Procedural Detailing: A Patient's Practice for Normalizing Routine Behaviors.
Health Commun
; : 1-13, 2023 May 17.
Article
em En
| MEDLINE
| ID: mdl-37198912
ABSTRACT
In palliative care in the UK, occupational and/or physiotherapists consult with patients to assess how they are managing their activities for daily living in light of their life-limiting condition(s), and to identify any activities that might benefit from therapeutic intervention. In this paper we use conversation analysis to describe a patient's practice in these consultations, which we call "procedural detailing," whereby they produce a step-by-step description of how they do some everyday activity, such that it is depicted as adequate, stable, and unproblematic. Based on a collection of 15 cases identified in video recordings of consultations in a large English hospice, we demonstrate how patients use this practice to normalize their routine conduct and thereby reject or rule out an actual or anticipated therapeutic recommendation. Our analysis suggests that such descriptions let patients participate in shared decision-making by revealing their preference for routines that preserve their level of independence and dignity.
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1
Bases de dados:
MEDLINE
Tipo de estudo:
Guideline
Idioma:
En
Revista:
Health Commun
Assunto da revista:
PESQUISA EM SERVICOS DE SAUDE
/
SERVICOS DE SAUDE
Ano de publicação:
2023
Tipo de documento:
Article