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Papers by Daniel Gómez Pérez
Cultura de los cuidados, 2009
T he presence of a system of ideological beliefs and previous expectations may influence and chan... more T he presence of a system of ideological beliefs and previous expectations may influence and change the adopting different strategies or taking another actions within the process of health/disease care. This circumstance entails some especial meaning when referring to the core of relationship doctor/patient. The biomedicine is one of the established forms of care and disease in most of different societies and has become (the medical hegemonic pattern) identified as the most accurate and efficient procedure to meet health/ disease process. Being subjective when considering disease and its management by the individual means searching new therapies and alternatives to give an answer to all type of needs and not just simply curing them, something that for the time being and through biomedicine only has not yet been fulfilled. Of course, this option is not exempt from the exposure to a medical treatment. Hence the importance of a deep study together with its relationship with present hegemonic medicine because current users of alternative therapies and traditional medicine may have certain knowledge in biomedicine and therefore some sort of expectations in scientific know-how regarding the use of such alternative therapies.
Geriatrics & Gerontology International, 2014
OBJECTIVE : The aim of the present study was to describe how dependence was experienced by Spanis... more OBJECTIVE : The aim of the present study was to describe how dependence was experienced by Spanish nursing home residents with functional limitations. METHODS : A qualitative phenomenological approach was followed. An initial purposeful sampling of Spanish residents in for-profit nursing homes in the southern area of Madrid was carried out. Theoretical sampling was also implemented in order to gain a more in-depth understanding of dependence. The inclusion criteria for nursing home residents were: aged 60 years old or older, having a functional impairment (Barthel Index <90), and lack of any cognitive impairment (Mini-Mental State Examination-Folstein >19) and able to communicate verbally in Spanish. Data were collected using unstructured and semi-structured interviews. The interviews were tape recorded and fully transcribed. Data collection was concluded once theoretical saturation was reached, and the data were analyzed using the Giorgi proposal. RESULTS : A total of 30 residents (15 female and 15 male) with a mean age of 83 years were included. Two main themes that describe the significance of dependence in nursing homes emerged from the data: (i) remaining "capable", with one subtheme named "building the difference", where residents described their own dependence classification of "non-capable" residents; and (ii) "sharing life", with two subthemes named "living together with non-capable residents" and "sharing the environment". Being considered as "non-capable" is labelling the resident forever. CONCLUSIONS : The dependence experience of Spanish nursing home residents might help us gain a deeper insight into their expectations about functional limitations, as well as to understand the change in the relationship between residents considered "non-capable", caregivers and the other residents.
Geriatrics & Gerontology International, 2013
ESTUDIO DE LAS CARACTERISTICAS PERINATALES Y DESARROLLO DE LOS RECIEN NACIDOS CON LESIONES PARENQ... more ESTUDIO DE LAS CARACTERISTICAS PERINATALES Y DESARROLLO DE LOS RECIEN NACIDOS CON LESIONES PARENQUIMATOSAS 1. Introduccion. Las lesiones parenquimatosas o de la sustancia blanca en prematuros se pueden dividir en: leucomalacia periventricular, infarto hemorragico periventricular e hiperecogenicidades persistentes. Estan asociadas al desarrollo posterior de paralisis cerebral y pueden acompanarse de problemas cognitivos, de trastornos sensoriales o del comportamiento, asi como de episodios de epilepsia. Su incidencia varia de unos estudios a otros, entre un 0,1-12%. Se diagnostican mediante imagen ecografica principalmente. Actualmente no existe tratamiento especifico, las unicas medidas van dirigidas a intentar disminuir los problemas en el neurodesarrollo. Pero a pesar de las consecuencias que pueden tener este tipo de lesiones poco se conoce sobre las secuelas del neurodesarrollo de estos ninos, ni se ha estudiado sistematicamente este tipo de lesiones afecta de manera similar a l...
