Abstract
Analysis of sixty ethnographic interviews on the meaning of activity in family caregiving for frail community elderly generated a model of caregiving as a daily round of ethical dilemmas. Five ethical themes were derived from the data. The ethical maxim “above all do no harm” led to prominent patterns of tension within the principle of beneficence and between the principles of autonomy and beneficence. Justice was the principle most often perceived to be violated. The data suggest that professionals who work with family caregivers should seek to understand the caregiver's ethical framework in order to bring about an optimum therapeutic relationship in long term care.
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