关系护理框架:在以人为中心的护理中促进自我的连续性或维护。

IF 1.3 3区 哲学 Q3 ETHICS Journal of Medicine and Philosophy Pub Date : 2024-01-13 DOI:10.1093/jmp/jhad044
Matthew Tieu, Steve Matthews
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引用次数: 0

摘要

我们认为,当代对“人”的概念化未能实现“以人为本的护理”(PCC,Tom Kitwood开发的痴呆症护理模式)的道德目标,对接受护理的人、他们的家人和护理从业者都是有害的。我们区分了人格和自我,指出后者的连续性或维持性才是痴呆症护理的真正利害关系。然后,我们展示了我们的概念化是如何最好地抓住基特伍德的原始想法的,这种概念化优先考虑痴呆症患者的生活经历,并将自我理解为与护理人员和护理环境相关形成的。这种概念化也足够灵活,适用于照顾处于痴呆症不同阶段的人的实践。将这一概念应用于PCC将最好地促进痴呆症患者的福祉,同时也鼓励护理环境中的尊重和尊严。
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The Relational Care Framework: Promoting Continuity or Maintenance of Selfhood in Person-Centered Care.

We argue that contemporary conceptualizations of "persons" have failed to achieve the moral goals of "person-centred care" (PCC, a model of dementia care developed by Tom Kitwood) and that they are detrimental to those receiving care, their families, and practitioners of care. We draw a distinction between personhood and selfhood, pointing out that continuity or maintenance of the latter is what is really at stake in dementia care. We then demonstrate how our conceptualization, which is one that privileges the lived experiences of people with dementia, and understands selfhood as formed relationally in connection with carers and the care environment, best captures Kitwood's original idea. This conceptualization is also flexible enough to be applicable to the practice of caring for people at different stages of their dementia. Application of this conceptualization into PCC will best promote the well-being of people with dementia, while also encouraging respect and dignity in the care environment.

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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
30
期刊介绍: This bimonthly publication explores the shared themes and concerns of philosophy and the medical sciences. Central issues in medical research and practice have important philosophical dimensions, for, in treating disease and promoting health, medicine involves presuppositions about human goals and values. Conversely, the concerns of philosophy often significantly relate to those of medicine, as philosophers seek to understand the nature of medical knowledge and the human condition in the modern world. In addition, recent developments in medical technology and treatment create moral problems that raise important philosophical questions. The Journal of Medicine and Philosophy aims to provide an ongoing forum for the discussion of such themes and issues.
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