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Related Concept Videos

Hearing01:31

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When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
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Auditory sensation, commonly called hearing, involves the transformation of sonic waves into neural impulses facilitated by the structures of the auditory organ. The prominent, flesh-like structure on the side of the head, called the auricle, directs sound waves towards the auditory canal. The auricle is often mislabeled as the pinna, a term more aligned with mobile structures like a feline's external ear. The auditory canal penetrates the cranium via the external auditory meatus of the...
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Hearing what cannot be said.

Ben A de Bock1, Dick L Willems1

  • 1Section Medical Ethics, Department of General Practice, Amsterdam UMC - Locatie AMC, Amsterdam, The Netherlands.

Journal of Evaluation in Clinical Practice
|January 24, 2020
PubMed
Summary
This summary is machine-generated.

Healthcare providers shift from viewing elderly patients as clients or medical cases to recognizing them as sick individuals. This emergent understanding improves decision-making in care, especially for voiceless patients.

Keywords:
complexity thinkingembodimentlogic of careshared decision-making

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Area of Science:

  • Gerontology
  • Healthcare Management
  • Qualitative Research

Background:

  • Patient descriptions by care providers impact relationships and decision-making for incapacitated elderly individuals.
  • Traditional labels like 'client' or 'patient' can oversimplify complex care needs.
  • Understanding these dynamics is crucial for ethical and effective patient care.

Purpose of the Study:

  • To explore the dynamic interplay between patient descriptions and decision-making processes in elderly care.
  • To apply complexity thinking to analyze how care providers' language influences patient interactions.
  • To identify how care providers navigate decision-making for incapacitated elderly patients.

Main Methods:

  • Retrospective qualitative empirical study.
  • Interviews with healthcare professionals (physicians, nurses, head nurses, residential practitioners).
  • Analysis of decision-making processes involving patients' families.

Main Results:

  • Healthcare providers can move beyond market (client) or medical (patient) logic.
  • Emergent dialogic encounters enable care providers to see patients as sick persons.
  • This shift fosters a more holistic approach to patient care.

Conclusions:

  • Shared decision-making is ideal but often hindered by market and medical logic.
  • Care providers act as mediators, balancing client demands, medical views, and embodied care.
  • Effective decision-making for voiceless patients requires navigating these competing logics.