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A delicate balance: negotiating renal transplantation, immunosuppression and adherence to medical regimen


Cook, PS and McCarthy, A, A delicate balance: negotiating renal transplantation, immunosuppression and adherence to medical regimen, Health, 11, (4) pp. 497-512. ISSN 1363-4593 (2007) [Refereed Article]

DOI: doi:10.1177/1363459307080875


Despite the volume of biomedical and psychosocial discourse surrounding both renal transplantation and the immune system, there is a limit to current understandings of immunosuppression in the context of kidney transplantation. For example, we do not know how the immunosuppressed renal transplant recipient experiences and understands their immune system and body. In addition, we do not know if the patient is as fixated on 'graft survival' as their healthcare team or whether other concerns are more relevant. What is missing is the discourse of those who actually 'live' the medically altered immune system in the context of renal transplantation. We propose that this gap in knowledge is bound to an acknowledged problem among renal transplant recipients and their healthcare teams - a lack of compliance with recommended medical regimens. Our argument here is that an exploration of patient intimacy with transplant-related immunosuppression might illuminate a different understanding of this experience that could enhance health professionals' understanding and their subsequent approach to treatment. We contend that the embodied and contextual experience of the patient needs to be equally valued in order to enhance patient outcomes. Copyright © 2007 SAGE Publications.

Item Details

Item Type:Refereed Article
Keywords:compliance; embodiment; immunosuppression; renal; transplantation
Research Division:Human Society
Research Group:Sociology
Research Field:Sociology not elsewhere classified
Objective Division:Expanding Knowledge
Objective Group:Expanding knowledge
Objective Field:Expanding knowledge in human society
UTAS Author:Cook, PS (Dr Peta Cook)
ID Code:56124
Year Published:2007
Web of Science® Times Cited:1
Deposited By:Sociology and Social Work
Deposited On:2009-03-26
Last Modified:2009-09-02

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