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A delicate balance: negotiating renal transplantation, immunosuppression and adherence to medical regimen
[journal article]
Abstract Despite the volume of biomedical and psychosocial discourse
surrounding both renal transplantation and the immune system, there is a limit
to current understandings of immunosuppression in the context of kidney
transplantation. For example, we do not know how the immunosuppressed
renal transplant re... view more
Despite the volume of biomedical and psychosocial discourse
surrounding both renal transplantation and the immune system, there is a limit
to current understandings of immunosuppression in the context of kidney
transplantation. For example, we do not know how the immunosuppressed
renal transplant recipient experiences and understands their immune system
and body. In addition, we do not know if the patient is as fi xated on 'graft
survival' as their healthcare team or whether other concerns are more relevant.
What is missing is the discourse of those who actually 'live' the medically
altered immune system in the context of renal transplantation.
We propose that this gap in knowledge is bound to an acknowledged problem
among renal transplant recipients and their healthcare teams – a lack of
compliance with recommended medical regimens. Our argument here is that
an exploration of patient intimacy with transplant-related immunosuppression
might illuminate a different understanding of this experience that could
enhance health professionals' understanding and their subsequent approach
to treatment. We contend that the embodied and contextual experience of the
patient needs to be equally valued in order to enhance patient outcomes.... view less
Classification
Medical Sociology
Free Keywords
compliance; embodiment; immunosuppression; renal; transplantation
Document language
English
Publication Year
2007
Page/Pages
p. 497-512
Journal
Health, 11 (2007) 4
DOI
https://doi.org/10.1177/1363459307080875
Status
Postprint; peer reviewed
Licence
PEER Licence Agreement (applicable only to documents from PEER project)