Buetow Stephen A, Martínez-Martín Pablo, McCormack Brendan
Department of General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand.
National Center of Epidemiology and Centro Investigación Biomédica en Red Enfermedades Neurodegenerativas (CINERNED), Madrid, Spain.
NPJ Parkinsons Dis. 2017 Sep 13;3:29. doi: 10.1038/s41531-017-0031-3. eCollection 2017.
Falls 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.
跌倒可能会造成伤害,甚至危及生命。帕金森病(PD)患者都不想意外跌倒。然而,跌倒的潜在危害并不妨碍我们更细致地理解跌倒可能具有的个人意义。帕金森病患者及其护理人员并非仅仅将跌倒视为一个需要恐惧并通过预防和修复伤害来处理的问题,而是可能将跌倒重新定义为一种祸福相依的情况。跌倒可能成为个人成长的一种资源、技能和催化剂。我们将探讨跌倒如何在相互关联的领域带来机遇:能力、信条、性格、创造力、时间观念和人际关系。临床医生可以在这些领域都保持积极的关注,以帮助帕金森病患者在蓬勃发展的意义上“向上跌倒”。