Narrative Care Flashcards
1
Q
biographical aging
A
- concerns the inside vs outside of aging
- concerns our subjective experience of our unique life story (past, present, future)
- different starting point to studying aging
- need for a narrative gerontology
- engaging in story talk
2
Q
narrative development
A
- stores are static but thicken/evolve over time
- the plot is continually thickening, widening
- we are continually storying and re-storying our identity
- there is no end to our narrative development
3
Q
narrative environment
A
- we (re)story our lives within larger stories/systems
- families, marriages, communities, cultures, religions
- can be positive or negative, open or closed
- can be rich or rigid, growth inviting or inhibiting
- can be re-storying or de-storying
- can be nurturing or numbing
- can help or hinder us re narrative challenges of aging
4
Q
narrative challenges
A
- narrative loneliness (fewer left who know our story)
- narrative loss (fewer things to support our story)
- narrative dispossession
- narrative foreclosure (life is not over, but story is)
- narrative imprinsonment (regret, grudge, role, story)
5
Q
re-storying
A
- one “chapter” in overall life
- not the whole chapter
- being in hospital/nursing home is re-storying experience
- patients understand who they are in term of stories, and of biography
- being interested in who they are
- stories are central to their identities, emotions, values, beliefs, and health
- caring for stories is just as important as caring for bodies
- can be more re-storying by using narrative care
6
Q
de-storying
A
- reducing them to a set of symptoms or test results
- “no more than 2 concerns per visit”
- being interested in who they are not just what’s wrong with them
- patients don’t know who they are in term of biology
- can sense their stories in their posture, gestures, expressions
7
Q
narrative care
A
- listening closely, interestedly, and respectfully to and for the stories by which older people understand themselves
- not “just one more thing to do” but as important as other forms of care
8
Q
narrative care is about…
A
- attitude more than activity
- quality of connection more than quantity of time
- fostering a narrative environment that is warm, inviting, and healing
9
Q
narrative care can be…
A
- practiced between the line of other activities
- adapted to different contexts
- tailored to unique cases
10
Q
things to look for in narrative care
A
- books people are reading
- tv shows they are watching
- music they listen to
- pictures/mementoes they have
- who visits them and what they talk about
- what info is on their chart (jobs, hobbies, family situation etc.)
- what stories their gestures express
11
Q
things to listen for in narrative care
A
- signature stories
- turning point stories
- nostalgic stories
- shadow and back stories
- facts and feelings
- incipient re-storying waiting to told
12
Q
benefits of narrative care
A
- decreased anxiety, stress, depression
- improve immune system
- increase sense of connection to self/others
- passing on life lessons/wisdom to others
- facing the end feeling our life has been worthwhile
