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Kevin Teasdale - Advocacy in Health Care

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Advocacy in Health Care presents a research-based framework for advocacy that can be used as a guide to everyday clinical practice. It discusses how to speak out on behalf of patients and clients as well as how to empower them to speak out for themselves. The main themes are illustrated with case-study examples from general hospitals and community settings, as well as from the fields of learning disabilities and mental health. This book will appeal to students, qualified professionals and independent advocates working with patients and clients within the health-care system, including nurses, doctors, social workers and those in professions allied to medicine.

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title Advocacy in Health Care author Teasdale Kevin publisher - photo 1

title:Advocacy in Health Care
author:Teasdale, Kevin.
publisher:Blackwell Publishing Ltd.
isbn10 | asin:
print isbn13:9780632049776
ebook isbn13:9780632060238
language:English
subjectPatient advocacy.
publication date:1998
lcc:R727.45.T4 1998eb
ddc:362.1
subject:Patient advocacy.
Page iii
Advocacy in Health Care
Kevin Teasdale
MA(Oxon), PhD, RMN, Cert Ed
Advocacy in Health Care - image 2
Page iv
1998
Blackwell Science Ltd
Editorial Offices:
Osney Mead, Oxford OX2 0EL
25 John Street, London WC1N 2BL
23 Ainslie Place, Edinburgh EH3 6AJ
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Other Editorial Offices:
Blackwell Wissenschafts-Verlag GmbH
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10707 Berlin, Germany
Blackwell Science KK
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Chuo-ku, Tokyo 104, Japan
The right of the Author to be identified as the Author of this Work has been asserted in accordance with the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher.
First published 1998
Set in 10/12 pt Souvenir Light by DP Photosetting, Aylesbury, Bucks Printed and bound in Great Britain by MPG Books Ltd, Bodmin, Cornwall
The Blackwell Science logo is a trade mark of Blackwell Science Ltd, registered at the United Kingdom Trade Marks Registry
DISTRIBUTORS
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Fax: 01235 465555)
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Blackwell Science, Inc.
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A catalogue record for this title is available from the British Library
ISBN 0-632-04977-4
Library of Congress Cataloging-in-Publication Data is available
Page v
Contents
Preface
vii
1 The Nature of Advocacy
1
2 The Risks of Advocacy
11
3 Types of Advocacy
21
4 An Advocacy Flowchart
31
5 Wants and Their Assessment
39
6 Empowering Clients to Self-Advocate
51
7 External Advocacy
63
8 Reducing the Risks
75
9 Advocacy Schemes for People with Special Needs
85
10 The Role of Patients' Relatives
95
11 Independent Advocacy
105
12 Supervision
113
13 An Advocacy Curriculum
127
14 Case Studies
139
15 The Way Forward
153
References
157
Index
163

Page vii
Preface
This book is intended both as an encouragement and as a warning. The encouragement is because I believe that access to advocacy is still desperately needed in health care. Our systems and institutions continue to disempower the people they were intended to serve, whether these are called 'patients', 'clients', or 'service users' (I use all these terms interchangeably throughout this book). Carefully planned and expertly carried out, advocacy reminds helpers of why they came into health care in the first place and may even stand out among landmark achievements across a career. In contrast, a warning is necessary because too many sincere people have been left bruised and battered as a result of trying to stand up and be counted as advocates. I hope that the ideas and examples contained in these chapters will help potential advocates take some quite straightforward precautions to lessen the risks of advocacy for everyone involved.
I would like to think that this book has something of value in it for all health care professionals and for independent advocates as well. I hope that one of its strengths will be found in the series of genuine case histories of everyday advocacy which are used to illustrate the main points. However, it is also a weakness that these case histories are not truly representative. I collected them over several years through interviews and written questionnaires but, being a nurse myself, I had much easier access to nursing staff than to other professional groups or independent advocates. I believe that most of the learning points from the examples generalise perfectly well to the work of other groups, but I must apologise that too few of these are included in the case histories. Indeed I suspect that medical staff who read this book may easily find themselves infuriated by so many examples where they are cast in the role of opponents of advocacy. This has arisen partly from the nature of power in health care and partly as a feature of the unrepresentative range of the case histories. For the latter I again apologise and I would be very interested to hear from readers who are either independent advocates or members of any of the health care professions and who are willing to
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