The choices, choosing model of quality of life: Clinical evaluation and intervention

被引:4
作者
Gurland, Barry J. [1 ]
Gurland, Roni V. [1 ]
Mitty, Ethel [1 ]
Toner, John [1 ]
机构
[1] Columbia Univ, Stroud Ctr Study Qual Life, New York, NY 10032 USA
关键词
Quality of life; conceptual; science; interprofessional; interdisciplinary teamwork; intervention; aging; DECISION-MAKING CAPACITY; PEOPLE; PREFERENCES; ASSESSMENTS; IMPACT; CARE;
D O I
10.1080/13561820802675657
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Two previous papers presented a conjectured model of quality of life featuring the personal management of accessing choices and choosing among them (the c-c process). Those papers made the case that this model unifies the pathways leading to impaired quality of life, especially with regard to age associated multiple co-morbidities, changes in perception and functioning, and the effects of long term care environments; it also introduces a science base for understanding and guiding interventions that can assist people to achieve their quality-of-life goals. Our aim in this paper is to outline interprofessional strategies that could relieve restrictions or distortions of the c-c process imposed by aging, ill-health, or a restricting environment. We do so by outlining potential deficits in the c-c process and matching these with restorative person-centered interprofessional interventions including interprofessional teamwork. Findings suggest that interprofessional assessment and team work is well suited to assisting the c-c process. We conclude that the groundwork has been prepared for developing training programs and clinical trials for interprofessional interventions targeting the c-c process.
引用
收藏
页码:110 / 120
页数:11
相关论文
共 60 条
[1]   Undertaking the role of patient advocate: a longitudinal study of nursing students [J].
Altun, I ;
Ersoy, N .
NURSING ETHICS, 2003, 10 (05) :462-471
[2]   Older people seeking solutions to constipation: the laxative mire [J].
Annells, M ;
Koch, T .
JOURNAL OF CLINICAL NURSING, 2002, 11 (05) :603-612
[3]  
[Anonymous], 2004, PARADOX CHOICE
[4]  
BARRY PB, 1997, 23 ANN M ASS GER HIG
[5]   Patients' preferences for participation in clinical decision making: A review of published surveys [J].
Benbassat, J ;
Pilpel, D ;
Tidhar, M .
BEHAVIORAL MEDICINE, 1998, 24 (02) :81-88
[6]  
Bunce D, 2001, EXP AGING RES, V27, P103, DOI 10.1080/713842729
[7]   THE MEANING AND PRACTICE OF SELF-CARE BY OLDER ADULTS - A QUALITATIVE ASSESSMENT [J].
DILL, A ;
BROWN, P ;
CIAMBRONE, D ;
RAKOWSKI, W .
RESEARCH ON AGING, 1995, 17 (01) :8-41
[8]  
Dustman R.E., 1990, Cognitive and behavioral performance factors in atypical aging, P103
[9]  
FAVE DA, 2003, LEISURE STUD, V22, P323
[10]   Are persons with cognitive impairment able to state consistent choices? [J].
Feinberg, LF ;
Whitlatch, CJ .
GERONTOLOGIST, 2001, 41 (03) :374-382