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The Management of Parkinson's Disease : Patient and Doctor Perspectives of Chronic Illness - Ruth Pinder

The Management of Parkinson's Disease

Patient and Doctor Perspectives of Chronic Illness

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Uncertainty is part of the human condition. But for patients with a chronic illness such as Parkinson's Disease and for the GPs who care for them, uncertainty and its management take on an added edge. Dr Pinder, in a series of moving portraits, shows how the differing anxieties of both parties may, if unacknowledged, lead them down different paths, with distressing consequences for patients. By contrast, a responsive GP may make living with P.D. more bearable. The author argues that an imaginative understanding of the illness experience may enable GPs to care more effectively for their chronically ill patients. The book presents a compelling case for looking afresh at patient-doctor interaction.

Part 1 Uncertainty and the patient-doctor relationship; background; a note on the study; PD - facts and figures. Part 2 Explaining what to expect - beliefs and routines: a spectrum of views; routines and innovations. Part 3 Understanding the implications - knowledge as a resource: information - friend or foe?; the role of the GP. Part 4 The drug regime - "we can treat it": rationale and side effects; something tangible on offer; medical management or shared management? Part 5 The honeymoon period - and after: misunderstandings and understandings; being on tablets; room for manoeuvre or playing it by the book?; patients' views of their GPs. Part 6 Detachment or empathy?: down to basics - progression, incurability and "the PD face"; exploring fears and anxieties; listening, and just being there. Part 7 Controlling the uncontrollable - making sense of living with PD: identity under threat; in search of control; making a pact with PD; how much can the GP offer?. Part 8 Conclusions - patient and doctor - match and mismatch: the study and its broader context; casting a wider net; match and mismatch; recommendations. Part 9 Doing research - more than an afterthought: setting the scene; finding my patients and obtaining accounts; GPs - an entry into a different world; studying the powerless and powerful. Appendices: patient profile; doctor profile.

ISBN: 9780333490006
ISBN-10: 0333490002
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 172
Published: 23rd November 1990
Country of Publication: GB
Dimensions (cm): 23.4 x 15.6  x 0.8
Weight (kg): 0.23
Edition Number: 11