Suchman\u2019s stages of illness model
\n\u2022 The human being is a social being.<\/p>\n
\u2022 Social factors play an important role in health. \u2022 Social conditions not only increase the likelihood of illness and disability, but they also improve the chances of disease prevention and health maintenance.
\n\u2022 A healthy lifestyle and the avoidance of high-risk behavior increase an individual’s chances of living a longer and healthier life.
\n\u2022 Recognizing that an individual’s health is more than just biological phenomena has highlighted the importance of the behavioral dimension of health.
\nMr. As, a 73-year-old Muslim male patient admitted to the \u2014-ward of \u2014-hospital with prostate cancer. Data on psychosocial aspects of his life and illness were gathered until September 9, 2013rt. However, he was later discovered to be reluctant to speak…because he was frequently expressing his financial difficulties, which could not be helped by anyone connected to him.
\nProstate cancer
\nProstate cancer is the fifth most common type of cancer in men, and its prevalence increases with age. It affects one out of every ten men who live to the age of 70. Early clinical features are similar to those of bph, and the gland may appear normal on digital examination. Psa levels may be elevated (>4 ng\/ml). As the tumor spreads, it may cause bladder neck obstruction, obstruct the ureters, and eventually lead to renal impairment. Rectal examination in late disease reveals a large, hard, and irregular prostate. Rectal ultrasound can detect cancer spread and should be used to guide needle or aspiration biopsy. Prostatic biopsy is important in providing prognostic information because poorly differentiated tumors have a poor prognosis.
\nThe staging of therapy is important. Early disease is treated with local radiotherapy, while advanced disease is treated with orchidectomy and oestrogen-based hormone therapy. All men over the age of 50 should be screened with a rectal examination, transrectal ultrasound, and psa measurement.
\nPatientprofile
\n\u2022 Name: Mr. As \u2022 Age: 73 \u2022 Gender: Male
\n\u2022 Place : \u2014-\/ \u2014\u2014 \u2022 Hospital No. : \u2014\u2014\u2014 Marital Status: married
\n\u2022 Admission date: 1-4-08
\n\u2022 Education: There has been no formal education.
\nCulture and way of life
\n\u2022
\nReligion: islam, muslim, believes in ‘durgas’ and has visited them.
\n\u2022
\nFood habits: vegetarian four times a day, non-vegetarian once a day
\nsocioeconomic situation
\n\u2022 Lower socioeconomic status \u2022 Occupation \u2022 Fisherman for 12 years \u2022 Beedi worker for 10 years \u2022 Went to gulf and worked there for 4 years \u2022 Cook for 35 years \u2022 His son is in gulf country, but earns only rs.5000\/month \u2022 His residence is approximately 80 kilometers from —-, \u2022 To and fro journey costs rs.50\/person
\n\u2022 Head of the family, earning member, and father \u2022 These roles are affected by the illness “everything is disrupted at home”
\nSocial support network \u2022 Patient has a poor social support network \u2022 There is no one to financially support him for treatment of his illness \u2022 His daughter visited him twice in the hospital, and no one else visited him or inquired about his illness after he arrived in the hospital
\nPatient complaints (at the first meeting) \u2022 Genital pain (during catheterization) \u2022 Urine tube must be removed
\nHe has no taste for anything he eats.
\nThere is no money to pay the hospital bill.
\nNighttime sleep deprivation
\nIdentification of patient requirements
\nCollection, observation, and participation in caring activities
\nAnalysis and interpretation
\n\u2022 “I have pain in the genital region” \u2022 “I have a problem of passing urine without control, which is why the tube is inserted” \u2022 “I want to get this urine tube removed” \u2022 “Who will pay my hospital bill of Rs.50,000?” I need writing help with my dissertation – cheap thesis writing services<\/p>\n
Basic physical requirements
\n\u2022 he is advised not to take a bath until the end of radiotherapy to avoid skin excoriation at the site \u2022 he maintains adequate cleanliness \u2022 he visits the toilet with the Helpance of his wife \u2022 he is catheterized for the last 2 months \u2022 he claims to be a practicing Muslim \u2022 he is taking bath means it interferes with his religious practices \u2022 he is advised not to take bath because he may wet the irradiation area
\nNeeds related to lifestyle \u2022 he is a non-vegetarian \u2022 but he is not receiving any non-veg food in the hospital \u2022 his lifestyle needs are being hampered in this hospital environment
\nHabitual requirements \u2022 he does not drink tea or coffee \u2022 he does not smoke or consume alcohol \u2022 as he has any regular habits of drinking tea or coffee or drinking alcohol
\nIndividuals’ understanding and experience with illness
\nThe patient’s understanding of the current illness
\nThe patient describes his illness:
\n\u2022 “I’ve had pain and a urine block for the last six months”
\n\u2022 “I have a serious illness” \u2022 “I’ve had diabetes for a year”
\n\u2022 “I had surgery for a urinary block and pain four months ago in —–” What does the patient want to know about the illness?
\n“Will this disease be cured?”
\n“I came here because doctors in \u2014\u2014 told me that my illness could only be cured in this hospital.”<\/p>\n
\u2022 The patient understands his illness because it is serious.
\n\u2022 The patient had an orchidectomy and turp 4 months ago and was later referred to a tertiary care hospital for further management.
\n\u2022 The patient wishes to know if his illness will be cured.
