English  |  正體中文  |  简体中文  |  Items with full text/Total items : 75369/75369 (100%)
Visitors : 25464404      Online Users : 135
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
  • Adv. Search
    HomeLoginUploadHelpAboutAdminister Goto mobile version

    Please use this identifier to cite or link to this item: http://ir.lib.ncu.edu.tw/handle/987654321/69450

    Title: 長期照護倫理基礎—以差異原則分析老人之需求;Foundation of Long-term care Ethics –Analysis of needs of Elderly Based on the Difference of Principle
    Authors: 蕭玉霜;HSIAO,YU-SHUANG
    Contributors: 哲學研究所
    Keywords: 長期照護;差異原則;依賴性;羅爾斯;丹尼爾斯;Long-term care;Difference Principle;Dependence;John Rawls;Norman Daniels
    Date: 2016-01-27
    Issue Date: 2016-03-17 20:39:14 (UTC+8)
    Publisher: 國立中央大學
    Abstract: 失能老人除了要面對機能老化導致失能,從衣、食、住、行等無法自我照顧的狀況,還有負擔慢性病及長期的照顧人力、財力、醫療、社會與家庭環境設備等照護資源的支出。當家庭之人力、環境、設施已不敷失能老人的健康照護需求時,失能老人和其照護者都受到沈重的壓力,甚至被扭曲而釀成人間悲劇,以及不當的護照方式。失能老人與其照護者都是弱勢的倚賴者,因此,本文以羅爾斯之差異原則作為照護的基本原則,由此以建立老人和照護者應有的在資源分配上的權利和政府之責任。由此確認滿足失能老人的健康照護的方法,以實質上維護其自由與尊嚴。
    ;The disabled elderlies, in addition to the encountering organs degeneration, have to face the situation where they cannot take food, clothing, living by themselves, and facing the problem of the heavy burden of the cost of caring for chronic diseases, medical expenses, social and domestic provisions etc. When family could not provide the necessary financial or human resources to take care the needs, disabled elderlies and their caregivers are under heavy pressure, and may even lead to distortions as human tragedy and improper ways of caring. Disabled elderlies and their caregivers are vulnerable dependent persons. Therefore I take Rawls′s difference principle as the basic principle of long-term health care, in order to establish the rights of the elderlies and their caregivers the proper allocation of resources and the responsibility of the government. Thereby setting up the basic health care program meeting their needs and maintain their freedom and dignity.

    In this thesis, I have examined the discussions between Norman Daniels, Martha C. Nussbaum and Eva F. Kittay, and adopted Kittay’s idea of "dependence " and "derivative dependence ′ of the elderlies and their care-takers , and offering them according to their fair equality of opportunities in their medical resources sharing. But I argue that, it need be based on the difference principle, in order to establish and secure the rights of the disability elderlies and caregivers and the sharing of reasonable care resources. For, the difference principle emphasis the caring of the most disadvantaged and disabled elderlies and their careers are among the most disadvantaged. Hence the difference principle could protect them and their needs most appropriately.

    I go further for an analysis of the nine benchmarks of just health proposed by Daniels, as well as Confucian ideals of health care, in order to enrich and fortify the difference principle in our treatment of disabled elderlies health care. Finally, as an example, I present the Taiwan case of feeding the disabled through nasogastric tube, who cannot chew and swallow food, and try to show that how the adoption of the principle could make a great improvement in the lives of the elderlies. Moreover, I introduce how the Japanese model by improving the feeding method and removal of the nasogastric tube, could help the elderlies returning to a free and dignity personality by taking food through mouth. Thereby establishing proper care resources, by taking seriously the dependence of the elderly and caregivers, could improve the life with dignity and freedom of the elderlies.

    The present research discovers, in addition to the confirmation that the principle of difference can be made the foundation of long-term care ethics, it could also be used to improve feeding method to meet the health-care needs of the disabled elderly. Furthermore, I propose that when the government plans to legalize long-term care insurance, it should take the democratic procedure with dialogues with experts, scholars, pharmacy industry, opinions of societies, communities and associations, in order to form a proper and just long-term care program.
    Appears in Collections:[哲學研究所] 博碩士論文

    Files in This Item:

    File Description SizeFormat

    All items in NCUIR are protected by copyright, with all rights reserved.

    社群 sharing

    ::: Copyright National Central University. | 國立中央大學圖書館版權所有 | 收藏本站 | 設為首頁 | 最佳瀏覽畫面: 1024*768 | 建站日期:8-24-2009 :::
    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - 隱私權政策聲明