The narrative medicine as based on the rehabilitative project: Me.Na.Ria

Author/s Mary Micheli, Federico Scarponi, Maria Letizia Nunzi, Matilde Conti, Elena Bocchini, Mauro Zampolini
Publishing Year 2018 Issue 2018/1
Language Italian Pages 13 P. 131-143 File size 234 KB
DOI 10.3280/RIP2018-001010
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The Me.Na.Ria. study (Narrative Medicine as the basis of the Rehabilitation Project) born in February 2016 within the GCA Department's Simple Hospital Structure in Foligno (USLUmbria2), and originates from the Narrative-based Medicine’s concept, which emphasizes the importance of listening to the patient, and furthermore considers essential the emerging personal stories from both pa-tients and families. This process is considered to be the path of integration among illness and healing: People, through their stories, become the protagonists of the cure process. Purpose of the study: to verify whether the use of a narrative medi-cine tool (Semi-structured interviews), throughout the rehabilitation of patients with Severe Acquired Brain Injury (GCA), can influence the design and imple-mentation of the Individual Rehabilitation Project, and besides improves the per-ception of taking care of family members considered as "peer experts". Main aim: to verify whether the use of Semi-structured interviews influence the PRI writing and implementation through the following indicators: correspondence between expected and actual hospitality times, correspondence between the post-discharge setting identified by the rehabilitation team and the actual team, improvement of the patient's Cognitive Operation Level (LCF). Second aim: to assess whether the use of narrative medicine tools improve familial perception needs and stress reduction (Caregiver Need Assessment (CNA) administered at the entrance and discharge). The first partial results have confirmed how the narrative approach can be considered as a utility process for the person best cure and rehabilitation; identifies the "functioning" of the person and family as well as the desires and expectations allowing an appropriate taking care of the person. Therefore, the importance to address the needs of family members by strengthening the resources and facilities of the family is crucial, so that the person can return home even with severe disabilities.

Keywords: Rehabilitation, Narrative Medicine, Caregiver, Individual Rehabili-tative Project, Severe Acquired Brain Injury.

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Mary Micheli, Federico Scarponi, Maria Letizia Nunzi, Matilde Conti, Elena Bocchini, Mauro Zampolini, La medicina narrrativa come base del progetto riabilitativo: Me.Na.Ria in "RICERCHE DI PSICOLOGIA " 1/2018, pp 131-143, DOI: 10.3280/RIP2018-001010