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Geriatrics 2018, 3(3), 52;

Chronic Kidney Disease and Older African American Adults: How Embodiment Influences Self-Management

Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH 44106, USA
School of Social Work, University of Texas at Arlington, Arlington, TX 76109, USA
Department of Anthropology, Case Western Reserve University, Cleveland, OH 44106, USA
Author to whom correspondence should be addressed.
Received: 30 June 2018 / Revised: 2 August 2018 / Accepted: 15 August 2018 / Published: 16 August 2018
(This article belongs to the Special Issue Chronic Disease Self-Management in Older Adult Populations)
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Patients living with chronic kidney disease (CKD) must balance the medical management of their kidney disease and other chronic conditions with their daily lives, including managing the emotional and psychosocial consequences of living with a chronic disease. Self-management is critical to managing chronic kidney disease, as treatment consists of a complex regimen of medications, dosages, and treatments. This is a particularly important issue for older African American adults who will comprise a significant portion of the older adult population in the coming years. Yet current conceptualizations of self-management behaviors cannot adequately address the needs of this population. Embodiment theory provides a novel perspective that considers how social factors and experiences are embodied within decision-making processes regarding self-management care among older African Americans. This paper will explore how embodiment theory can aid in shifting the conceptualization of self-management from a model of individual choice, to a framework that cannot separate lived experiences of social, political, and racial factors from clinical understandings of self-management behaviors. This shift in the conceptualization of self-management is particularly important to consider for CKD management because the profound illness burdens require significant self-management and care coordination skills. View Full-Text
Keywords: chronic disease; self-management; health disparities chronic disease; self-management; health disparities
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Hamler, T.C.; Miller, V.J.; Petrakovitz, S. Chronic Kidney Disease and Older African American Adults: How Embodiment Influences Self-Management. Geriatrics 2018, 3, 52.

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