Narrative Medicine in Hospice Care

Tara Flanagan

doi:10.5771/9781498554633

Summary

Narrative medicine, an interdisciplinary field that brings together the studies of literature and medicine, offers both a way of understanding patient identity and a method for developing a clinician’s responsiveness to patients. While recognizing the value of narrative medicine in clinical encounters, including the ethical aspects of patient discourse, Tara Flanagan examines the limits of narrative practices for patients with cognitive and verbal deficits. In Narrative Medicine in Hospice Care: Identity, Practice, and Ethics through the Lens of Paul Ricoeur, Flanagan contends that the models of selfhood and care found in the work of Ricoeur can offer a framework for clinicians and caregivers regardless of the verbal and cognitive capabilities of a patient at the end of life. In particular, Ricoeur’s concept of patient identity connects with the narrative method of life review in hospice and offers an opportunity to address the religious and spiritual dimensions of the patient experience.

Keywords

Search publication

Bibliographic data

Copyright year: 2019
ISBN-Print: 978-1-4985-5462-6
ISBN-Online: 978-1-4985-5463-3
Publisher: Lexington, Lanham
Language: English
Pages: 146
Product type: Book Titles

1. Copyright page No access
2. Contents No access
3. Acknowledgments No access
4. Introduction No access
1. Clinical Detachment as a Practical Skill for Health Care Providers No access
2. The Turn toward Narrative in the Medical Humanities No access
3. Clinicians and the Practice of Narrative Medicine No access
4. Clinical Pedagogy in Narrative Medicine No access
5. The Narrative Self for Ricoeur No access
6. Medical Ethics and Clinical Practice No access
7. Conclusion No access
8. Notes No access
1. Patient Identity in the Hospice Model of Care No access
2. Cicely Saunders and the Concept of Total Pain No access
3. Pain and Patient Identity No access
4. Loneliness as a Manifestation of Pain No access
5. Life Review and Narrative Practices in the Hospice Model of Care No access
6. Attending to the Religious Dimension of Human Experience No access
7. Religion in Clinical Medical Education No access
8. Spiritual Assessments as an Example of Narrative Practice No access
9. Distinction between Spiritual Assessments and Life Review No access
10. Conclusion No access
11. Notes No access
1. Life Review for End-of-Life Patients No access
2. Modalities of Life Review No access
3. Life Review in Hospice as a Mode of Moral Reflection No access
4. Themes That Point to Ethical Analysis No access
5. Life Review and the Limits of Ricoeur’s Concept of “Life Plan” No access
6. CONCLUSION No access
7. Notes No access
1. Limitations to Patient’s Abilities: Cognitive Decline and the Impaired Ability to Narrate Coherently No access
2. Moral Identity and Life Review for Verbally and Cognitively Compromised Patients No access
3. Agent Narrativity No access
4. Partial Narrativity No access
5. Social Narrativity No access
6. Context of Care and the Effects on Narrative Practices No access
7. Long-Term Residential Care and Other Contexts of Care No access
8. Narrative Identity in the Clinical Encounter Taking Context into Account No access
9. Conclusion No access
10. Notes No access
1. Paul Ricoeur’s Meditation on the End of Life No access
2. How Religion Can Address the Limits of Narrative Methods in Medicine with Nonverbal Patients No access
3. Hospitality as a Practice for Hospice Patients and Caregivers No access
4. Dorothee Soelle on Suffering, Language, and Bearing Witness No access
5. A Theology of Hospitality for Hospice Caregivers No access
6. Hospitality as Bearing Witness to Those Who Are Dying No access
7. Accompaniment as a Model of Presence Possible Regardless of Narrative Ability No access
8. Conclusion No access
9. Notes No access
Bibliography No access Pages 127 - 138
Index No access Pages 139 - 144
About the Author No access Pages 145 - 146