‘Being’ a ventricular assist device recipient: A liminal existence
| Autor: | Guy A. MacGowan, Tim Rapley, Catherine Exley, Holly Standing |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Health (social science) Time Factors L900 medicine.medical_treatment media_common.quotation_subject Management of heart failure Identity (social science) 030204 cardiovascular system & hematology Phenomenology (philosophy) 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) History and Philosophy of Science Nursing parasitic diseases Medicine Humans 030212 general & internal medicine cardiovascular diseases Qualitative Research media_common Aged Interpretative phenomenological analysis business.industry Middle Aged United Kingdom B900 Ventricular assist device Quality of Life Heart Transplantation Female Heart-Assist Devices biological phenomena cell phenomena and immunity business Liminality Qualitative research |
| ISSN: | 0277-9536 |
| Popis: | Ventricular assist devices (VADs) are playing an increasing role in the management of heart failure. VADs are mechanical circulatory devices that support or replace the function of a failing heart. Currently, VADs are only offered in theUnited Kingdom (UK) to patients waiting for a heart transplant; however, the use of these devices is likely to increase in the near future. Presently, there is a dearth of literature exploring the day-to-day realities of living with a VAD, which will become increasingly important as the role of VADs is increased. This paper adopts an interpretive phenomenological approach to uncover the experience of 'Being' a VAD recipient. Semi-structured interviews were conducted with 20 VAD recipients. The overarching theme is that life with a VAD is a liminal existence. This comprised four subthemes: the first examines how the VAD imposes limitations on recipients' lives that can precipitate a loss of identity; the second focuses on temporal disruptions, recipients' sense of time changes from authentic to inauthentic; the third explores how the VAD itself is liminal, it is positioned as temporary rather than as the 'answer' to the condition; and finally, we discuss VAD recipients' projections to the future and the possibility of an end to the experience of liminality. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect