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Hoey and Pino 2024 - Procedural Detailing A Patient s Practice for Normalizing Routine Behaviors.pdf (854.17 kB)

Procedural detailing: a patient’s practice for normalizing routine behaviors

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posted on 2024-05-15, 11:18 authored by Elliott M Hoey, Marco PinoMarco Pino
In palliative care in the UK, occupational and/or physiotherapists consult with patients to assess how they are managing their activities for daily living in light of their life-limiting condition(s), and to identify any activities that might benefit from therapeutic intervention. In this paper we use conversation analysis to describe a patient’s practice in these consultations, which we call ‘procedural detailing’, whereby they produce a step-by-step description of how they do some everyday activity, such that it is depicted as adequate, stable, and unproblematic. Based on a collection of 15 cases identified in video recordings of consultations in a large English hospice, we demonstrate how patients use this practice to normalize their routine conduct and thereby reject or rule out an actual or anticipated therapeutic recommendation. Our analysis suggests that such descriptions let patients participate in shared decision-making by revealing their preference for routines that preserve their level of independence and dignity.

Funding

Fulbright Commission

History

School

  • Social Sciences and Humanities

Department

  • Communication and Media

Published in

Health Communication

Volume

39

Issue

7

Pages

1285-1297

Publisher

Taylor & Francis

Version

  • VoR (Version of Record)

Rights holder

© The Authors

Publisher statement

This is an Open Access Article. It is published by Taylor & Francis under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (CC BY-NC-ND). Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

Acceptance date

2023-05-04

Publication date

2023-05-17

Copyright date

2023

ISSN

1041-0236

eISSN

1532-7027

Language

  • en

Depositor

Dr Marco Pino. Deposit date: 4 May 2023

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