title: Living with severe physical impairment, Duchenne's muscular dystrophy and home mechanical ventilation.
abstract: OBJECTIVE
  To study life-experiences of people living with Duchenne's muscular dystrophy (DMD), home mechanical ventilation (HMV) and physical impairment.
  
  
  BACKGROUND
  Since the introduction of invasive HMV in the late 1980s people with DMD in Denmark live longer and have the experience of adulthood and a high degree of physical dependency.
  
  
  METHODS
  Nineteen patients with DMD and invasive HMV were interviewed in 2007. The interviews were recorded, transcribed verbatim and analysed according to a method inspired by Ricoeur's theory of interpretation.
  
  
  RESULTS
  HMV not only extended the participants lifespan, it also gave them the capacity to live an active life. They were totally dependent in everyday living, but in spite of this, they did not see themselves as physically impaired. They realised that there were activities that were physically impossible, but they considered themselves to be just the same person they had always been. This dependency was described as "independent dependency".
  
  
  CONCLUSIONS
  The lived-experience of physical impairment is found to be "independent dependency" in an active life. To solve problems with loneliness, society needs to work with prejudice and misunderstanding and for better physical accessibility to enable full participation.
authors.affiliation: Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus Sygehus, Arhus C, Denmark.
authors.forename: Pia S
authors.initials: PS
authors.lastname: Dreyer
authors.forename: Birgit F
authors.initials: BF
authors.lastname: Steffensen
authors.forename: Birthe D
authors.initials: BD
authors.lastname: Pedersen