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Quality of life, values, and teamwork in geriatric care: do we communicate what we mean?
- Author:
- CLARK Phillip G.
- Journal article citation:
- Gerontologist, 35(3), June 1995, pp.402-411.
- Publisher:
- Oxford University Press
Two major forces are changing the shape of health care for the frail elderly with disabling conditions: increasing emphasis on quality of life and growing reliance on an interprofessional team-based approach to care. Outlines a conceptual framework for organizing discussions of quality of life for elderly persons with disabilities, reviews relevant empirical research, and develops a framework for understanding the different dimension and interpretations of this concept - particularly as it is used in communication among health care providers, and between them and their elderly patients and families. New models of health care to enhance the focus on life quality and collaborative team practice are summarized. Proposed is the development of an "empowering and reflective ethic" to achieve more effective communication about quality of life in geriatric clinical practice.
Values in health care professional socialisation: implications for geriatric education in interdisciplinary teamwork
- Author:
- CLARK Phillip G.
- Journal article citation:
- Gerontologist, 37(4), August 1997, pp.441-451.
- Publisher:
- Oxford University Press
The development of an identity and pattern of practice in the health care professions is based on a process of socialisation into the norms of a particular discipline and has important implications for clinical practice with older people. This article presents a model for understanding the socialization process of physicians, nurses, and social workers as the development of professional meaning ("voice") based on the acquisition of value orientations or themes intrinsic to their education and training. The implications of these patterns for the abilities of different professions to work together collaboratively in the care of older people are highlighted as a framework for developing new interdisciplinary curricular models in gerontological and geriatric education.