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Uncertainty, Decision-making And Team Work In High-tech Healthcare: Person-soulmindbody-hood & Relational Medicine [Kõva köide]

(Univ Of California, Los Angeles, Usa), (Univ Of California, Los Angeles, Usa), (Univ Of California, Los Angeles, Usa)
  • Formaat: Hardback, 228 pages
  • Ilmumisaeg: 25-Jan-2023
  • Kirjastus: World Scientific Publishing Co Pte Ltd
  • ISBN-10: 9811254672
  • ISBN-13: 9789811254673
Teised raamatud teemal:
  • Formaat: Hardback, 228 pages
  • Ilmumisaeg: 25-Jan-2023
  • Kirjastus: World Scientific Publishing Co Pte Ltd
  • ISBN-10: 9811254672
  • ISBN-13: 9789811254673
Teised raamatud teemal:

The Relational Medicine Project Is Growing. In 2014 We Published Our Practice Framework ""Relational Medicine — Personalizing Modern Healthcare: The Practice Of High-Tech Medicine As A Relationalact"" . Building On This Foundation, We Now Present A Cutting-Edge And Fully Developed Single Case Recording Analysis Of Consecutive Encounter Interactions In A Dramatically Accelerating Life-And-Death Decision-Making Situation In The High-Tech Medical Practice Of Advanced Heart Failure During Which Practitioners, Patient, And Family Face Multiple Uncertainties As The Decision-Making Process Unfolds And The Patient'S Condition Deteriorates. We Show How A Multi-Professional Team Including A Cardiologist, Cardiac Surgeon, Critical Care Unit Nurse And Fellows Discuss Life-Prolonging Options With Their Patient And Family. We Make Visible The Essential Roles Of Each Multi-Disciplinary Team Member In Helping Frame For The Patient And Family What Is Going On And The Changing Options While Attending To The Patient'S Person-Soul-Mind-Body-Hood. In Bringing Different Data, Perspectives, And Facets Of Understanding To Bear, This Book Offers A Novel Approach To Studying High-Tech Medical Care Grounded In Federica Raia'S Relational Ontology Framework Of Understanding Everyday Practice. Using A Micro-Ethnographic Data Analysis And A Participatory Research Strategy, We Unravel A Heretofore Unrecognized Universe Of Practice Themes And Present Suggestions For Medical Education And Training Aimed At Continuous Practice Improvement.

Short Summary v
Acknowledgments vii
About The Authors ix
Chapter 1 Introduction
1(12)
Introducing the Case
3(10)
Chapter 2 Conceptual Framework
13(24)
Breakdown of Familiarity
15(1)
Caring for the Other
16(1)
Framing
17(3)
Framing as Care for the Other
20(2)
Facing Uncertainty
22(5)
Research Methodology
27(10)
Chapter 3 Framing The Options
37(28)
A Rollercoaster
37(4)
Evidence-Based Reasoning
41(2)
Framing from the Beginning
43(5)
Changing Conditions and Evolving Options
48(12)
Framing Uncertainty: A First Discussion
60(5)
Chapter 4 Interactions With Doctors In Training
65(16)
Multiparty Conversation
66(3)
Creating Obstacles by Ignoring Uncertainties
69(7)
Reframing by Using Caring Power
76(5)
Chapter 5 The Iterative Nature Of Decision-Making
81(34)
Multiparty Perspectives -- Building the Team
82(12)
Questions, Ambiguities, and Explanations
94(7)
Projecting into the Future with Transplantation
101(3)
December 31
104(11)
Chapter 6 Increasing Urgency
115(32)
Meeting the Surgeon
118(13)
Urgency-Related Tension in the Team
131(3)
Backstage and Frontstage Communication
134(13)
Chapter 7 Transitioning from urgency to emergency: the role of the existential Dimension
147(20)
Professional Visions
149(3)
A Bridge to a Bridge to Transplantation
152(2)
Another Professional Vision in the Room
154(12)
Affordances in Teamwork
166(1)
Chapter 8 Conclusion
167(16)
Becoming a Team
169(2)
Learning to Care for the Other
171(1)
What Happened to Mr Spencer?
172(2)
Our Approach to Concluding This Book
174(9)
References 183(22)
Index 205