The Mechanical Body and the Lived Body: Heart Failure Clinical Nursing Practice

Authors

  • Wanich Suksatan School of Nursing, Saint Louis University, St. Louis, Missouri, United States; Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand https://orcid.org/0000-0003-1797-1260

DOI:

https://doi.org/10.3889/oamjms.2022.8796

Keywords:

Merleau-Ponty, Cartesian model, Mechanical body, Lived body, Nursing philosophy

Abstract

BACKGROUND: The Cartesian model has advanced modern-day nursing practices by separating the body from the mind and the person from the world. This model shifted nurses’ focus away from patients’ perceptions and lived experiences and toward the mechanical body. However, Merleau-Ponty’s perspective that a lived-body approaches offers an alternative and occurs when caring for patients as part of the nursing practice.

AIM: This paper aims to present Merleau- Ponty’s and Descartes’s views of the body in greater depth and discuss their implications on nursing science and practice in patients with heart failure and the challenges they pose.

METHODS: This publication also discussed how nurses care for the body as if it were a machine and contrast it with the recommendations for clinical nursing practice that will empower nurses to acknowledge the body as a lived body in their professional practice.

RESULTS: Patients treated as machines may be able to achieve a cure for their illness, but they may not be able to find meaning in it or achieve healing if treated as machines.

CONCLUSION: In the lived-body approach, nurses can also apply Merleau-Ponty’s philosophy to nursing science and patient care, which will lead to the development of holistic care and will improve the quality of patient care and patients’ general well-being.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Marcum JA. Biomechanical and phenomenological models of the body, the meaning of illness and quality of care. Med Health Care Philos. 2005;7(3):311-20. https://doi.org/10.1007/s11019-004-9033-0 PMid:15679023 DOI: https://doi.org/10.1007/s11019-004-9033-0

Leder D. A tale of two bodies: The Cartesian corpse and the lived body. In: Leder D, editor. The Body in Medical Thought and Practice. Dordrecht: Springer Netherlands; 1992. p. 17-35. DOI: https://doi.org/10.1007/978-94-015-7924-7_2

Störk S, Handrock R, Jacob J, Walker J, Calado F, Lahoz R, et al. Epidemiology of heart failure in Germany: A retrospective database study. Clin Res Cardiol. 2017;106(11):913-22. https://doi.org/10.1007/s00392-017-1137-7 PMid:28748265 DOI: https://doi.org/10.1007/s00392-017-1137-7

Lainscak M, Blue L, Clark AL, Dahlström U, Dickstein K, Ekman I, et al. Self-care management of heart failure: Practical recommendations from the Patient care committee of the heart failure association of the European society of cardiology. Eur J Heart Failure. 2011;13(2):115-26. https://doi.org/10.1093/eurjhf/hfq219 PMid:21148593 DOI: https://doi.org/10.1093/eurjhf/hfq219

Potter PA, Perry AG, Stockert PA, Hall A. Fundamentals of Nursing. Canada: Elsevier Mosby; 2013.

Ventegodt S, Kandel I, Ervin DA, Merrick J. Concepts of holistic care. In: Health Care for People with Intellectual and Developmental Disabilities Across the Lifespan. Berlin: Springer; 2016. p. 1935-41. DOI: https://doi.org/10.1007/978-3-319-18096-0_148

Jasemi M, Valizadeh L, Zamanzadeh V, Keogh B. A concept analysis of holistic care by hybrid model. Indian J Palliat Care. 2017;23(1):71-80. https://doi.org/10.4103/0973-1075.197960 PMid:28216867 DOI: https://doi.org/10.4103/0973-1075.197960

Magee B. Descartes: A dialogue with Bernard Williams. In: The Great Philosophers: An Introduction to Western Philosophy. Oxford: Oxford University Press; 1987. p. 76-95.

Audi R. The Cambridge Dictionary of Philosophy: Cambridge: Cambridge University Press; 1999.

