Interpretation of nonvocal behavior and the meaning of voicelessness in critical care.
Soc Sci Med
; 50(9): 1247-55, 2000 May.
Article
em En
| MEDLINE
| ID: mdl-10728845
ABSTRACT
This paper presents two interrelated psychosocial constructs, voicelessness and interpretation, which were derived from a participant observation study of critically ill older adults in the USA. Voicelessness occurs when physiological, psychosocial and/or technological barriers limit the abilities of critically ill patients to represent their thoughts, feelings, desires and needs fully to others. Voicelessness influences not only the responses of critically ill patients to their condition, environment and caregivers, but also profoundly effects the responses of family members and clinicians. Thus, communicative interactions as well as certain clinical and treatment decisions in ICU hinge on clinician and family member interpretation of patients' nonvocal behaviors. Conditions and factors contributing to interpretation are described and a hypothesis proposed, that interpretation mitigates the detrimental effects of voicelessness.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pacientes
/
Distúrbios da Fala
/
Estado Terminal
/
Barreiras de Comunicação
Tipo de estudo:
Prognostic_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Soc Sci Med
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Estados Unidos