Health prevention in the era of biosocieties: a critical analysis of the ‘Seek‐and‐Treat’ paradigm in <scp>HIV</scp>/<scp>AIDS</scp> prevention

Foth, Thomas; O’Byrne, Patrick; Holmes, Dave

doi:10.1111/nin.12114

Cited by 5 publications

(1 citation statement)

References 19 publications

(31 reference statements)

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“…So,too,for another example, must those whobecome aware that they are HIV-positive, for under new prevention strategiesl ike" STOP/Test-and-Treat," they are expected to becomer esponsible self-governing citizens or risk being criminalized or abandoned by the healthcares ystem. Few of those living at the margins of society-drug users, Aboriginal peoples and sex workers, etc.,-a re able to conform to these norms of responsibility, but the Te st-and-Treatstrategymakes it no longer necessaryt oe xamine or ameliorate the underlying social factors producing marginalized at-risk populations (Foth, O'Byrne, & Holmes, 2015). Those whodonot or cannot comply with the demands of the healthcaresystem are but one versionofapopulation deemed disposable.…”

Section: The Problem With Recognitionmentioning

confidence: 99%

Chapter Five: The Limits of a Theory of Recognition: Toward a Nursing Ethics of Vulnerability

Foth¹,

Lauzier²,

Antweiler³

2017

Critical Approaches in Nursing Theory and Nursing Research

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At mid-afternoon on September19, 2008, Brian Sinclair,a45-year-old man of Aboriginal descentw heeled into the emergencyr oom( ER) of the Health Sciences CentreinW innipeg.H einteracted with atriage aide,showed his family physician's letter,then parked his wheelchair in what would be his final resting place. The video footage from securityc ameras shows Mr.S inclair moving around the waiting room with intermittentmoments of rest, and medical staff walking by him in anearly emptywaiting room but no onewhatsoever inquiring if he needed assistance.T wenty-four hours after his arrival, housekeeping was called to attend to abodily fluid discharge in the waiting room -Brian Sinclair's vomit. From 4:37 pm on September 20th to the time of the first attempt at resuscitationat00:51 am the following day, he does not moveaninch, his head slumped forward in what is nowknown to be the position he died in.During his entire stayi nthe ER,Brian Sinclair was invisible to the medical staff, even after he vomited in the waiting room. He spentw hat is more than likely eight hours dead in his wheelchair before anybodya ttempted anyr esuscitation maneuvers on him. Vulnerable and with no advocate, he was considered a"frequentflyer," drug user,and ahomeless First Nations man, and he died while attempting to get help for what he knew was as erious medical condition. Between his arrivaland the certification of his death, Brian Sinclair had neitherbeen triaged nor had anurse seen him in the 34 hours he spentinthe ER,although150 other patients had been processed throughthe department. A visitor eventually made the staff aware thatBrian Sinclair's neck was blue.Rigor mortish ad alreadys et in,with the coroner estimating that he hadd ied hours prior to the first attempt at resuscitation. According to the coroner's report, this death was preventable (Preston, 2014).The inquest into his death, published in 2014, makes clear thathis visit to the ER was only the last station in alife lived under unlivable conditions. In 2004, Sinclair had had abilateral lower leg amputation secondarytofrostbite, suffered after he hadbeen evicted from his apartmentinthe winter.During his hospital admission Mr.Sinclair was assessed by amultitude of medical professionals whoOpen-Access-Publikation im Sinne der CC-Lizenz BY-NC-ND

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Section: The Problem With Recognitionmentioning

confidence: 99%

Chapter Five: The Limits of a Theory of Recognition: Toward a Nursing Ethics of Vulnerability

Foth¹,

Lauzier²,

Antweiler³

2017

Critical Approaches in Nursing Theory and Nursing Research

Self Cite

View full text Add to dashboard Cite

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Relationship of health rating and HIV-related stigma among people living with HIV: a community study

Gutiérrez

Brooks-Hawkins

Hassan

et al. 2022

Humanit Soc Sci Commun

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The purpose of this study was to understand the impact of stigma among a geographic population of people living with HIV in Maricopa County, Arizona. People living with HIV who experience stigma have lower medication adherence and fewer kept appointments. The people living with HIV patient survey was administered using both paper and online versions in the beginning months of 2019. A total of 296 respondents completed the survey for this study. Participants were recruited through multiple methods, including online sites, the Phoenix AIDS Walk, health clinics, and the identification of zip codes with high HIV prevalence rates. There was a significant relationship between health status and age, with those who reported a higher health rating, that of excellent or good, more likely to be 45 years of age or older, X2 (1, N = 296) = 4.812, p = 0.028. Researchers and health care providers must be attentive to these variations and intersecting stigmas when providing services across diverse populations, especially when working with a high-stigma population such as people living with HIV. Providers can take a more active role in helping people living with HIV to see how their perceptions and experience of HIV-related stigma may be taking a toll on their perceptions of their health, as well as their approach to treatment, and refer them to support groups or individual counseling. Strategies, policies, and messages should be tailored with cultural, social, and ethnic sensitivities in mind. To address these threats, policies must be created that reduce the impact of HIV-related stigma within various systems, including but not limited to the public health sector.

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The governmentality of nursing professionalization in advanced liberal societies

Hoff

Kuiper

2021

Journal of Professions and Organization

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In Western countries, the occupational discipline of nursing is undergoing processes of professionalization. Although professionalization offers an appealing perspective on occupational advancement, it is an ambiguous process, especially in the context of ongoing reforms of advanced liberal states. More specifically, there is a confusing relationship between the professionalization of nursing and the state. This relation is underexamined in theories of nursing professionalization. Instead of seeing the state and professions as two distinct spheres, this article highlights their interconnectedness. It argues that nursing professionalization can be understood as a strategy of advanced liberal governmentality. Through an empirical analysis of the professionalization of Dutch nursing from a Foucauldian perspective, it shows how the appeal to ‘professionalism’ functions as a disciplinary mechanism that produces forms of advanced liberal ‘(bio)power’. This generates academic and practical questions, since nurses—the largest group of healthcare professionals—have distinctive relations with their patients, who regard them as ‘independent’ and ‘caring experts’. Furthermore, it sheds light on the academic debate about the reconfiguration of professionalism by showing how certain ‘professional’ reconfigurations are not only unavoidable but unavoidably (bio)political as well.

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Health prevention in the era of biosocieties: a critical analysis of the ‘Seek‐and‐Treat’ paradigm in HIV/AIDS prevention

Cited by 5 publications

References 19 publications

Chapter Five: The Limits of a Theory of Recognition: Toward a Nursing Ethics of Vulnerability

Chapter Five: The Limits of a Theory of Recognition: Toward a Nursing Ethics of Vulnerability

Relationship of health rating and HIV-related stigma among people living with HIV: a community study

The governmentality of nursing professionalization in advanced liberal societies

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