Affiliation:
1. Department of Speech Pathology, Virginia Commonwealth University Health, Richmond
Abstract
Purpose
Chronic conditions affect the lives of thousands of people in the United States. Dysphagia is a symptom that co-occurs with many chronic conditions. This presents unique challenges to speech-language pathologists (SLPs) who work with patients that are physically and psychosocially burdened by chronic dysphagia. Clinical decisions in chronic care are characterized by context-dependent complexities. There is a theoretical framework in bioethics called
narrative ethics
, which suggests that engaging with patients' illness narratives informs patient-centered decision making and that exploring contexts is essential to provision of care.
Conclusion
Using a narrative approach in decision making in chronic dysphagia helps contextualize the symptoms and supports clinicians to form individualized treatment plans that better suit patients' health care and psychosocial needs.
Publisher
American Speech Language Hearing Association
Cited by
2 articles.
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