BOOK
Relational Medicine: Personalizing Modern Healthcare - The Practice Of High-tech Medicine As A Relationalact
(2014)
Additional Information
Book Details
Abstract
In this book, we present a novel framework of high-tech modern medicine. Patients going through major high-tech medical interventions, e.g. Advanced Heart Failure (AdHF) patients undergoing left ventricular assist device (LVAD) implantation and heart transplantation, must integrate scientific and technological advances into personal life, including strong emotional experiences unthinkable thirty years ago, novel to themselves and their caregivers and unknown to healthcare professionals. Our book provides a theoretical framework for the person-centered vision to “heal humankind by improving health, alleviating suffering and delivering acts of kindness, one person at a time”, we develop the theoretical as well as practical concept of the “RelationalAct (RA) ” as core concept to engage and participate in modern medicine.This book will be used as a recommended textbook for the following UCLA Fall 2014 course:
Course Director: Professor Federica Raia / Co-Director: Professor Mario Deng
Course Title: Educational Perspectives of Relational Practices in Modern Medicine
Course Summary: This UCLA course systematically discusses Personhood & Body Concepts in the context of asymmetric Person/Person-relationships in High-Tech Modern Medicine and the diverse implications for building of theories of Relational Practice.
Course Topics: Personhood/Body Concepts; Asymmetric Person/Person-relationships; Theories of Relational Practice
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| CONTENTS | xi | ||
| Foreword | vii | ||
| Acknowledgments | ix | ||
| Introduction | 1 | ||
| Medical Encounters in High-Tech Modern Medicine | 1 | ||
| About This Book | 8 | ||
| Method | 11 | ||
| Formulating the question | 11 | ||
| Collaborating | 13 | ||
| Studying the practice | 14 | ||
| 1 Status Quo | 21 | ||
| False Hope | 28 | ||
| The Body, Being in theWorld | 33 | ||
| LVAD, BiVAD, disease, the body: Conspicuousness and obtrusiveness in high-tech modern medicine | 36 | ||
| Embodied human experiences: Loss of significance in high-tech modern medicine | 43 | ||
| The Encounter | 46 | ||
| The Status Quo | 49 | ||
| 2 The Roots for Personcare | 51 | ||
| Irreducibility of the Person’s Experience | 61 | ||
| Temporality | 65 | ||
| Attunement and Synchronization | 68 | ||
| 3 The RelationalAct | 75 | ||
| Preparation Phase | 77 | ||
| Initiation Phase | 78 | ||
| The role of expectation in the RelationalAct | 79 | ||
| Continuation Phase | 80 | ||
| The role of the illness experience in the RelationalAct | 81 | ||
| The role of attuning and synchronization in the RelationalAct | 82 | ||
| The physical examination in the RelationalAct | 86 | ||
| Conclusion Phase | 88 | ||
| The Evolution of the Encounter | 88 | ||
| 4 Protecting the Dyad in Practice | 99 | ||
| The Function of the Dyad | 108 | ||
| A Transformation for the Doctor to Maintain the Dyad | 111 | ||
| 5 Personalizing Biomedical Research | 115 | ||
| Definitions of Heart Transplantation Rejection | 117 | ||
| Endomyocardial biopsy defined rejection | 119 | ||
| Leukocyte expression profile and rejection | 128 | ||
| A step towards personalizing medicine | 130 | ||
| Non-Invasive Rejection Monitoring in the Clinical Encounter | 130 | ||
| 6 Conclusion | 135 | ||
| Afterword | 141 | ||
| References | 145 | ||
| Index | 151 |