Meaningful coherence: Severe illness in the face of life and health care service. A single case-study

Purpose: This article aims to investigate how a severely ill patient experiences health and disease, and which knowledge gains validity in the face of life and the public health care system. Method: The study is designed as a single case study. The empirical material is a text written by Geir Hel...

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Autores principales:	Mathilde Victoria Thommessen, Linda Ørnes, Tone Dahl-Michelsen
Formato:	article
Lenguaje:	DA EN NB NN SV
Publicado:	Norwegian Physiotherapist Association 2021
Materias:	severe illness antonovsky's salutogenesis knowledge based practice clinical physiotherapy Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/2be6333acd5e438fa39bb3823e40f548
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id	oai:doaj.org-article:2be6333acd5e438fa39bb3823e40f548
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spelling	oai:doaj.org-article:2be6333acd5e438fa39bb3823e40f5482021-11-17T11:34:46ZMeaningful coherence: Severe illness in the face of life and health care service. A single case-study0016-33840807-9277https://doaj.org/article/2be6333acd5e438fa39bb3823e40f5482021-11-01T00:00:00Zhttps://www.fysioterapeuten.no/fagfellevurdert-fysioterapi-kunnskapsbasert-praksis/meningsfulle-sammenhenger-alvorlig-sykdom-i-mote-med-livet-og-helsevesenet-en-single-case-studie/133363https://doaj.org/toc/0016-3384https://doaj.org/toc/0807-9277Purpose: This article aims to investigate how a severely ill patient experiences health and disease, and which knowledge gains validity in the face of life and the public health care system. Method: The study is designed as a single case study. The empirical material is a text written by Geir Hellemo, published as personal experiences in the Journal for the Norwegian Medical Association. The analysis is thematic and is theoretically framed by Antonovsky’s theory on salutogenesis and the model for knowledge-based practice. Findings: Hellemo experience becoming severely ill and living with progressive disease as a burden when faced with the health care services. Considering knowledge-based practice and Antonovsky’s theory on salutogenesis, the interactions with the health care services seemingly are primarily characterized by a research-based and pathogenetic focus. Through life experiences and in meetings with some health care professionals, he has good bodily experiences and accordingly motivation for life with severe diseases. Creating an arena for coping and a sense of coherence. Conclusion: As a patient with severe illness a unilateral weighting of research-based knowledge is experienced as a contribution to an unfortunate focus on the disease. This illustrates how physiotherapists (and health care professionals) meeting severely ill patients can benefit from focusing on coping and motivation. The case study illustrates a need to include user-based knowledge and complicity, as well as experience-based knowledge in treatment.Mathilde Victoria ThommessenLinda ØrnesTone Dahl-MichelsenNorwegian Physiotherapist Associationarticlesevere illnessantonovsky's salutogenesisknowledge based practiceclinical physiotherapyMedicine (General)R5-920DAENNBNNSVFysioterapeuten, Vol 88, Iss 7, Pp 50-55 (2021)
institution	DOAJ
collection	DOAJ
language	DA EN NB NN SV
topic	severe illness antonovsky's salutogenesis knowledge based practice clinical physiotherapy Medicine (General) R5-920
spellingShingle	severe illness antonovsky's salutogenesis knowledge based practice clinical physiotherapy Medicine (General) R5-920 Mathilde Victoria Thommessen Linda Ørnes Tone Dahl-Michelsen Meaningful coherence: Severe illness in the face of life and health care service. A single case-study
description	Purpose: This article aims to investigate how a severely ill patient experiences health and disease, and which knowledge gains validity in the face of life and the public health care system. Method: The study is designed as a single case study. The empirical material is a text written by Geir Hellemo, published as personal experiences in the Journal for the Norwegian Medical Association. The analysis is thematic and is theoretically framed by Antonovsky’s theory on salutogenesis and the model for knowledge-based practice. Findings: Hellemo experience becoming severely ill and living with progressive disease as a burden when faced with the health care services. Considering knowledge-based practice and Antonovsky’s theory on salutogenesis, the interactions with the health care services seemingly are primarily characterized by a research-based and pathogenetic focus. Through life experiences and in meetings with some health care professionals, he has good bodily experiences and accordingly motivation for life with severe diseases. Creating an arena for coping and a sense of coherence. Conclusion: As a patient with severe illness a unilateral weighting of research-based knowledge is experienced as a contribution to an unfortunate focus on the disease. This illustrates how physiotherapists (and health care professionals) meeting severely ill patients can benefit from focusing on coping and motivation. The case study illustrates a need to include user-based knowledge and complicity, as well as experience-based knowledge in treatment.
format	article
author	Mathilde Victoria Thommessen Linda Ørnes Tone Dahl-Michelsen
author_facet	Mathilde Victoria Thommessen Linda Ørnes Tone Dahl-Michelsen
author_sort	Mathilde Victoria Thommessen
title	Meaningful coherence: Severe illness in the face of life and health care service. A single case-study
title_short	Meaningful coherence: Severe illness in the face of life and health care service. A single case-study
title_full	Meaningful coherence: Severe illness in the face of life and health care service. A single case-study
title_fullStr	Meaningful coherence: Severe illness in the face of life and health care service. A single case-study
title_full_unstemmed	Meaningful coherence: Severe illness in the face of life and health care service. A single case-study
title_sort	meaningful coherence: severe illness in the face of life and health care service. a single case-study
publisher	Norwegian Physiotherapist Association
publishDate	2021
url	https://doaj.org/article/2be6333acd5e438fa39bb3823e40f548
work_keys_str_mv	AT mathildevictoriathommessen meaningfulcoherencesevereillnessinthefaceoflifeandhealthcareserviceasinglecasestudy AT lindaørnes meaningfulcoherencesevereillnessinthefaceoflifeandhealthcareserviceasinglecasestudy AT tonedahlmichelsen meaningfulcoherencesevereillnessinthefaceoflifeandhealthcareserviceasinglecasestudy
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Meaningful coherence: Severe illness in the face of life and health care service. A single case-study

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