The Medical Perspective*

2021 ◽  
pp. 45-71
Author(s):  
Stephan M. Silverman ◽  
Jacqueline S. Iseman ◽  
Sue Jeweler
Keyword(s):  
1991 ◽  
Vol 155 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Tilman A Ruff ◽  
John A Ward

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e043955
Author(s):  
Stine Gundtoft Roikjær ◽  
Charlotte Paaske Simonÿ ◽  
Helle Ussing Timm

ObjectiveIn the field of palliative care (PC) as it is integrated into heart failure (HF) treatment, it is essential to explore the patient experience and build on this knowledge for the further development of PC practice and policy. Based on an intervention study, this paper explores what patients with HF find significant in integrated sessions using a narrative S’ approach.DesignWe conducted a semistructured interview study with a qualitative analysis focused on meaning making. The study follows the guidelines of Consolidated Criteria for Reporting Qualitative Research.Participants and settingThe inclusion criteria for the PC intervention were (1) a new diagnosis of HF, (2) follow-up treatment at this local Danish HF clinic and (3) informed consent to participate in the integrated PC intervention. The only exclusion criterion was if the patient was already engaged in a PC programme. 20 patients agreed to participate in the intervention, and 12 of these completed the S’ approach sessions and participated in this interview study.ResultsOverall, the analysis showed that the integrated S’ approach sessions were successful in joining an embodied patient perspective with a medical perspective. The thematic analysis resulted in three themes supporting the overall findings: sessions bring comfort, telling your story provides a sense of meaningfulness, and integrating perspectives of HF into everyday life.ConclusionThe method using the S’ approach in integrated PC and HF sessions was significant in various ways. First, patients experienced a calm and safe atmosphere and perceived that the nurse was truly interested in them. Second, the integrated sessions based on the S’ approach were able to bring comfort to lived physical, psychosocial and existential issues. Last, it allowed patients to combine their embodied understanding of HF with a medical perspective, thereby finding meaning in the sense of how everything is connected.


2008 ◽  
Vol 21 (4) ◽  
pp. 593-613 ◽  
Author(s):  
Elizabeth A. Williams

ArgumentMontpellier vitalists upheld a medical perspective akin to modern “holism” in positing the functional unity of creatures imbued with life. While early vitalists focused on the human organism, Jean-Charles-Marguerite-Guillaume Grimaud investigated digestion, growth, and other physiological processes that human beings shared with simpler organisms. Eschewing modern investigative methods, Grimaud promoted a medically-grounded “metaphysics.” His influential doctrine of the “two lives” broke with Montpellier holism, classifying some vital phenomena as “higher” and others as “lower” and attributing the “nobility” of the human species to the predominance of the former. In place of Montpellier teaching that attributed health to the holistic equilibration of vital activities, Grimaud embraced spiritualist dualisms of soul and body, Creator and created. Celebrating the divinely-ordained “wisdom” evident in involuntary physiological processes, he argued that such life functions were incomprehensible to human investigators. While Grimaud's work encouraged inquiry into the division between the central and “vegetative” nervous systems that became paradigmatic in nineteenth-century neuroscience, it also opened Montpellier vitalism to charges of conservatism and obscurantism that are still lodged against it to the present day.


2021 ◽  
Author(s):  
Tamara E. T. Woezik ◽  
Thieme B. Stap ◽  
Gert Jan Wilt ◽  
Rob P. B. Reuzel ◽  
Jan‐Jurjen Koksma
Keyword(s):  
The Arts ◽  

2021 ◽  
Vol 9 (1) ◽  
pp. 57-62
Author(s):  
Fernando Lolas

Objectives: To present a conceptual and medical perspective on studies on wellbeing and its determinants. Method: The notion of well-being as a transient state and as a stable trait is considered conceptually. Results and Discussion: This consideration uncovers several linguistic dimensions relevant to well-being: subjectivity, multidimensionality, dynamism, contextdependency, complexity. These are related to the notions of health and quality of life, discussing the narrative dimensions of personal experience and the need to consider the psychophysiological triad composed of behavior, mentation, and physiology in the evaluation. Conclusion: The humanistic dimension of well-being and its determinants should be considered as a precondition for an attempt at a biopsychosocial/integrative approach. The methodical approach represented by overt language behavior is emphasized as important.


2018 ◽  
Vol 8 (1) ◽  
pp. 103-130
Author(s):  
Nur Lailatul Musyafa’ah

Abstract: This article discusses the verse of the Quran concerning iddah (waiting period after divorce or death of husband). The concerned verse is QS. 65:4. It stipulates iddah for menopause women, amenorrhea women, and pregnant women. Muslim jurists agree that waiting period for menopause and amenorrhea women is three lunar months, whereas pregnant women must wait until labor. Medical examination shows several advantages for waiting period. Firstly, the word “in irtabtum” (when you have doubt) in the verse for menopause women, that women before menopause tend to get their menstrual period irregularly which in medical perspective a menopause women are those who have not get their menstrual period in a full year. Secondly, the attribute to women who not yet get menstruation and not yet pregnant, because there are two types of amenorrhea; primary and secondary. Primary amenorrhea for those who never get menstruation whereas secondary amenorrhea is caused by pregnancy or other causes. Thirdly, the attribute in the verse of iddah for pregnant women with “an yadha’na hamlahunna” not with “an yalidna” means that pregnancy take place when ovum was fertilized by sperm. Thus, when there is no pregnancy, either because of miscarriage or labor, the iddah concludes. Key words: iddah, Quranic interpretation, medical knowledge


2018 ◽  
Vol 28 (4) ◽  
pp. 112-113
Author(s):  
Humberto Alejandro Nati-Castillo ◽  
◽  
Lucel Da Silva ◽  
Juan S. Izquierdo-Condoy ◽  
◽  
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