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The patient–body relationship and the “lived experience” of a facial burn injury: a phenomenological inquiry of early psychosocial adjustment

Citation

McLean, LM and Rogers, V and Kornhaber, R and Proctor, M-T and Kweit, J and Streimer, J and Vandervord, J, The patient-body relationship and the 'lived experience' of a facial burn injury: a phenomenological inquiry of early psychosocial adjustment, Journal of Multidisciplinary Healthcare, 8 pp. 377-387. ISSN 1178-2390 (2015) [Refereed Article]


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© 2015 McLean et al. Licensed under Creative Commons Attribution-NonCommercial 3.0 Unported (CC BY-NC 3.0)http://creativecommons.org/licenses/by-nc/3.0/

DOI: doi:10.2147/JMDH.S89375

Abstract

Background: Throughout development and into adulthood, a person’s face is the central focus for interpersonal communication, providing an important insight into one’s identity, age, sociocultural background, and emotional state. The face facilitates important social, including nonverbal, communication. Therefore, sustaining a severe burn, and in particular a facial burn, is a devastating and traumatizing injury. Burn survivors may encounter unique psychosocial problems and experience higher rates of psychosocial maladjustment, although there may be a number of potentially mediating factors.

Objectives: The purpose of this phenomenological study was to examine the early recovery experience of patients with a facial burn. In particular, this study focused on how the injury impacted on the participants’ relationship with their own body and the challenges of early psychosocial adjustment within the first 4 months of sustaining the injury.

Methods: In 2011, six adult participants encompassing two females and four males ranging from 29 to 55 years of age with superficial to deep dermal facial burns (with background burns of 0.8%–55% total body surface area) were recruited from a severe burn injury unit in Australia for participation in a Burns Modified Adult Attachment Interview. Narrative data were analyzed thematically and informed by Colaizzi’s method of data analysis.

Results: Three overarching themes emerged: relationship to self/other, coping, and meaningmaking. Themes identified related to how the experience affected the participants’ sense of relationship with their own bodies and with others, as well as other challenges of early psychosocial adjustment. All participants indicated that they had experienced some early changes in their relationship with their body following their burn injury.

Conclusion: These findings highlight the struggle burn survivors experienced with postburn adjustment, but expressed altruism and optimism around their recovery. Past trauma was observed to be a significant finding in this sample. Understanding the "lived experience" supports the way clinical and family systems can foster positive adjustment and coping. Consequently, multidisciplinary burn teams and health care professionals need to understand the principles of traumainformed care and translate these into practice in the treatment of this group of patients.

Item Details

Item Type:Refereed Article
Keywords:burn injury, facial, rehabilitation, qualitative
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Rehabilitation and Therapy (excl. Physiotherapy)
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Behaviour and Health
Author:Kornhaber, R (Dr Rachel Kornhaber)
ID Code:102912
Year Published:2015
Web of Science® Times Cited:11
Deposited By:Health Sciences
Deposited On:2015-09-10
Last Modified:2017-11-02
Downloads:164 View Download Statistics

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