Leder D. Medicine and paradigms of embodiment. J Med Philos. 1984;9(1):29-44. https://doi.org/10.1093/jmp/9.1.29 DOI: https://doi.org/10.1093/jmp/9.1.29

Baron R. An introduction to medical phenomenology: I can’t hear you while I’m listening. Ann Intern Med. 1985;103(4):606-11. https://doi.org/10.7326/0003-4819-103-4-606%m4037561 PMid:4037561 DOI: https://doi.org/10.7326/0003-4819-103-4-606

Porter S, O’Halloran P, Morrow E. Bringing values back into evidence-based nursing: The role of patients in resisting empiricism. Adv Nurs Sci. 2011;34(2):106-18. https://doi.org/10.1097/ANS.0b013e31821690d9 PMid:21427560 DOI: https://doi.org/10.1097/ANS.0b013e31821690d9

Urban AM. Taken for granted: Normalizing nurses’ work in hospitals. Nurs Inquiry. 2014;21(1):69-78. https://doi.org/10.1111/nin.12033 PMid:23668664 DOI: https://doi.org/10.1111/nin.12033

Herber OR, Atkins L, Störk S, Wilm S. Enhancing self-care adherence in patients with heart failure: A study protocol for developing a theory-based behaviour change intervention using the COM-B behaviour model (ACHIEVE study). BMJ Open. 2018;8(9):e025907. https://doi.org/10.1136/bmjopen-2018-025907 PMid:30206096 DOI: https://doi.org/10.1136/bmjopen-2018-025907

Schmid T. Costs of treating cardiovascular events in Germany: A systematic literature review. Health Econ Rev. 2015;5(1):27. https://doi.org/10.1186/s13561-015-0063-5 PMid:26400849 DOI: https://doi.org/10.1186/s13561-015-0063-5

Li CC, Shun SC. Understanding self care coping styles in patients with chronic heart failure: A systematic review. Eur J Cardiovasc Nurs. 2016;15(1):12-9. https://doi.org/10.1177/1474515115572046 PMid:25681369 DOI: https://doi.org/10.1177/1474515115572046

Riegel B, Dickson VV, Lee CS, Daus M, Hill J, Irani E, et al. A mixed methods study of symptom perception in patients with chronic heart failure. Heart Lung. 2018;47(2):107-14. https://doi.org/10.1016/j.hrtlng.2017.11.002 PMid:29304990 DOI: https://doi.org/10.1016/j.hrtlng.2017.11.002

King M, Kingery J, Casey B. Diagnosis and evaluation of heart failure. Am Fam Physician. 2012;85(12):1161-8.

Mustafa S, Yamada AT, Lima FM, Carvalho VM, Aiello VD, Castelli JB. Case 4-a 79-year-old man with congestive heart failure due to restrictive cardiomyopathy. Arq Bras Cardiol. 2015;105(4):430-9. https://doi.org/10.5935/abc.20150135 PMid:26559991 DOI: https://doi.org/10.5935/abc.20150135

Płotka A, Prokop E, Migaj J, Straburzyńska-Migaj E, Grajek S. Patients’ knowledge of heart failure and their perception of the disease. Patient Prefer Adherence. 2017;11:1459-67. https://doi.org/10.2147/PPA.S126133 PMid:28883713 DOI: https://doi.org/10.2147/PPA.S126133

van der Wal MH, Jaarsma T, Moser DK, Veeger NJ, van Gilst WH, van Veldhuisen DJ. Compliance in heart failure patients: the importance of knowledge and beliefs. Eur Heart J. 2006;27(4):434-40. https://doi.org/10.1093/eurheartj/ehi603 PMid:16230302 DOI: https://doi.org/10.1093/eurheartj/ehi603

