In Poland, 92% of elderly people with dementia are cared for at home from diagnosis until death, and 44% of caregivers provide care on their own, without any support from other people. The aim of this study was to identify the needs, created because of the Covid-19 pandemic, of caregivers of people with Alzheimer’s disease (AD). The study group consisted of 85 caregivers in the age range from 23 to 78 years and 80 (91.1%) were women. The questionnaire on the life situation of the caregiver and 10-item Perceived Stress Scale (PSS-10) were used. High levels of stress were found in 75 of the 85 subjects, representing 88% of the total. The greatest difficulties were identified in health care and in finding additional care for the charge. PSS-10 correlated with the deterioration of illness during Covid-19, changes in daily functioning, and concerns about both the health of the charge and caregiver. The level of stress severity in the caregiver group of charges with mild AD was higher than in the caregiver group of charges with moderate AD. The provision of extra care and professional psychological support for caregivers were identified as the greatest needs.
The aim of the study was to demonstrate how Foucault's ethics, which we understand as a tension between exclusion and emancipation, helps both critically reassess two disability models that prevail in the contemporary literature concerning disability, that is the medical model and the social one, and support and inspire an ethical project of including people with disabilities in spheres of life from which they have been excluded by various power/knowledge regimes. We claim, following Foucault, that such a project should be informed by critical reflection on exclusion-generating forms of knowledge about people with disabilities and focused on individual ethical actions fostering self-realization and emancipation of people with disability.
The article addresses Jürgen Habermas' theory of communicative action, which offers very productive tools for analysing disability. The Habermasian division of social reality helps examine positive and negative effects of tensions between the lifeworld of a person with disability and the system. By exploring such an individual's communicative action, one can obtain an insight into his/her validity claims and disruptions in the communication process and self-understandings inscribed in group narratives. The study reported in the article used in-depth interviews, which narratively reveal the experiences of a person with disability in family, education, sports and labour. The key findings are, first, that the rationalization of lifeworlds of people with disability increases while processes in which they are colonized by the system intensify; second, that education and family are significant factors in the raising of validity claims; and third, that validity claims as tools of verbal communication should be augmented with arguments from non-verbal language (e.g. gesture, empathy).
The aim of this article was to interpret Habermas's concept of language in terms of its therapeutic potential which can be effectively realized in nursing practice. Drawing on Habermas's definition, we analyse the components of rational communication which are necessary for the patient and the therapist to achieve understanding. In doing this, we examine not only lifeworld, system and validity claims, which are well‐known notions within Habermas's theory of communicative action, but also less frequently studied elements of this theory, such as everyday world, to which the patient refers in the process of self‐understanding and identity construction. We also address culture and language as a pre‐rational factor which can disturb, or even preclude, communication and understanding. In such circumstances, we propose supplementing the Habermasian therapeutic project with a psychoanalytical interpretations of the utterances of the patients who have difficulty defining the situation within which therapy is possible.
Streszczenie:W pracy dokonano analizy pojęcia odpowiedzialności, które jest kluczowe dla Kodeksu Etyki Fizjoterapeuty Rzeczypospolitej Polskiej. Odpowiedzialność fi zjoterapeuty jest nierozerwalnie związana z jego czynnościami zawodowymi, prawnymi oraz wartościami moralnymi, wyznaczając najszersze granice jego funkcjonowania. Określa zarów-no interes własny pracownika, interes zakładu pracy, społeczeństwa, ale przede wszystkim uwzględnia potrzeby drugiego człowieka -pacjenta.Słowa kluczowe: etyka zawodowa, odpowiedzialność, obowiązek. Abstract:The objective of the paper is to present an analysis of the concept of responsibility which is a crucial element of the Code of Ethics of the Physiotherapist of the Republic of Poland. Responsibility of the physiotherapist is inseparably tied to his/her professional, legal and moral activities and determines the broadest limits of his/her functioning. Responsibility defi nes the interest of the employee, the interest of the workplace and of society, but above all it allows one to take into account the needs of another person -the patient.
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