Articles producció científica> Infermeria

Beyond the clinical context: the process of losing oneself living with Huntington's disease

  • Identification data

    Identifier: imarina:9262315
    Authors:
    Varela, Luz-EstellaArias, Maria-MercedesMartorell-Poveda, Maria-AntoniaGiraldo, Clara, VEstrada-Acuna, Rosa A.
    Abstract:
    Background People with Huntington's disease (HD) have increased functional and cognitive dependence. While numerous clinical, genetic, and therapeutic management studies have been carried out, few studies have investigated the disease from the personal experience and the context of people living with HD. To better serve these patients, our purpose is to understand, from the perspective of the patient and their families, how people with HD cope with their daily lives outside the clinical setting. Methods Thirty-three affected or at-risk people participated in this study. Participants were interviewed at their homes on distinct occasions during a family visit. We analyzed the data using Grounded Theory, which allowed us to understand how people live with the disease on their own terms. Results Living with HD is a process that begins with acceptance or denial that one is at risk for the disease or, growing awareness of the condition due to motor, behavioral, and cognitive changes, and, finally, loss of autonomy with physical dependence on another person, and loss of sense of self and family. Conclusion While the daily life of patients before disease onset was characterized by physical and mental/cognitive independence, with HD they become increasingly trapped in their bodies, and their complications are due to the lack of effective curable therapy.
  • Others:

    Author, as appears in the article.: Varela, Luz-Estella; Arias, Maria-Mercedes; Martorell-Poveda, Maria-Antonia; Giraldo, Clara, V; Estrada-Acuna, Rosa A.;
    Department: Infermeria
    URV's Author/s: Martorell Poveda, Maria Antonia
    Keywords: Physical dependence on another person Neurodegenerative condition Loss of sense of self Loss of autonomy Health Grounded theory
    Abstract: Background People with Huntington's disease (HD) have increased functional and cognitive dependence. While numerous clinical, genetic, and therapeutic management studies have been carried out, few studies have investigated the disease from the personal experience and the context of people living with HD. To better serve these patients, our purpose is to understand, from the perspective of the patient and their families, how people with HD cope with their daily lives outside the clinical setting. Methods Thirty-three affected or at-risk people participated in this study. Participants were interviewed at their homes on distinct occasions during a family visit. We analyzed the data using Grounded Theory, which allowed us to understand how people live with the disease on their own terms. Results Living with HD is a process that begins with acceptance or denial that one is at risk for the disease or, growing awareness of the condition due to motor, behavioral, and cognitive changes, and, finally, loss of autonomy with physical dependence on another person, and loss of sense of self and family. Conclusion While the daily life of patients before disease onset was characterized by physical and mental/cognitive independence, with HD they become increasingly trapped in their bodies, and their complications are due to the lack of effective curable therapy.
    Thematic Areas: Saúde coletiva Pharmacology (medical) Odontología Medicine, research & experimental Medicine (miscellaneous) Medicina iii Medicina ii Medicina i Genetics (clinical) Genetics & heredity General medicine Farmacia Engenharias iv Ciências biológicas ii Ciências biológicas i
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: mariaantonia.martorell@urv.cat mariaantonia.martorell@urv.cat
    Author identifier: 0000-0002-0309-1812 0000-0002-0309-1812
    Record's date: 2024-09-07
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://ojrd.biomedcentral.com/articles/10.1186/s13023-022-02330-9
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Orphanet Journal Of Rare Diseases. 17 (1):
    APA: Varela, Luz-Estella; Arias, Maria-Mercedes; Martorell-Poveda, Maria-Antonia; Giraldo, Clara, V; Estrada-Acuna, Rosa A.; (2022). Beyond the clinical context: the process of losing oneself living with Huntington's disease. Orphanet Journal Of Rare Diseases, 17(1), -. DOI: 10.1186/s13023-022-02330-9
    Article's DOI: 10.1186/s13023-022-02330-9
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2022
    Publication Type: Journal Publications
  • Keywords:

    Genetics & Heredity,Genetics (Clinical),Medicine (Miscellaneous),Medicine, Research & Experimental,Pharmacology (Medical)
    Physical dependence on another person
    Neurodegenerative condition
    Loss of sense of self
    Loss of autonomy
    Health
    Grounded theory
    Saúde coletiva
    Pharmacology (medical)
    Odontología
    Medicine, research & experimental
    Medicine (miscellaneous)
    Medicina iii
    Medicina ii
    Medicina i
    Genetics (clinical)
    Genetics & heredity
    General medicine
    Farmacia
    Engenharias iv
    Ciências biológicas ii
    Ciências biológicas i
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