stress; Quality of Health Care; Quality of Life; Residential Facilities; Rights; Risks and Benefits; Self Concept; Terminal Care; Terminally Ill; Treatment Refusal;
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