Nursing
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Item Ultrabilitation: Beyond recovery-oriented rehabilitation(Taylor & Francis, 2017-11-28) Buetow, Stephen A.; Martínez-Martín, Pablo; McCormack, BrendanPURPOSE: Current rehabilitation models emphasize therapy that attempts to return to normal the lives of persons who are disabled. An opportunity is available to scrutinize whether this recovery orientation of rehabilitation is necessarily optimal. METHOD: This conceptual article uses reasoning, informed by experience and a nonsystematic review of literature across diverse disciplines. RESULTS: For some persons with disability, optimizing recovery might be unwanted or insufficient. To expand rehabilitation, we append the Latin ultra, beyond, to habilitare, make fit. The resulting term, ultrabilitate, commits to human flourishing that moves persons toward, around or beyond recovery of particular functioning. CONCLUSIONS: By expanding the scope of disability management, ultrabilitation could inform therapy selection and facilitate human flourishing. Empirical research is needed to test our ideas. Implications for rehabilitation Despite significant progress, rehabilitation limits some people with disabilities. Modern health systems still benchmark therapy for rehabilitation against normal or species-typical standards to aid recovery. Ultrabilitation, meaning beyond fitness, promotes flourishing, either without an interest in recovery or in moving toward, beyond or around recovery. Biological, social and technological conditions are needed to support ultrabilitation. Ultrabilitation complements rehabilitation when rehabilitation is not sufficient to optimize functioning and personal growth.Item The Beauty in Perfect Imperfection.(SpringerLink, 2017-12-21) Buetow, Stephen A.; Wallis, KatharineModern technologies sanction a new plasticity of physical form. However, the increasing global popularity of aesthetic procedures (re)produces normative beauty ideals in terms of perfection and symmetry. These conditions limit the semblance of freedom by people to control their own bodies. Cultural emancipation may come from principles in Eastern philosophy. These reveal beauty in authenticity, including imperfection. Wabi-sabi acclaims beauty in common irregularity, while kintsugi celebrates beauty in visible signs of repair, like scars. These principles resist pressure to medicalize dissatisfaction with healthy bodies and invite multi-sited interventions to educate taste and aesthetic choices.Item Falling upward with Parkinson's disease.(Nature, 2017-09-13) Buetow, Stephen A.; Mart_nez-Mart_n, Pablo; McCormack, BrendanFalls can injure, even kill. No one with Parkinson's disease (PD) wants to fall by accident. However, the potential nastiness of falls does not preclude a more nuanced understanding of the personal meaning that falls can have. Rather than view falls as a problem to fear and manage solely by preventing and repairing harm, people with PD and those who care for them may recast falls as a mixed blessing. Falls may be a resource, skill, and catalyst for personal growth. We discuss how falls may give rise to opportunities in interrelated domains: capabilities, credo, character, creativity, chronemics, and connectedness. Clinicians could incorporate a positive focus across these domains to help people with PD to 'fall upward' in the sense of flourish.