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Uncertainty, Decision-Making & Team Work High-Tech Healthcar
Hardcover
ISBN13: 9789811254673
Publisher: World Scientific Publishing Company
Published: Jan 8 2023
Pages: 228
Weight: 1.05
Height: 0.56 Width: 6.00 Depth: 9.00
Language: English
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.
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