Lee CS, Tkacs NC, Riegel B. The influence of heart failure self-care on health outcomes: Hypothetical cardioprotective mechanisms. J Cardiovasc Nurs. 2009;24(3):179-89. https://doi.org/10.1097/JCN.0b013e31819b5419 PMid:19279494 DOI: https://doi.org/10.1097/JCN.0b013e31819b5419

van der Wal MH, van Veldhuisen DJ, Veeger NJ, Rutten FH, Jaarsma T. Compliance with non-pharmacological recommendations and outcome in heart failure patients. Eur Heart J. 2010;31(12):1486-93. https://doi.org/10.1093/eurheartj/ehq091 PMid:20436049 DOI: https://doi.org/10.1093/eurheartj/ehq091

Moshki M, Khajavi A, Minaee S, Vakilian F, Hashemizadeh H. Perceived benefits of the disease: A qualitative study of patients’ experiences of heart failure. Nurs Health Sci. 2020;22(2):464-71. https://doi.org/10.1111/nhs.12682 DOI: https://doi.org/10.1111/nhs.12682

Naef R. Bearing witness: A moral way of engaging in the nurse-person relationship. Nurs Philos. 2006;7(3):146-56. https://doi.org/10.1111/j.1466-769X.2006.00271.x PMid:16774601 DOI: https://doi.org/10.1111/j.1466-769X.2006.00271.x

McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Böhm M, et al. 2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the task force for the diagnosis and treatment of acute and chronic heart failure of the European society of cardiology (ESC) With the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2021;42(36):3599-726. https://doi.org/10.1093/eurheartj/ehab368 PMid:34447992 DOI: https://doi.org/10.1093/eurheartj/ehab368

Arman M, Ranheim A, Rydenlund K, Rytterström P, Rehnsfeldt A. The nordic tradition of caring science: The works of three theorists. Nurs Sci Q. 2015;28(4):288-96. https://doi.org/10.1177/0894318415599220 PMid:26396212 DOI: https://doi.org/10.1177/0894318415599220

Östman M, Bäck-Pettersson S, Sundler AJ, Sandvik AH. Nurses’ experiences of continuity of care for patients with heart failure: A thematic analysis. J Clin Nurs. 2021;30(1-2):276-86. https://doi.org/10.1111/jocn.15547 DOI: https://doi.org/10.1111/jocn.15547

Benner P. From novice to expert. Am J Nurs. 1982;82(3):402-7. https://doi.org/10.1097/00000446-198282030-00004 DOI: https://doi.org/10.1097/00000446-198282030-00004

Maddox TM, Januzzi JL, Allen LA, Breathett K, Butler J, Davis LL, et al. 2021 update to the 2017 acc expert consensus decision pathway for optimization of heart failure treatment: Answers to 10 pivotal issues about heart failure with reduced ejection fraction. J Am Coll Cardiol. 2021;77(6):772-810. https://doi.org/10.1016/j.jacc.2020.11.022 PMid:33446410 DOI: https://doi.org/10.22141/2307-1257.10.3.2021.239598

Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. Self-management approaches for people with chronic conditions: A review. Patient Educ Couns. 2002;48(2):177-87. https://doi.org/10.1016/S0738-3991(02)00032-0 PMid:12401421 DOI: https://doi.org/10.1016/S0738-3991(02)00032-0

Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. New York: Lippincott Williams and Wilkins; 2008.

Carr LT. The strengths and weaknesses of quantitative and qualitative research: What method for nursing? J Adv Nurs. 1994;20(4):716-21. https://doi.org/10.1046/j.1365-2648.1994.20040716.x PMid:7822608 DOI: https://doi.org/10.1046/j.1365-2648.1994.20040716.x

Downloads

Published

2022-03-09

How to Cite

1.
Suksatan W. The Mechanical Body and the Lived Body: Heart Failure Clinical Nursing Practice. Open Access Maced J Med Sci [Internet]. 2022 Mar. 9 [cited 2024 Apr. 25];10(G):238-45. Available from: https://oamjms.eu/index.php/mjms/article/view/8796

Issue

Section

Nursing in Internal Medicine

Categories