11 research outputs found
En clave intercultural: Intervenciones en el final de la vida con fundamento en las “diferencias culturales” / Through an intercultural lens: Grounding end of life interventions in “cultural difference” approaches
El artículo indaga en los modos en que el personal sanitario en contextos institucionales
de atención en el final de vida se apropia de los discursos sobre las “diferencias culturales”
de las poblaciones que atienden para basar sus intervenciones, interpretando qué es lo
que los pacientes y sus familias necesitan. Sostiene que la apelación a discursos en clave
culturalista aparece cuando los pacientes pertenecen a minorías étnicas, atravesando la
comunicación de la enfermedad; la gestión de la atención y el cuidado y la espiritualidad,
la religiosidad y los sistemas de creencias. Se trata de un análisis secundario basado
en datos propios recabados en investigaciones realizadas en Servicios de Cuidados
Paliativos, Oncología y
Hospices
de Argentina. Este fundamento “culturalista” de las
intervenciones es atravesado por estereotipos y prenociones sobre las identidades
culturales de poblaciones que ya tienen una alta carga de estigmatización en la sociedad
y reproduce actitudes paternalistas y condescendientes. Concluye que negar o ignorar
otras cosmovisiones es tan nocivo como reificarlas. / The purpose of this article is to explore the ways in which healthcare professionals
who provide care to patients during end of life use discourses based on arguments of
“cultural differences” to justify their interventions and interpretations of patients’ and their
families’ needs. The article argues that this reliance on cultural discourses appears when
patients belong to ethnic minorities. These discourses shape the communication of the
disease as well as the delivery of care and spiritual services. The article is based on the
secondary analysis of data collected in palliative care, oncology and hospice services in
Argentina. A conclusion of this study is that the “culturalist” nature of these interventions
leads to stereotypes and preconceptions of the cultural identity of patient populations
and reproduces paternalistic and condescending attitudes. Furthermore, these cultural
discourses led to the reification and decontextualization of patients’ cosmovisions,
producing harmful effects on populations who are already suffering from social stigma
and confronting the end of life
The relationship between alexithymia, sensory phenotype and neurophysiological parameters in patients with chronic upper limb neuropathy
Hemodiafiltración online sin reposición de calcio utilizando citrato como anticoagulante y líquido de diálisis con 3,5 mEq de calcio posdilucional en pacientes con trombocitopenia inducida por heparina: reporte de 2 casos
Analgo-Sedation of Patients with Burns Outside the Operating Room
none11noneGregoretti C; Decaroli D; Piacevoli Q; Mistretta A; Barzaghi N; Luxardo N; Tosetti I; Tedeschi L; Burbi L; Navalesi P; Azzeri FGregoretti, C; Decaroli, D; Piacevoli, Q; Mistretta, A; Barzaghi, N; Luxardo, N; Tosetti, I; Tedeschi, L; Burbi, L; Navalesi, P; Azzeri,
Conocimiento de la ley y preparación del personal sanitario sobre el proceso asistencial de la muerte
Interactions Between Alternative Therapies and Mental Health Services in Public Hospitals of Argentina
La stigmatisation de la maladie physique: Le cas du cancer
The literature shows ample evidence of stigmatization of mental illness and infectious diseases. Although cancer does not fall under any of the above categories, it has been stigmatized because of the deleterious consequences of its course and treatment. In fact, in the 21st century, cancer remains a dreaded disease associated with social representations of death, impairment, disfigurement, suffering, and pain. The objectives of this paper are twofold: first, to review theoretical elements that can help understand the stigma associated with physical illness, by defining the concept of stigma, presenting the different theoretical models of stigmatization of physical illness, and describing the psychosocial functions of stigma for both the stigmatized and stigmatizing individuals. Second, to focus on the specificity of cancer-related stigma, with particular reference to the cultural aspects of coping strategies used by oncological patients to address illness and the related stigma, through practices based on popular medicine. As part of the conclusion, it is suggested that cancer-related stigma has undergone several changes during history, from being a fatal disease to being a chronic disease. However, its initially silent course, alarming epidemic behaviour (still uncontrollable despite scientific advances), and treatment characteristics favour negative social representations of cancer (as conviction, sentence of death, suffering, deterioration, pain, affliction, and guilt), which act as iatrogenic factors in the health–disease process, interfering especially in the decision making regarding effective treatments and leading patients to prefer alternative methods based on popular medicine, even if those methods imply risks for their health and quality of life. © Springer-Verlag France 2012