{"product_id":"disability-personal-care-assistance-and-rita-fleming-castaldy-9783639157734","title":"Disability, Personal Care Assistance, and Quality of Life","description":"People with disabilities often require personal care assistance (PCA) to perform daily activities and pursue life roles. PCA has historically been institution-based, resulting in the segregation of disabled people. Home-based PCA is an alternative to institutional care. These services can be agency- directed or consumer-directed. Disability rights activists strongly advocate for consumer-directed programs since personal control is key to a satisfying life. This text describes the foundations of consumer-direction and a study which tested the postulate that having control of and choice in PCA services result in a more satisfactory life. Since the incurrence of disability can result in impairments that contribute to a dissatisfying loss of control over many aspects of life, the finding that disabled people can mediate their limitations by self-managing their PCA is important. The significant impact of self-management of PCA on life satisfaction supports the value of consumer- directed PCA programs for persons with disabilities. The implications of consumer-direction for healthcare services, policies, and research are discussed.\u003cbr\u003e\u003cbr\u003e\u003cb\u003eAuthor:\u003c\/b\u003e Rita Fleming-Castaldy\u003cbr\u003e\u003cb\u003eISBN-10:\u003c\/b\u003e 3639157737\u003cbr\u003e\u003cb\u003eISBN-13:\u003c\/b\u003e 9783639157734\u003cbr\u003e\u003cb\u003ePublisher:\u003c\/b\u003e VDM Verlag\u003cbr\u003e\u003cb\u003eLanguage:\u003c\/b\u003e English\u003cbr\u003e\u003cb\u003ePublished:\u003c\/b\u003e 06\/07\/2009\u003cbr\u003e\u003cb\u003ePages:\u003c\/b\u003e 132\u003cbr\u003e\u003cb\u003eFormat:\u003c\/b\u003e Paperback\u003cbr\u003e\u003cb\u003eWeight:\u003c\/b\u003e 0.45lbs\u003cbr\u003e\u003cb\u003eSize:\u003c\/b\u003e 9.00h x 6.00w x 0.31d","brand":"Rita Fleming-Castaldy","offers":[{"title":"Paperback","offer_id":47474362319103,"sku":"9783639157734","price":63.72,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0662\/2982\/9887\/files\/img_49becee7-a377-4910-b724-36ad173e987a.jpg?v=1762316249","url":"https:\/\/www.whiterainbookhouse.com\/products\/disability-personal-care-assistance-and-rita-fleming-castaldy-9783639157734","provider":"WR Book House","version":"1.0","type":"link"}