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Title: Exploring the long-term life adjustment of individuals after a cardiac event : a phenomenological study
Author: Foolchand, B. Vin
ISNI:       0000 0001 3472 9105
Awarding Body: London South Bank University
Current Institution: London South Bank University
Date of Award: 2007
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Individuals who survive a life-threatening cardiac event (myocardial infarction or unstable angina) subsequently face the struggle of having to make the necessary adjustments to re-establish their purpose and meaning to life. Previous studies on life adjustment post-cardiac event have been limited and focused mainly on the short-term period, or on specific variables of cardiac recovery. In this study, an in-depth understanding of the long-term life adjustment was explored with a group of cardiac individuals (n=14), using a Heideggerian phenomenological approach. Semi-structured interviews were used to collect data. Themes and sub-themes were first identified by means of an adapted version of Colaizzi's framework, which were 'then further analysed interpretively for an ontological understanding of the phenomenon. The key findings from this study revealed that (1) a cardiac event has a de-stabilising and disruptive imposition in the lives of affected individuals (2) as existential beings, such individuals have pre-determined ways of relating and engaging with such an event and (3) long-term life adjustment involved a process of re-appraisal, re-energising and reassertion of the Self. The study further illuminated the dynamic manifestations of underlying forces that guided the individuals towards their life adjustment. 'Becoming The Active Self Again' (referred as the BTASA model) emerged as the 'hidden' drive that primordially propelled these individuals to rediscover their purpose and meaning to life after such an event. In conclusion, the illuminations from this study could be effectively used to stimulate a review of current thinking and practices among cardiac health practitioners, 'educators and other agencies, involved in supporting this group of individuals meet their long-term adjustment needs. Long-term cardiac care provisions could be further enhanced if future policy-initiatives reflected aspects of the study's findings and illuminations, as well as through further research into this phenomenon.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available