The postmodern heart: a discourse analysis of a booklet on pacemaker implantation

This paper provides a deconstructive reading of an education booklet aimed at patients who may be scheduled for permanent cardiac pacemakers, and argues that pacemaker implantation is being constructed as a routine, uncomplicated procedure. The way language and image in the booklet convey a dominant preferred perspective on pacemaker implantation will be questioned. Some of the major issues explored are: the patient is stereotyped as a male patriarch; the fundamental right of informed choice is omitted; the ownership of decision-making is given to the physician; and the cardiac pacemaker is portrayed as remarkable and trouble-free. Implications for the meaning of these dominant perspectives for nursing practice are explored.