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  1. 2 Mäetagused

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  1. 2 Paal P.

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  1. 1 2023

  2. 1 2018

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Kultuuritundlikkusest ja randetausta tahendusest palliatiivravis ja hospiitsitoos patsiendinarratiivide naitel

100%
Paal P.
Mäetagused
|
2018
|
vol. 72
5-22
EN
This article discusses the need for cultural competencies in hospice and palliative care. The following discussion is based on patient narratives. The interviews (37) were conducted in Munich, Germany, in 2016. Half of the interviewees had a migration history. Thematic analysis revealed that (1) for most of the patients the aims of palliative and hospice care were ambiguous; (2) the end of life was connected with a loss of autonomy and wish for hastened death. Discussions about life, illness, and death were not perceived as burdensome, whereas discussing the end of life seemed challenging. A comparison between two groups revealed that for people with migration history the notion of ‘dying at home’ may cause additional suffering, and thus may need screening and additional attention from professionals. Cultural competence in the hospice and palliative care setting is providing safety by treating each patient as an individual and not as a member of some specific group. The task for medical anthropology in this context is to strive for research free from standpoint epistemology and stereotypes.
2

"Tühi tuba" ehk eneserefleksioon ja visuaal-tekstuaalne juhtumiuuring hingelise abi andmise õpetamisest ja õppimisest

100%
Paal P.
Mäetagused
|
2023
|
vol. 85
27-42
EN
According to the vision of the World Health Organization, spirituality is an integral part of human existence. Spirituality is even seen as an all-encompassing essence of the human being that requires appreciation and respect. Spirituality is closely linked to the search for meaning, the sense of connection and the feeling and experience of belonging. The article explores the question of whether and how it is possible to teach and learn spiritual care when one is ‘not spiritual’ oneself. The case study, based on the student’s self-reflection, is theoretically inspired by Ricoeur’s theory of narrative meaning-making and a search for explanations of life issues. It is a visual-textual case study, which also explains the appropriateness of the chosen method of self-reflection and analysis for recording and making sense of emotional-social-relational experiences.
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