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Procedural Detailing: A Patient's Practice for Normalizing Routine Behaviors
1Department of Language, Literature and Communication, Vrije Universiteit Amsterdam.
Health Communication
|May 18, 2023
Summary
Patients in palliative care use "procedural detailing" to describe daily activities as stable and unproblematic. This communication strategy helps them maintain independence and dignity by influencing therapeutic recommendations.
Area of Science:
- Palliative Care
- Conversation Analysis
- Occupational Therapy
- Physiotherapy
Background:
- Occupational and physiotherapists in UK palliative care assess daily living activities for patients with life-limiting conditions.
- Therapeutic interventions aim to assist patients in managing their condition-related challenges.
Purpose of the Study:
- To describe a patient communication practice termed "procedural detailing" within palliative care consultations.
- To analyze how patients use procedural detailing to manage therapeutic recommendations.
Main Methods:
- Conversation analysis of 15 video-recorded consultations between patients and therapists in an English hospice.
- Identification and analysis of patients' step-by-step descriptions of everyday activities.
Main Results:
- Patients employ "procedural detailing" to present everyday activities as adequate, stable, and unproblematic.
- This practice serves to normalize routine conduct and reject or preclude therapeutic interventions.
- Patients utilize procedural detailing to signal preferences for maintaining independence and dignity.
Conclusions:
- Procedural detailing is a patient-driven method for asserting control over care and treatment.
- This communication strategy facilitates shared decision-making by highlighting patient priorities.
- Understanding procedural detailing can enhance therapist-patient communication in palliative care settings.
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