Cultura de los Cuidados. Revista de Enfermería y Humanidades, 2010
T he attention and action in the process of health / disease care is a key that characterizes his... more T he attention and action in the process of health / disease care is a key that characterizes his role as nurse and health worker. In particular the study of health seeking behavior and observation of the strategies of patients (actors) on health and disease and its action as they or their family sick. This article is a reflection through a review of authors in other anthropological work on the articulation of cultural care in biomedical practice. Biomedicine holistic limited compression of the disease conception of the person as a whole than the sum of the component parts. Often the nurse plays in their practice a moral world of values of the society to which he belongs which is materialized in practice. To discuss the influence of culture in the health / disease / care, we must define what is meant by culture. It must take into account the relationship between subject and culture particularly in relation to the socialization of the subject. Hence the importance of the existence of a shared belief system.
Journal of Nursing Management, 2013
Journal of Nursing Management Is the influence of nurse care practices and nursing home organizat... more Journal of Nursing Management Is the influence of nurse care practices and nursing home organization understood? A qualitative study Aim To describe residentsÕ experience of nursing home organization and nursing care practices in a region of Spain. Background Nursing home organization, nursing practices and rules within the institution may all influence residentsÕ daily living and their perception on the quality of care provided. Design A qualitative approach was conducted, using purposeful and theoretical sampling. Data were collected from nursing home residents, following unstructured and semi-structured interviews, researcher field notes and residentsÕ personal diaries and letters. Giorgi analysis was conducted. Results Two main themes emerged. (1) ÔFollowing nursing home rulesÕ. Norms may be seen as boundaries, especially for those residents who were independent before admission. (2) ÔPrioritizing nursing care in residentsÕ. Prioritizing the nursing care may limit the autonomy of residents because it does not meet their preferences and needs. Conclusion Understanding the meaning of nursing home organization and nursing care practices with nursing home residents might provide deeper insight into their expectations. Implications for nursing management Nursing staff should have greater involvement in the nursing home organization, as well as in prioritizing the care provision based on residentÕs needs and preferences.
Cultura de los cuidados, 2009
T he presence of a system of ideological beliefs and previous expectations may influence and chan... more T he presence of a system of ideological beliefs and previous expectations may influence and change the adopting different strategies or taking another actions within the process of health/disease care. This circumstance entails some especial meaning when referring to the core of relationship doctor/patient. The biomedicine is one of the established forms of care and disease in most of different societies and has become (the medical hegemonic pattern) identified as the most accurate and efficient procedure to meet health/ disease process. Being subjective when considering disease and its management by the individual means searching new therapies and alternatives to give an answer to all type of needs and not just simply curing them, something that for the time being and through biomedicine only has not yet been fulfilled. Of course, this option is not exempt from the exposure to a medical treatment. Hence the importance of a deep study together with its relationship with present hegemonic medicine because current users of alternative therapies and traditional medicine may have certain knowledge in biomedicine and therefore some sort of expectations in scientific know-how regarding the use of such alternative therapies.
Geriatrics & Gerontology International, 2014
OBJECTIVE : The aim of the present study was to describe how dependence was experienced by Spanis... more OBJECTIVE : The aim of the present study was to describe how dependence was experienced by Spanish nursing home residents with functional limitations. METHODS : A qualitative phenomenological approach was followed. An initial purposeful sampling of Spanish residents in for-profit nursing homes in the southern area of Madrid was carried out. Theoretical sampling was also implemented in order to gain a more in-depth understanding of dependence. The inclusion criteria for nursing home residents were: aged 60 years old or older, having a functional impairment (Barthel Index <90), and lack of any cognitive impairment (Mini-Mental State Examination-Folstein >19) and able to communicate verbally in Spanish. Data were collected using unstructured and semi-structured interviews. The interviews were tape recorded and fully transcribed. Data collection was concluded once theoretical saturation was reached, and the data were analyzed using the Giorgi proposal. RESULTS : A total of 30 residents (15 female and 15 male) with a mean age of 83 years were included. Two main themes that describe the significance of dependence in nursing homes emerged from the data: (i) remaining "capable", with one subtheme named "building the difference", where residents described their own dependence classification of "non-capable" residents; and (ii) "sharing life", with two subthemes named "living together with non-capable residents" and "sharing the environment". Being considered as "non-capable" is labelling the resident forever. CONCLUSIONS : The dependence experience of Spanish nursing home residents might help us gain a deeper insight into their expectations about functional limitations, as well as to understand the change in the relationship between residents considered "non-capable", caregivers and the other residents.
