Living with severe physical impairment, Duchenne's muscular dystrophy and home mechanical ventilation

Aim: To study life-experiences of people living with Duchenne's muscular dystrophy (DMD), home mechanical ventilation (HMV) and physical impairment. Background: Since the introduction of invasive HMV in the late 1980s people with DMD in Denmark live longer and have the experience of adult...

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Main Authors: Pia S. Dreyer, Birgit F. Steffensen, Birthe D. Pedersen
Format: Article
Language:English
Published: Taylor & Francis Group 2010-08-01
Series:International Journal of Qualitative Studies on Health & Well-Being
Subjects:
Online Access:http://www.ijqhw.net/index.php/qhw/article/view/5388/5834
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author Pia S. Dreyer
Birgit F. Steffensen
Birthe D. Pedersen
author_facet Pia S. Dreyer
Birgit F. Steffensen
Birthe D. Pedersen
author_sort Pia S. Dreyer
collection DOAJ
description Aim: To study life-experiences of people living with Duchenne's muscular dystrophy (DMD), home mechanical ventilation (HMV) and physical impairment. Background: Since the introduction of invasive HMV in the late 1980s people with DMD in Denmark live longer and have the experience of adulthood and a high degree of physical dependency. Method: Nineteen patients with DMD and invasive HMV were interviewed in 2007. The interviews were recorded, transcribed verbatim and analysed according to a method inspired by Ricoeur's theory of interpretation. Findings: HMV not only extended the participants lifespan, it also gave them the capacity to live an active life. They were totally dependent in everyday living, but in spite of this, they did not see themselves as physically impaired. They realised that there were activities that were physically impossible, but they considered themselves to be just the same person they had always been. This dependency was described as “independent dependency”. Conclusion: The lived-experience of physical impairment is found to be “independent dependency” in an active life. To solve problems with loneliness, society needs to work with prejudice and misunderstanding and for better physical accessibility to enable full participation.
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spelling doaj.art-bb53b293ef1c4839bcab06c1b48642382022-12-21T20:55:53ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312010-08-01531910.3402/qhw.v5i3.5388Living with severe physical impairment, Duchenne's muscular dystrophy and home mechanical ventilationPia S. DreyerBirgit F. SteffensenBirthe D. PedersenAim: To study life-experiences of people living with Duchenne's muscular dystrophy (DMD), home mechanical ventilation (HMV) and physical impairment. Background: Since the introduction of invasive HMV in the late 1980s people with DMD in Denmark live longer and have the experience of adulthood and a high degree of physical dependency. Method: Nineteen patients with DMD and invasive HMV were interviewed in 2007. The interviews were recorded, transcribed verbatim and analysed according to a method inspired by Ricoeur's theory of interpretation. Findings: HMV not only extended the participants lifespan, it also gave them the capacity to live an active life. They were totally dependent in everyday living, but in spite of this, they did not see themselves as physically impaired. They realised that there were activities that were physically impossible, but they considered themselves to be just the same person they had always been. This dependency was described as “independent dependency”. Conclusion: The lived-experience of physical impairment is found to be “independent dependency” in an active life. To solve problems with loneliness, society needs to work with prejudice and misunderstanding and for better physical accessibility to enable full participation.http://www.ijqhw.net/index.php/qhw/article/view/5388/5834Physical impairmentDuchenne muscular dystrophyhome mechanical ventilationrespiratory failureRicoeur
spellingShingle Pia S. Dreyer
Birgit F. Steffensen
Birthe D. Pedersen
Living with severe physical impairment, Duchenne's muscular dystrophy and home mechanical ventilation
International Journal of Qualitative Studies on Health & Well-Being
Physical impairment
Duchenne muscular dystrophy
home mechanical ventilation
respiratory failure
Ricoeur
title Living with severe physical impairment, Duchenne's muscular dystrophy and home mechanical ventilation
title_full Living with severe physical impairment, Duchenne's muscular dystrophy and home mechanical ventilation
title_fullStr Living with severe physical impairment, Duchenne's muscular dystrophy and home mechanical ventilation
title_full_unstemmed Living with severe physical impairment, Duchenne's muscular dystrophy and home mechanical ventilation
title_short Living with severe physical impairment, Duchenne's muscular dystrophy and home mechanical ventilation
title_sort living with severe physical impairment duchenne x0027 s muscular dystrophy and home mechanical ventilation
topic Physical impairment
Duchenne muscular dystrophy
home mechanical ventilation
respiratory failure
Ricoeur
url http://www.ijqhw.net/index.php/qhw/article/view/5388/5834
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AT birthedpedersen livingwithseverephysicalimpairmentduchennex0027smusculardystrophyandhomemechanicalventilation