Rehabilitation Nursing, July/August 2015, 2 articles free (Wiley Online Library)

Rehabilitation Nursing

© Association of Rehabilitation Nurses

July/August 2015

Volume 40, Issue 4

Pages 207–274

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   Assessment of Patient Participation in Physical Rehabilitation Activities: An Integrative Review (pages 209–223)

   Horst Rettke, Heike M. Geschwindner and Wim J. A. van den Heuvel

   Article first published online: 7 APR 2014 | DOI: 10.1002/rnj.157

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   A Single Long-Term Acute Care Hospital Experience with a Pressure Ulcer Prevention Program (pages 224–234)

   Daniel L. Young, Cathy Borris-Hale, Margaret Falconio-West and Debashish Chakravarthy

   Article first published online: 15 SEP 2014 | DOI: 10.1002/rnj.178

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JECP: Interpreting chronic disorders of consciousness: medical science and family experience

Interpreting chronic disorders of consciousness: medical science and family experience

1. Andrew Edgar DPhil Reader in Philosophy¹, 
2. Celia Kitzinger PhD Professor^2,* and
3. Jenny Kitzinger PhD Professor³

Article first published online: 4 JUL 2014

DOI: 10.1111/jep.12220

© 2014 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons, Ltd.

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Issue 

Journal of Evaluation in Clinical Practice

Volume 21,  Issue 3, pages 374–379, June 2015

Keywords:

• CDoC;
• communication;
• interpretative competences;
• patienthood;
• philosophy;
• vegetative states

Abstract

Rationale, aims and objectives

Chronic disorders of consciousness (CDoC) pose significant problems of understanding for both medical professionals and the relatives and friends of the patient. This paper explores the tensions between the different interpretative resources that are drawn upon by lay people and professionals in their response to CDoC.

Methods

A philosophical analysis of data from 51 interviews with people who have relatives who are (or have been) in a vegetative or minimally conscious state.

Results

The medical specialist and the lay person tend to draw on two different interpretative frameworks: a medical science framework, which tends to construct the patient in terms of measurable physical parameters, and an interpretative framework that encompasses the uniqueness of the patient and the relative's relationship to them as a social being.

Conclusions

These differences potentially lead to ruptures in communication between medical professionals and relatives such that that an increased self-consciousness of the framing assumptions being made will facilitate communication and enrich understanding of CDoCs.

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