We used a phenomenological approach to gain insight into the experiences of self, other, and world in patients with hemispatial neglect within the first month following stroke. Comprehensive descriptions of circumstances were conjoined with open-ended interviews of 12 participants. The neglect experience was captured in the overarching theme, "getting the left right," which encompasses the two subthemes of (a) surreal awareness of the left and (b) emergence of a different world. Patients had unclear perceptions of their own body and surroundings, their attention was brittle, and they encountered bewildering reactions from other people. They simultaneously pursued the ineffable neglected space and searched for coherence. The vulnerability, loss, and conflicting perceptions that patients with neglect face should be acknowledged and alleviation sought. Facilitating methods should provide additional opportunities for patients to communicate their experiences. We underscore the importance of readjusting the current approaches of neglect and emphasizing meaningfulness in professional guidance.
In this article, we review the latest trends of data collection methods in phenomenological nursing studies. Subsequently, by using a philosophical analysis, mainly inspired by Merleau-Ponty's embodied phenomenology and a case construction of an individual with hemi-spatial neglect-a common disorder following stroke-we explore the concepts "body schema," "body image," and "affordances." Applying these concepts helps to illuminate the temporal, spatial, and perceptual world of people encountering discrepancy between perception and reality because of disease-a discrepancy seen in hemi-spatial neglect. Concepts to capture the multifaceted challenges that occur under these circumstances are lacking. Systematically incorporating the aforementioned concepts might help to advance phenomenological research and articulate these difficulties. We propose suggestions on data generation to reveal situated, meaning-infused, embodied experiences in patients with hemi-spatial neglect. The need to step beyond the privileged emphasis on interviews, toward experimenting with other approaches of data collection, is underscored.
Aims and objectives. To explore and describe the experience of eating and eatingrelated difficulties in stroke survivors living at home. Background. The ability to consume food and to take pleasure in eating is an essential part of life. For people with stroke, eating difficulties are frequent. A phenomenological perspective of stroke survivors' experience of eating difficulties exceeding the acute stroke event and in-hospital rehabilitation is missing. Design. A qualitative study founded on the Husslarian descriptive phenomenology. Methods. Colaizzi's seven phases of data analysis provided a systematic approach to explore 17 in-depth interviews from seven participants and how eating difficulties influenced their daily lives. Results. Eating difficulties revealed themselves in participants' relationship with the outer world in far-reaching disruptions of habits, capacities and actions. Four key themes illuminating the eating difficulties emerged: (1) preserving dignity by not conveying serious problems, (2) staying vigilant to bodily limitations, (3) stepping out of the security zone and (4) moving on without missing out. The findings exposed that eating difficulties might not only lead to serious consequences such as malnutrition but also, and equally importantly, lead to losses in the existential, social and cultural lifeworld. Conclusions. The experience of eating difficulties entails an ongoing readjustment process, which is strongly influenced by interactions with other people. The findings suggest that individualised long-term support is needed to facilitated the use of helpful strategies to manage eating difficulties. Relevance to clinical practice. The long-term losses that people with eating difficulties experience are not reflected in conventional screening tools and interventions. To avoid haphazard identification presupposes professional knowledge of how eating difficulties are woven into daily life. This knowledge may inform innovative nursing strategies reaching beyond immediate rehabilitation. Partnership-based practice may provide an important framework to establish unique needs and to mobilise relevant actions and resources.Key words: adult nursing, eating problems, nurse-patient relationship, phenomenology, rehabilitation, stroke What does this study contribute to the wider global clinical community?• Offers insight into the ongoing challenges that particularly younger stroke survivors with eating difficulties are faced with in their daily lives at home.• Provides a model for understanding inhibiting and facilitating factors of the experience of eating difficulties-facilitating factors that might be considered for nursing practice.
Smuler om, fra og af Derridas Glas
Considerations of Jacques Derrida's oeuvre, and of deconstruction as theory and practice, are bound to revolve around Derrida's key notion of différance, developed at the outset of his career. However, Derrida's conception of justice, which started to make its presence felt in his work in the late 1980s, should also be considered to play a major role, not least when bearing in mind his declaration, made in 1989, that "deconstruction is justice." In this paper, the relation between différance and justice is explored against the background of Martin Heidegger's essay "Anaximander's Saying" which, it is argued, played a formative role in the development of Derrida's thinking. Derrida's analysis of justice as being comprised of three aspects-justice as idea, as law or right (droit) and as deconstruction-is shown to bear a strong resemblance with the conceptual scheme drawn from Anaximander in Heidegger's essay. The parallels between Derrida's différance and the notion of usage (Brauch), described by Heidegger as "the early word for Being," are also brought out.
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