ISBN : 9789811254680
Author : Raia Federica, Deng Mario & Kwon Murray
Publisher : World Scientific
Year : 2022
Language : English
Type : E-book
Description : 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. Sample Chapter(s) CHAPTER 1: INTRODUCTION Contents: Introduction: Introducing the Case Conceptual Framework: Breakdown of Familiarity Caring for the Other Framing Framing as Care for the Other Facing Uncertainty Research Methodology Framing the Options: A Rollercoaster Evidence-Based Reasoning Framing from the Beginning Changing Conditions and Evolving Options Framing Uncertainty: A First Discussion Interactions with Doctors in Training: Multiparty Conversation Creating Obstacles by Ignoring Uncertainties Reframing by Using Caring Power The Iterative Nature of Decision-Making: Multiparty Perspectives — Building the Team Questions, Ambiguities, and Explanations Projecting into the Future with Transplantation December 31 Increasing Urgency: Meeting the Surgeon Urgency-Related Tension in the Team Backstage and Frontstage Communication Transitioning from Urgency to Emergency: The Role of the Existential Dimension: Professional Visions A Bridge to a Bridge to Transplantation Another Professional Vision in the Room Affordances in Teamwork Conclusion: Becoming a Team Learning to Care for the Other What Happened to Mr Spencer? Our Approach to Concluding This Book Readership: Healthcare professionals: cardiologists, physicians, nurses, social workers, psychologists, financial workers; these professionals in teaching/education settings; interested lay public.