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When medical cure is not an unmitigated good
Kristina Orfali1, Lisa Anderson-Shaw
1Department of Medicine, MacLean Center for Clinical Medical Ethics, University of Chicago, USA. ko2145@columbia.edu
Perspectives in Biology and Medicine
|April 19, 2005
Summary
Adults who recover from childhood chronic illness face identity challenges adjusting to health. Healthcare providers should support their unique post-transplant needs and life changes.
Area of Science:
- Medical Sociology
- Psychology
- Transplantation Medicine
Background:
- Extensive research exists on chronic illness impact on patients.
- Limited attention is given to adults adjusting to health after childhood-onset illness.
Purpose of the Study:
- To explore the transition from chronic illness to health post-transplantation from the patient's perspective.
- To analyze the disruptive impact of overcoming illness on adult identity.
- To highlight the unique challenges faced by individuals with childhood-onset diseases who achieve health.
Main Methods:
- Qualitative analysis of narratives from two adults with childhood-onset diseases.
- Patient-centered perspective on the transition to health after successful transplantation.
Main Results:
- Successful transplantation can disrupt identity, making adjustment to health and normality difficult.
- Patients struggle to restructure their sense of self within a healthy framework.
- The experience of 'cure' presents unique challenges, mirroring difficulties in adjusting to chronic illness.
Conclusions:
- Healthcare providers and families must recognize the losses and life changes post-cure.
- Specific post-transplantation support is crucial for individuals with childhood-onset diseases.
- Anticipating and addressing these challenges is vital as more therapeutic options emerge.
Keywords:
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