\n\u2022 He claims he has no money to spend on her, but his expenses are covered by his daughter and one brother.
\nIllness experience
\nWhat was his previous experience with illness?
\nPrevious illness history
\n\u2022 “Previously, I went to many local folk doctors, but they only made all these illnesses”
\n\u2022 “I’ve had sugar sickness for the past year”
\n\u2022 “The doctor in Kundapura advised me to check my sugar levels, so I know I have a sugar problem.”
\n\u2022 “Aside from this, I’ve never had a major illness in my life.”
\nancestors’ names
\n\u2022 no major illness in his knowledge, whether or not the patient has accepted his illness
\n\u2022 “I haven’t had any habits, such as drinking, smoking, or even drinking coffee, since I was a child.” “I’m not sure why I got this illness.”<\/p>\n
\u2022 patient consulted many folk doctors for minor illnesses and was never satisfied with them. \u2022 he had minor urinary frequency problems for about 4 years and consulted some folk people for some remedies but was never satisfied.<\/p>\n
\u2022 The patient has accepted the illness as something he did not deserve, and he blames it on fate.
\nKnowledge of formal and alternative therapies \u2022 He is well-versed in both formal and folk medicines.
\n\u2022 “I went to them, but there were no benefits”
\nHe had tried alternative medicines and discovered that they had no effect on his illness.
\nCurrent and future course of action knowledge
\nWhat is the treatment plan, and is the individual aware of it?
\n\u2022 the patient claims that his x-ray treatment will last one month; \u2022 “nobody tells me what my illness is”; and \u2022 “I take medications on a regular basis.”
\n\u2022 patient has only partial knowledge of his illness and treatment planss\u2022 he is illiterate, but nobody has explained him about his treatment plans
\nCoping with the illness and its outcome (patient and family) \u2022 \u201cwhat will we do?\u201d
\n\u2022 \u201cwe have to suffer everything\u201ds\u2022 he looks depressed and tries to avoid visitors
\n\u2022 I don\u2019t have money pay here, I don\u2019t know what to do\u201d
\n\u2022 patient is not showing adaptive responsess\u2022 he has depressive cognitionss\u2022 he has financial problems
\nAnalyse the individuals and family\u2019s views ons\u2022 health teams\u2022 doctorss\u2022 nurses \u2022 \u201cdoctor people come and asks how you are? (he explains sarcastically), nothing else\u201d
\n\u2022 \u201cthey do not want to know about my pain\u201ds\u2022 \u201csometimes, nurses come asks about me\u201d
\n\u201cdoctor has told something to my daughter\u201d
\nHe is not satisfied with the psychological attention given to him by nurse or doctorshis wife too has the same opinionsdoctor has explained about the illness to his daughter about the diagnosis and prognosis
\nDistinguish between the meanings of the patient, doctor, nurse
\nPatient: \u201cthey are not asking me anything\u201d
\ndoctor: \u201che will not understand anything, it is explained to his daughter\u201dsnurse: \u201cdoctor has explained everything to him, we cannot tell anything to the patient\u201d
\nPatient wants to know about his illness, and course of treatment, but doctor is preoccupied with the patient\u2019s educational status.
\nNursing staff is bothered whether they may convey wrong message to the patient.
\nThere is a communication gap exists among these people.
\nObserve the patient, doctor and nurse interaction
\nWhat patient says has reason.
\n\u2022 doctor has advised him rt for 1 month, so he feels there is nothing more to talk to the patient than enquiring any problems
\n\u2022 nurse is largely functionally oriented and interact with patient only in such occasions
\nThe mutual interaction among the treating team and patient is missing in this situation
\nSuchman\u2019s stages of illness model<\/p>\n
Conclusion
\nMr. As has been suffering form prostate cancer for the last 1 year. But his symptoms started about 4 years back. For about 3 years he tried folk remedies based on the advice of other people. He approached medical advice when his symptoms aggravated. He is currently undergoing radiotherapy for prostate cancer and medications for diabetes and other symptoms. This case study helps to understand the psychosocial aspects of illness development and application illness behaviour model in nursing practice.<\/p>\n","protected":false},"excerpt":{"rendered":"
Suchman\u2019s stages of illness model \u2022 The human being is a social being. \u2022 Social factors play an important role in health. \u2022 Social conditions\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10099,10681,7636,615,10892,10680,10891],"tags":[10553,10616,10254,10896,10897,10247,10295,10898,10893,10894,10895,10899,10551],"class_list":["post-127576","post","type-post","status-publish","format-standard","hentry","category-buy-essay","category-cheap-dissertation-help-online","category-cheap-essay-writer-usa","category-homework-help-writing-service-usa","category-page-paper","category-university-dissertation-writing-service","category-write-my-assignment-ireland","tag-1-assignment-help-online-service-for-students-in-the-usa","tag-australian-best-tutors","tag-can-someone-write-my-assignment-for-me","tag-case-study-in-nursing-writing-a-nursing-case-study-essay","tag-free-nursing-case-studies","tag-help-me-write-my-dissertation","tag-homework-for-you","tag-nursing-case-study-assignment-examples","tag-nursing-case-study-examples","tag-nursing-case-study-presentation-example","tag-nursing-case-study-questions-and-answers","tag-student-nurse-case-study-assignments","tag-write-my-assignment-help-for-college-students"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/127576","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=127576"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/127576\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=127576"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=127576"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=127576"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}