BEGIN:VCALENDAR
PRODID:-//Columba Systems Ltd//NONSGML CPNG/SpringViewer/ICal Output/3.3-
 M3//EN
VERSION:2.0
CALSCALE:GREGORIAN
METHOD:PUBLISH
BEGIN:VEVENT
DTSTAMP:20111116T162007Z
DTSTART:20111213T140000Z
DTEND:20111213T150000Z
SUMMARY:Temporal and spatial disruption: exploring illness behaviours and
  help seeking among vulnerable patients with Chronic Obstructive Pulmona
 ry Disease (COPD)
UID:{http://www.columbasystems.com/customers/uom/gpp/eventid/}b1k-gv2jens
 k-egw01p
DESCRIPTION:Health Sciences Group-Primary Care present 'Temporal and spat
 ial disruption: exploring illness behaviours and help seeking among vuln
 erable patients with Chronic Obstructive Pulmonary Disease (COPD)'\n\nSp
 eaker: Dr. Peter Coventry\n\nFurther details: \nHospital admission and r
 eadmission for acute exacerbations are common events in the natural hist
 ory of chronic obstructive pulmonary disease\, and are associated with s
 ignificant decrements in physical and mental health\, poor prognosis and
  reduced survival. In the English National Health Service patients at hi
 gh risk of hospital readmission are referred to nurse led early discharg
 e schemes (EDS) which provide out of hospital care. EDS operate at the i
 nterface between secondary and primary care and are designed to support 
 patients make the transition from hospital to self-care in the home. How
 ever\, whilst EDS are safe and cost-effective they do not reduce the ris
 k of readmission. A recently completed prospective cohort study showed t
 hat patients with depressive symptoms and living in rented or sheltered 
 accommodation were more likely to be readmitted\, despite being referred
  to EDS. This presentation builds on this finding by using in-depth inte
 rviews to explore the psychosocial\, embodied and material dimensions of
  help seeking and other illness behaviours among a sub-sample of vulnera
 ble COPD patients drawn from the cohort study. Major themes centred on n
 otions of biographical disruption (and reconstruction) in the presence o
 f threats to self-identity during and after acute episodes such as hospi
 tal readmissions. Additionally\, biographical flow or continuity were sa
 lient among some patients who had avoided hospital readmissions – their 
 illness narratives were characteristic of stories about adjustment and c
 oping. The theoretical flexibility of this biographical mode of analysis
  is further tested by examining how illness behaviours associated with C
 OPD are temporally and spatially patterned. In doing so this analysis ch
 allenges overly reflexive and cognitive modes of biographical analysis b
 y bringing to the fore the embodied and emotional experiences of living 
 with COPD\, highlighting how these experiences are played out over time 
 and space. Additionally\, this study serves as a theoretical and empiric
 al counterpoint to the predominance of health psychological models that 
 seek to predict illness behaviours through the lens of social cognition 
 and social learning theories. \n
STATUS:TENTATIVE
TRANSP:TRANSPARENT
CLASS:PUBLIC
LOCATION:Seminar Room 2\, 5th Floor\, Williamson Building\, Manchester
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