2.50
Hdl Handle:
http://hdl.handle.net/10755/243201
Category:
Full-text
Type:
Presentation
Title:
Decision-Making on Limb Amputation:?The Patient's Point of View
Author(s):
Tzevlin, Valeria; Malul, Einat; Rassin, Michal
Lead Author STTI Affiliation:
N\A
Author Details:
Tzevlin, Valeria, RN, BA, rasinm@asaf.health.gov.il; Malul, Einat, RN, MA; Rassin, Michal, PhD;
Abstract:
Purpose: How patients make decisions about their future treatment has been sparsely study and with respect to limb amputation, a particularly difficult decision, not at all. The purpose of the study is to reach as deep understanding as possible of how from the patients' point of view  they reach the decision to consent to the amputation of a lower limb.

Methods: The research was conducted in the qualitative method. Thirty lower-limb amputees (aged 32-88) took part in the study. In-depth interviews were held with the participants. The data were processed by means of content analysis.

Results: The main thematic categories identified were, in the chronological order of their appearance: 'The trail of torment leading to the decision to amputate', 'The turning point — taking the decision' "I just couldn't take any more pain" "We opt for life, we don't want to die". The more protracted and pain-filled the 'the trail of torment' the more mentally prepared patients were to give consent to amputation. Asked to look back on their choice, almost all interviewees had no regrets and even found virtues in it.

 Conclusion: The patients' decisions represented a mix of their grasp of the medical information supplied them by their doctors, their own personal values —opting for life prevailing over the desire for a whole body, and consideration for their family. The patients saw the decision-making process about amputation as a process of achieving consensus between themselves, their doctors and their family. 

Keywords:
amputation; decision-making; patients point of view
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleDecision-Making on Limb Amputation:?The Patient's Point of Viewen
dc.contributor.authorTzevlin, Valeriaen
dc.contributor.authorMalul, Einaten
dc.contributor.authorRassin, Michalen
dc.contributor.departmentN\Aen
dc.author.detailsTzevlin, Valeria, RN, BA, rasinm@asaf.health.gov.il; Malul, Einat, RN, MA; Rassin, Michal, PhD;en
dc.identifier.urihttp://hdl.handle.net/10755/243201-
dc.description.abstract<b>Purpose: </b>How patients make decisions about their future treatment has been sparsely study and with respect to limb amputation, a particularly difficult decision, not at all. The purpose of the study is to reach as deep understanding as possible of how from the patients' point of view &nbsp;they reach the decision to consent to the amputation of a lower limb. <p><b>Methods: </b>The research was conducted in the qualitative method. Thirty lower-limb amputees (aged 32-88) took part in the study. In-depth interviews were held with the participants. The data were processed by means of content analysis. <p><b>Results: </b>The main thematic categories identified were, in the chronological order of their appearance: 'The trail of torment leading to the decision to amputate', 'The turning point &mdash; taking the decision' "I just couldn't take any more pain" "We opt for life, we don't want to die". The more protracted and pain-filled the 'the trail of torment' the more mentally prepared patients were to give consent to amputation. Asked to look back on their choice, almost all interviewees had no regrets and even found virtues in it. <p>&nbsp;<b>Conclusion: </b>The patients' decisions represented a mix of their grasp of the medical information supplied them by their doctors, their own personal values &mdash;opting for life prevailing over the desire for a whole body, and consideration for their family. The patients saw the decision-making process about amputation as a process of achieving consensus between themselves, their doctors and their family.&nbsp;en
dc.subjectamputationen
dc.subjectdecision-makingen
dc.subjectpatients point of viewen
dc.date.available2012-09-12T09:18:55Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:18:55Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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