Geriatrics & Gerontology International, 2013
ESTUDIO DE LAS CARACTERISTICAS PERINATALES Y DESARROLLO DE LOS RECIEN NACIDOS CON LESIONES PARENQ... more ESTUDIO DE LAS CARACTERISTICAS PERINATALES Y DESARROLLO DE LOS RECIEN NACIDOS CON LESIONES PARENQUIMATOSAS 1. Introduccion. Las lesiones parenquimatosas o de la sustancia blanca en prematuros se pueden dividir en: leucomalacia periventricular, infarto hemorragico periventricular e hiperecogenicidades persistentes. Estan asociadas al desarrollo posterior de paralisis cerebral y pueden acompanarse de problemas cognitivos, de trastornos sensoriales o del comportamiento, asi como de episodios de epilepsia. Su incidencia varia de unos estudios a otros, entre un 0,1-12%. Se diagnostican mediante imagen ecografica principalmente. Actualmente no existe tratamiento especifico, las unicas medidas van dirigidas a intentar disminuir los problemas en el neurodesarrollo. Pero a pesar de las consecuencias que pueden tener este tipo de lesiones poco se conoce sobre las secuelas del neurodesarrollo de estos ninos, ni se ha estudiado sistematicamente este tipo de lesiones afecta de manera similar a l...
Cultura de los Cuidados. Revista de Enfermería y Humanidades, 2010
T he attention and action in the process of health / disease care is a key that characterizes his... more T he attention and action in the process of health / disease care is a key that characterizes his role as nurse and health worker. In particular the study of health seeking behavior and observation of the strategies of patients (actors) on health and disease and its action as they or their family sick. This article is a reflection through a review of authors in other anthropological work on the articulation of cultural care in biomedical practice. Biomedicine holistic limited compression of the disease conception of the person as a whole than the sum of the component parts. Often the nurse plays in their practice a moral world of values of the society to which he belongs which is materialized in practice. To discuss the influence of culture in the health / disease / care, we must define what is meant by culture. It must take into account the relationship between subject and culture particularly in relation to the socialization of the subject. Hence the importance of the existence of a shared belief system.
Journal of Nursing Management, 2013
Journal of Nursing Management Is the influence of nurse care practices and nursing home organizat... more Journal of Nursing Management Is the influence of nurse care practices and nursing home organization understood? A qualitative study Aim To describe residentsÕ experience of nursing home organization and nursing care practices in a region of Spain. Background Nursing home organization, nursing practices and rules within the institution may all influence residentsÕ daily living and their perception on the quality of care provided. Design A qualitative approach was conducted, using purposeful and theoretical sampling. Data were collected from nursing home residents, following unstructured and semi-structured interviews, researcher field notes and residentsÕ personal diaries and letters. Giorgi analysis was conducted. Results Two main themes emerged. (1) ÔFollowing nursing home rulesÕ. Norms may be seen as boundaries, especially for those residents who were independent before admission. (2) ÔPrioritizing nursing care in residentsÕ. Prioritizing the nursing care may limit the autonomy of residents because it does not meet their preferences and needs. Conclusion Understanding the meaning of nursing home organization and nursing care practices with nursing home residents might provide deeper insight into their expectations. Implications for nursing management Nursing staff should have greater involvement in the nursing home organization, as well as in prioritizing the care provision based on residentÕs needs and preferences.