Contrasting perspectives on the treatment of

May 21, Dr.

Contrasting perspectives on the treatment of

Published online Sep BoxTrondheim, Norway. This is an open-access article Contrasting perspectives on the treatment of under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

This article has been cited by other articles in PMC. Abstract Background Repeated encounters over time enable general practitioners GPs to accumulate biomedical and biographical knowledge about their patients.

A growing body of evidence documenting the medical relevance of lifetime experiences indicates that health personnel ought to appraise this type of knowledge and consider how to incorporate it into their treatment of patients. In order to explore the interdisciplinary communication of such knowledge within Norwegian health care, we conducted a research project at the interface between general practice and a nursing home.

Methods In the present study, nine Norwegian GPs were each interviewed about one of their patients who had recently been admitted to a nursing home for short-term rehabilitation.

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The transcripts of the interviews and the institutional treatment measures were compared and analysed, applying a phenomenological—hermeneutical framework. In the present article, we compare and discuss: The nursing home staff individualized their selection of therapeutic interventions based on defined standardized treatment approaches, without personalizing them.

To assure quality and cost control, diagnosis and treatment are increasingly determined and evaluated using a set of standards rooted in statistical knowledge about groups, rather than in explorations of the needs of individual patients.

It may also have implications, which are crucial to the care of frail human beings who have decompensated in terms of functional impairment to such an extent that rehabilitative institutional care is required. The present study focuses on such a situation.

Medical rehabilitation of frail individuals—cure or care? This group includes individuals who have become frail prematurely due to chronic debilitating conditions, typically more than one Barnett et al.

The frailty of others in this group may be due to their advanced age or the combination of age and multi-morbidity Martin et al. Context for the present study In Norway, where this study was conducted, strong emphasis is currently placed on providing home-based care to elderly and frail people.

Within a formal health care perspective, and with governmental support, rehabilitation is conceptualized as: This is largely congruent with the findings of Gaugler and colleagues suggesting a threshold model that may predict nursing home admission.

Contrasting perspectives on the treatment of

There exist no national guidelines for rehabilitation in nursing homes. Usually, desirable outcomes clear goals are formulated and included in such plans.

Most Norwegians are assigned to a specific GP list systema system which, ideally, assures continuity of care. Currently, no formalized standards regulate what type of biographical and contextual information should ideally follow patients to or from health care institutions.

In the initial phase, two groups of GPs were invited to reflect upon and discuss the potential significance of knowing their patients as persons. Theoretical framework Researchers aiming at exploring and reflecting upon human experience in the context of medicine and medical practice would be well-advised to choose phenomenology as their theoretical framework Kvale, ; Mishler, Experiences are always, a priori, experiences of something for somebody situated in a particular context.

Consequently, the issue of personhood must be a central component in any research on human experience. Any investigation of experience as communicated through first-person accounts involves encountering and exploring systems of values and of symbols as they are conceptualized and expressed in language, spoken, and written.

Consequently, they demand a competence in hermeneutics interpretations Kvale, ; Mishler, Experience relates as much to the body as it is bound to the person; bodily being is the basic premise for experience, which is first perceived bodily and then interpreted personally. French philosopher and phenomenologist Maurice Merleau-Ponty regards the body, including when it is diseased and incapacitated, as embodied life—a lived body.

This contrasts to the biomedical body, which is conceptualized as devoid of history and experience Cassell, - patients eating from red plates consumed 25 percent more food than those eating from white plates.

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