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Long-Term Care: Is There Still A Role for Nursing?

  • Sally J. Redfern
Chapter

Abstract

The proposition of this book that a systemic understanding of care in communities requires a broader interpretation of ‘institutions’ is further developed in this chapter. So far, a variety of forms of institutional care have been discussed. In these chapters, the interdependence of formal and informal care, and of residential and community-based services, has been emphasised. The state, the family and numerous forms of residential and community care have all been identified as ‘institutions’ with a far greater degree of permeability than the conventional notion of the ‘total institution’ suggests. The nature and influence of professions as institutions has been touched upon in earlier chapters, and Professor Redfern’s account of the changing nature and role of professional nursing focuses this aspect of the discussion. In doing so, this chapter offers further ways of addressing the urgent concerns of the previous two chapters about the effects of the rush to ‘community care’ on the quality of continuing care for the most vulnerable, sick and disabled people in our society.

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Copyright information

© Sally J. Redfern 1998

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  • Sally J. Redfern

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