| Understanding the lived experiences of patients: application of a phenomenological approach to ethics. | |
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MedLine Citation:
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PMID: 20539020 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This perspective article provides a justification, with an overview, of the use of phenomenological inquiry and the interpretation into the everyday ethical concerns of patients with disabilities. Disability is explored as a transformative process that involves physical, cognitive, and moral changes. This perspective article discusses the advantages of phenomenology to supplement and enhance the principlist process of ethical decision making that guides much of contemporary medical practice, including physical therapy. A phenomenological approach provides a more contextual approach to ethical decision making through probing, uncovering, and interpreting the meanings of "stories" of patients. This approach, in turn, provides for a more coherent and genuine application of ethical principles within the "textured life-world" of patients and their evolving values as they grapple with disability to make ethical and clinical decisions. The article begins with an in-depth discussion of the current literature about the phenomenology of people with disability. This literature review is followed by a discussion of the traditional principlist approach to making ethical decisions, which, in turn, is followed by a discussion of phenomenology and its tools for use in clinical inquiry and interpretation of the experiences of patients with disabilities. A specific case is presented that illustrates specific tools of phenomenology to uncover the moral context of disability from the perspective of patients. The article concludes with a discussion of clinical, educational, and research implications of a phenomenological approach to ethics and clinical decision making. |
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Authors:
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Bruce H Greenfield; Gail M Jensen |
Publication Detail:
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Type: Journal Article Date: 2010-06-10 |
Journal Detail:
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Title: Physical therapy Volume: 90 ISSN: 1538-6724 ISO Abbreviation: Phys Ther Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-02 Completed Date: 2010-09-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0022623 Medline TA: Phys Ther Country: United States |
Other Details:
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Languages: eng Pagination: 1185-97 Citation Subset: AIM; IM |
Affiliation:
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Division of Physical Therapy, Department of Rehabilitation, Emory University School of Medicine, Atlanta, GA 30322, USA. bgreenf@emory.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Decision Making Disabled Persons / rehabilitation* Ethics, Clinical* Ethics, Medical* Humans Physical Therapy (Specialty) / ethics* Professional-Patient Relations / ethics* |
| Comments/Corrections | |
Comment In:
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Phys Ther. 2010 Aug;90(8):1197-200; author reply 200-1
[PMID:
20675296
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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