An ethnographic view in day to day life of a nurse case manager Section: A propósito de un caso How to quote Dalfó Pibernat A, Feijoo Cid M, Dalfó-Pibernat E, Rosell Vidal J. A propósito de una mirada etnográfica en el día a día de un enfermero gestor de casos. RIdEC 2016; 9(1):35-40. Authors1 Artur Dalfó Pibernat, 2 María Feijoo Cid, 3 Enric Dalfó-Pibernat, 4 Jessica Rosell vidal Position 1 Enfermero gestor de casos, EAP Horta (Barcelona). Profesor asociado EUI Sant Joan de Déu (UB) 2 Profesora titular del Departamento de Enfermería. Facultat de Medicina. UAB. (Barcelona).3 Enfermero, EAP Gòtic (Barcelona).4 Enfermera, Hospital Quirón (Barcelona). Contact email: adpibernat@gmail.com Abstract Introduction: the present case reports the experience based on a home visit by a nurse case manager (NCM) in primary care (PC). Furthermore, a reflection and analysis from an ethnographic point of view is presented. Material and methods: this is an ethnographic case in which NCM experience during a home visit is analyzed by means of a dense description. The visited individual, Francisco, was a 84-years-old man with a significant risk for social isolation. The following methods were used: observation, in-depth semi-structured interview, and integral assessment based on scales/tools to evaluate Francisco's complex state. Results have been analyzed using a first-person description for the assessment during home visit and a critical analysis to detect items belonging to a lay-person model and a biomedical model. The analysis has been structured with five categories, according to Kleinman (1) (etiology, symptoms, pathophysiology, course of disease, and treatment). Results: from a NCM view, the main sign is edema, resulting from non-compliance. From the Francisco's point of view, the priority symptom was the need to use the bathroom frequently. As a result of his economic status, he had to use the kitchen burner to heat the house. Conclusions: an ethnographic view in case management is a potentially effective tool that can be useful to understand the life of people having health-illness-care problems, and allows a more successful care negotiation to be performed by NCM. Keywords: ethnography; case report Versión en Español Título: A propósito de una mirada etnográfica en el día a día de un enfermero gestor de casos Artículo completo no disponible en este idioma / Full article is not available in this language Bibliography [1] García Ballester L. Medicina y antropología social. Madrid. Akal universitaria; 1985.[2] Morales Asencio JM. Gestión de casos y cronicidad compleja: conceptos, modelos, evidencias e incertidumbres. Enf Clin 2014; 24(1):23-34.[3] Dalfó Pibernat A. Paciente crónico complejo. RCV&AP 5; 2013. [4] Procter S, Wilson PM, Brooks F, Kendall S. Success and failure inintegrated models of nursing for long term conditions: Multiplecase studies of whole systems. Int J Nurs Stud 2013; 50:632-43.[5] Kleinman A. The illness narrative: suffering, healing and the human condition. New York: Basic Books; 1988. [6] García Ballester L. Medicina y antropología social. Madrid: Akal universitaria; 1985.[7] Sahlins M. Culture and practical reason. Chicago: University of Chicago Press; 1978. p. 259.[8] Goethe. Elective affi nities. New York: Penguin; 1978. p. 304.[9] Feijoo Cid M. La empatía como experiencia vivida: una mirada fenomenológica a la relación terapeútica. Rev Rol enferm 2014; 37(2):7.[10] Kleinman A. What really matters: Living a moral life amidst uncertainty and danger. Oxford: Oxford University Press; 2006. p. 272.[11] Kleinman A, Benson P. Anthropology in the Clinic: The Problem of Cultural Competency and How to Fix It. Plos Medicine 2006; 3(10):1673-6.