The Patient and the hospital
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![Page 1: The Patient and the hospital](https://reader035.fdocuments.us/reader035/viewer/2022071814/55a731701a28ab7b028b4641/html5/thumbnails/1.jpg)
THE PATIENT AND THE
HOSPITAL
STUDY UNIT 9.2
BY C SETTLEY
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LEARNING OUTCOMES
- Briefly describe stages of illness behaviour as described by Suchman:
- The symptom experience stage
- Assumption of the sick role
- The medical care contact stage
- The dependent patient role
- The operative phase
- The post-operative phase
- The recovery and rehabilitation
- The terminal phase
- Briefly discuss the stressful experiences associated with hospitalisation and contact -with other health facilities under the following headings:
- Loss of privacy
- Loss of independence
- Depersonalisation and the loss of identity
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8 STAGES OF ILLNESS
BEHAVIOR. PAGE 201
1) The symptom experience stage
- Realization that something is wrong
- Self medication to alleviate symptoms
2) Assumption of the sick role
- Acknowledgement of sickness
- “off sick” at work
3) The medical care contact stage
- Doctors visit
- Sickness is substantiated by the medical doctor or
sangoma
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8 STAGES OF ILLNESS
BEHAVIOR
4) The dependent patient role
- The sick person becomes the patient
- Subjected to diagnoses, sick role and treatment
5) The operative phase
- Mystery surrounding the disease
- Bodily functions
- Previous operations
6) The post operative phase
- Acute phase: the conscious and unconscious state
- Sub- acute phase: when the patients consciousness overrules the subconscious
- The will to survive becomes dominant
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8 STAGES OF ILLNESS
BEHAVIOR
7) Recovery and Rehabilitation
8) The terminal phaseSymptom
experience
Role assumption
Medical care contact
Dependent patient
Operative phase
Post operative phase
Recovery and rehab
Terminal
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STRESS ASSOCIATED
WITH HOSPITALIZATION
PAGE 203
LOSS OF PRIVACY
- Patients who demand single rooms
- Contagious diseases
- Facilities are shared
- Restriction of visiting hours
- Information shared among medical team
- Important aspects during handovers
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STRESS ASSOCIATED
WITH HOSPITALIZATION
LOSS OF INDEPENDENCE
- Responsibility towards own health some what taken over
by medical team
- Patient may become unable to see to own care
- Social roles compromised
- Responsibilities are compromised
- Valuables and clothing. Referred to as ‘stripping’
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STRESS ASSOCIATED
WITH HOSPITALIZATION
DEPERSONALISATION AND THE LOSS OF IDENTITY
- When patients are being referred to as a medical disease,
the number of their bedroom, organs, procedures
- Reduces patient’s self-esteem, humanity
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Study unit 9.3
PATIENT RELATIONSHIPS IN HOSPITAL
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PATIENT RELATIONSHIPS
IN HOSPITAL
THE PATIENT AND
THE DOCTOR
- Medical staff become important to a patient once admitted
- Doctor contact and communication
- Privacy
- Doctors rounds
- Sometimes Patients are frightened to approach doctors themselves
THE PATIENT AND THE
NURSING PERSONNEL
- Nursing profession
responsible for 24 hour
care of patients
- Nurses have administrative
and educational roles to
fulfill at the same time
- Obliged to delegate
- Estrangement due to
perception of public
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PATIENT RELATIONSHIPS
IN HOSPITAL
THE PATIENT AND HIS/HER
FELLOW- PATIENTS
- Relationships are
formed
- Speculation about
complaints, treatment,
etc
- Variety of norms
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PATIENT RELATIONSHIPS
IN HOSPITAL
THE NURSING PROFESSIONAL AND THE
PATIENT’S FAMILY
- Difficult to define
- Family must be regarded as clients
- The patient is the primary client
- The family is the secondary client
- Interference in progress of health
- Potential threat to nursing professionals
- They share the same objective- recovery of the patient
- Value to family participation
- Family members expect nurses to be available at all times. Makes it difficult to pay equal attention to all patients
- Complaints about Domestic problems
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PATIENT RELATIONSHIPS
IN HOSPITAL
THE NURSING PROFESSIONAL AND THE
PATIENT’S FAMILY
- The silent family
- Minimal/no active force
- The routine family
- Some or other direct action
- Wants nursing personnel to be aware of them
- May constitute a potential threat
- They may have complaints, and become emotional and may interfere with the treatment
- Routine: these family members are accepted as more or less part of the routine; in other words they are not too pleasant, but still tolerable
- The crisis family.
- Direct threat to medical team/nursing staff
- Intrude on privacy between the patient and the nursing staff
- Eg when asking the family member to leave the ward, it might end in conflict
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REFERENCE
Du Toit, D.A. & Van Staden S.J. (2009). Nursing Sociology. 4th
Edition. Pretoria: Van Schaik