Creating empowering meaning: an interactive process of promoting health with chronically ill older Canadians

Abstract

SUMMARYMany health promotion approaches afford education about disease prevention and enhancement of one's health status. But strategies for enabling older people with chronic illness to better mobilize their resources for everyday living still require development. This practical action research study explored the experiences of 13 purposefully selected older persons who participated in a health promotion intervention premised on the adult education theory of perspective transformation. Findings illuminate health promotion through a holistic interactive process in which professional and chronically ill older person together evolved a caring relationship and enhanced conscious awareness of life and health experiences. Five health-promoting strategies were identified: building trust and meaning; connecting; caring; mutual knowing; and mutual creating. Researchers suggest several important directions to refine professional practice approaches and health care delivery systems in order to promote the health of older persons with chronic conditions.

The patient-centered clinical method: a family medicine perspective

“…[9] While the study did not explain the mechanism, there is both biological and psychological plausibility for a process revealed by seminal qualitative studies suggesting that when doctors listen, patients begin to trust in the relationship, they feel better and become more active partners in care. [10] They feel and become more empowered to mobilize their own resources finally leading to an improvement in physiologic health status.…”

“…[9] Çal›flma bu bulgular›n arkas›nda yatan mekanizmalar› aç›klama-makla birlikte, ufuk aç›c› niteliksel çal›flmalardan elde edilen, hekimler dinlemeye bafllad›kça hastalar›n güven-lerinin artt›¤› ve tedavide daha aktif ortaklar haline geldikleri yönündeki bulgular, hem biyolojik hem de psikolojik mekanizmalar› akla uygun hale getirmektedir. [10] Stewart M | The patient-centered clinical method: a family medicine perspective Hastalar kendilerini daha sorumlu hissetmekte ve kendi kaynaklar›n› daha çok harekete geçirerek fizyolojik sa¤-l›klar›nda iyileflme sa¤lamaktad›rlar.…”

rôle du soutien social dans la capacité d'autonomisation des femmes âgées de 55 ans et plus atteintes de multimorbidité /

“…• supporter l'autonomie du patient et encourager activement sa participation à la consulation et dans les décisions liées à sa santé (Desbiens et al, 1998;Maliski et al, 2004;McWilliam et al, 1997;Pellino et al, 1998;Pibernik et al, 2004;Trummer et al, 2006) ;…”

A Digital Patient-Led Hospital Checklist for Enhancing Safety in Cataract Surgery: Qualitative Study (Preprint)

“…Nowadays, patient participation has increasingly been recognized as a key component in the improvement of healthcare since, in contrast to healthcare staff, patients are around during all steps of their care pathway [10][11][12][13]. However, many studies showed the role of patients as active participants in safety seems to be limited to listening well and speaking up when concerned [14][15][16][17].…”