Journal
QUALITATIVE HEALTH RESEARCH
Volume 25, Issue 1, Pages 51-61Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1049732314549478
Keywords
ethics / moral perspectives; evidence-based practice; experiential methods; health care; lived experience; obesity / overweight; phenomenology; van Manen
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Funding
- Canadian Institutes of Health Research Funding Source: Medline
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Mandatory presurgical, behavior-induced weight loss, although not standard, is a relatively common practice among bariatric surgical clinics. We explore the patient's experience of this practice using phenomenology. We gathered experiential accounts from 7 individuals waiting to have the procedure at a large publically funded clinic in western Canada. In writing this article, we focused on four phenomenological themes: just nod your head and carry on-silencing through the ideal; waiting and weighing-promoting weight consciousness to the weight conscious; paying for surgical approval through weight loss; and presurgical weight loss and questioning the need for weight loss surgery altogether. We contrast the experiential findings with the clinical literature to question the impact and possible (unintended or unexpected) effects the practice might have, particularly on patients' lives. We situate this article within a larger discussion about the possible contribution of experiential knowledge to clinical guidelines, practices, and pedagogies.
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