tag:blogger.com,1999:blog-6916817702511710791.post4503712673126472861..comments2023-07-30T17:23:41.898+02:00Comments on Columbia Global Health Narrative Medicine: From Janina: Los ancianos en sus casas (The elderly in their homes)Columbia Internal Medicine Residentshttp://www.blogger.com/profile/00588548734465878436noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-6916817702511710791.post-3418398444740447612010-04-16T21:57:15.358+02:002010-04-16T21:57:15.358+02:00What struck me in all these narratives was the pri...What struck me in all these narratives was the primacy of family, and family caretaking. Whether it was the small boy in the room with his demented grandmother (or great-grandmother, grand aunt?), the daughter taking care of her 101 year old father, or the complex web of family relationships in the two final cases, family seems to play a vital role in shaping what medical choices are made, or what options are made available to the patients. How does one juggle the care of a small child and an elderly person with dementia, all in one room? And who gets to decide when and how a very sick old person gets taken to a hospital? What are the mechanisms at work here, and how do they differ from models in the U.S.?Anonymoushttps://www.blogger.com/profile/11180556784605316355noreply@blogger.com