Decision-making in Practice: Surgical Actionability and Consent in Pelvic Floor Medicine

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atmire.migration.oldid2216
dc.contributor.advisorDucey, Ariel
dc.contributor.authorNikoo, Shoghi W
dc.date.accessioned2014-05-27T20:23:15Z
dc.date.available2014-11-17T08:00:30Z
dc.date.issued2014-05-27
dc.date.submitted2014en
dc.description.abstractIn this thesis I explore how patients’ problems are made surgically actionable so that decisions regarding and consent to surgery may be produced. I employ ethnographic observations of the material and semiotic practices in which surgeons and patients are engaged. Surgical actionability arises in a cascade of practices that produce diseases such that they meet conditions of actionability. Disagreement between realities of a problem, or uncertainty regarding surgical outcomes, may produce disruptive turbulence in these cascades. Surgeons manage turbulence by shifting sites of decision onto ‘patient choice’ – if a patient decides she is bothered enough to justify the risks, surgery may go forward. However, patients’ decisions rarely take on this ‘rational’ character; instead, they appear to be non-formal and centre on issues other than risks and benefits. I question the value of ‘respect for autonomy’ and propose that policy based in care, with a focus on the particularities of disease and decision production, may serve patients better.en_US
dc.identifier.citationNikoo, S. W. (2014). Decision-making in Practice: Surgical Actionability and Consent in Pelvic Floor Medicine (Doctoral thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/25528en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/25528
dc.identifier.urihttp://hdl.handle.net/11023/1564
dc.language.isoeng
dc.publisher.facultyGraduate Studies
dc.publisher.institutionUniversity of Calgaryen
dc.publisher.placeCalgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subjectEducation--Sociology of
dc.subjectSociology
dc.subjectHealth Sciences
dc.subject.classificationActor-network theoryen_US
dc.subject.classificationMedical sociologyen_US
dc.subject.classificationAutonomyen_US
dc.subject.classificationInformed consenten_US
dc.subject.classificationUrogynaecologyen_US
dc.titleDecision-making in Practice: Surgical Actionability and Consent in Pelvic Floor Medicine
dc.typedoctoral thesis
thesis.degree.disciplineSociology
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameDoctor of Education (EdD)
ucalgary.item.requestcopytrue
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