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Related Experiment Video

Updated: May 26, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Disability and dignity-enabling home environments.

Barbara E Gibson¹, Barbara Secker, Debbie Rolfe

¹Department of Physical Therapy, Faculty of Medicine, University of Toronto, Canada. barbara.gibson@utoronto.ca

Social Science & Medicine (1982)

|December 7, 2011

Summary

This summary is machine-generated.

Defining an adequate home environment for disabled adults is crucial. This study identifies seven essential conditions for a dignity-enabling home, impacting social inclusion and well-being.

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Area of Science:

Disability Studies
Bioethics
Sociology

Background:

Limited affordable housing and elder-focused long-term care in Canada exclude younger disabled adults.
Inadequate home environments can negatively impact health and social inclusion for disabled individuals.

Purpose of the Study:

To ethically analyze the concept of an 'adequate' home environment for adults with significant mobility disabilities.
To identify threshold conditions for a dignity-enabling home for disabled adults.

Main Methods:

Integrated design combining qualitative interviews with normative ethical analysis.
Iterative process involving 19 participants (younger adults with mobility disabilities and decision-makers) in Ontario, Canada.
Critical disability ethics approach and reflective equilibrium for data analysis.

Main Results:

Seven threshold conditions for a dignity-enabling home were identified.
These include: forming relationships, community access, daily activity control, self-expression, respectful attendant relationships, participation opportunities, and security (physical, psychological, ontological).

Conclusions:

Social dignity offers a normative ethical framework for assessing home environment adequacy for disabled individuals.
The identified threshold elements provide specific, actionable criteria for policy and practice reform in housing, health, and social care.