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Social work with chronic renal failure patientsLing, Kam-har, Karen., 凌錦霞. January 1982 (has links)
published_or_final_version / Social Work / Master / Master of Social Work
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Renal failure : a sociocultural investigation of an illnessFaber, Shawna 11 1900 (has links)
People living with renal failure experience enormous challenges, yet very little is known
about life with this disease. The goal of this research was to gain an integrated understanding of
the lives of people with renal failure. An understanding of life with renal failure that includes
cultural, institutional and historical contexts may provide health care practitioners with the kind
of information and insights necessary to improve medical practice. Thus far, medical practice
has been based on a biomedical model of care that focuses almost exclusively on the physical
aspects of illness. From this perspective, people with kidney disease are seen as autonomous and
rational individuals. In this research, a sociocultural multiple case study approach was utilized
in order to gain a situated understanding of life for four people with renal disease.
This research revealed that life with renal failure is work. While it is the people living
with renal failure who do the bulk of the work, friends and family also work to "live" with renal
disease. Participants and their significant others learn about and become experts on life with
this disease. A gap was found between practitioners' understanding of disease and participants'
lived experience — resulting in many negative repercussions. Medical-based knowledge is
lacking because it does not consider the three relevant sources of knowledge: practitioners,
participants and participants' significant others. This research argues for a bridge between the
home world and the hospital world, so that a broader community of practice is created. An
account of the lived experience of people with renal failure that includes these factors can
inform "best practice" because it provides a richer and more authentic picture of life with this
illness. It is from this perspective that health care practitioners can begin to broaden their
understanding of renal failure as it is "lived", and, so informed, can better provide the kinds of
education and support that will enhance the lives of people with this illness.
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Renal failure : a sociocultural investigation of an illnessFaber, Shawna 11 1900 (has links)
People living with renal failure experience enormous challenges, yet very little is known
about life with this disease. The goal of this research was to gain an integrated understanding of
the lives of people with renal failure. An understanding of life with renal failure that includes
cultural, institutional and historical contexts may provide health care practitioners with the kind
of information and insights necessary to improve medical practice. Thus far, medical practice
has been based on a biomedical model of care that focuses almost exclusively on the physical
aspects of illness. From this perspective, people with kidney disease are seen as autonomous and
rational individuals. In this research, a sociocultural multiple case study approach was utilized
in order to gain a situated understanding of life for four people with renal disease.
This research revealed that life with renal failure is work. While it is the people living
with renal failure who do the bulk of the work, friends and family also work to "live" with renal
disease. Participants and their significant others learn about and become experts on life with
this disease. A gap was found between practitioners' understanding of disease and participants'
lived experience — resulting in many negative repercussions. Medical-based knowledge is
lacking because it does not consider the three relevant sources of knowledge: practitioners,
participants and participants' significant others. This research argues for a bridge between the
home world and the hospital world, so that a broader community of practice is created. An
account of the lived experience of people with renal failure that includes these factors can
inform "best practice" because it provides a richer and more authentic picture of life with this
illness. It is from this perspective that health care practitioners can begin to broaden their
understanding of renal failure as it is "lived", and, so informed, can better provide the kinds of
education and support that will enhance the lives of people with this illness. / Education, Faculty of / Educational and Counselling Psychology, and Special Education (ECPS), Department of / Graduate
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Experiences of patients on haemodialysis and continuous ambulatory peritoneal dialysis in end stage renal disease : an exploratory study at a tertiary hospital in KwaZulu-Natal.Harilall, Bharita. January 2008 (has links)
This study looked into paients’ experiences of end stage renal disease (ESRD) and renal replacement therapy (RRT). A qualitative me thodology was employed involving fifteen patients between the ages of 20 – 60 years that were interviewed on their experiences using the semi structured approach to interviewing. The knowledge gained was analysed thematically. The study was explored within two theoretical frameworks, namely the biopsychosocial and the ecological models. Results of the study revealed that ESRD and RRT posed many psychosocial challenges at a micro and macro level, as patients attempted to reconcil e these experiences with their lifestyles and lives. Challenges were expressed in the areas of functional capacity, work and sexuality. Family life was seriously affected when patients had to make themselves available for life long tr eatment that depended on machines. Recommendations included mobilisatio n of positive support networks, religion/spirituality, and pr ofessional support playing an interrelational role in enabling patients to cope through the long term process so that they may emerge from it with a modicum of quality in their life. Thus a team approach was key to optimal living for the patient. From an ecological perspective, macrosystemic change was also considered important for government to introduce policies that ensure economically productive living for persons with kidney dysfunction. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2008.
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