Monday, April 1, 2019
Biopsychosocial Model of Health Case Study
Biopsycho companionable Model of Health Case force fieldCase Based EssayThe biopsychosocial model of health (Engel, 1977) claims that health and nausea be the product of a combination of factors including biological characteristics (e.g. genetic predisposition), behavioural factors (e.g. lifestyle, stress, health beliefs), and social conditions (e.g. cultural influences, family relations rosehip joints, social support). (Marks et al,2005). The biopsychosocial model takes into account that distri exceptively patient is completely contrary and as a result they ar affected differently by each biological, psychological and social happening. (Atkinson et al, 2005). The biomedical model of health however sees the patient as a biological entity which has developed a fault this model functions people to believe that any patients with the same injury/pathology get out respond the same to treatment and in the same amount of time. (Atkinson et al, 2005). The main difference between th ese two models is the authority of the patient and practitioner in each. The biomedical model sees the patient as person who has to take orders from the practitioner. The biopsychosocial model sees the treatment as a negotiation between the practitioner and patient. (Annandale, 1998) The type of model a practitioner uses testament greatly impact on the eventual outcome of the patient. In the expression of Mrs. Chatsworth the biopsychosocial model of health would be the best approach to take when attack up with an effective treatment jut out for her as at that place ar many biological, psychological and social factors that a practitioner allow call for to contend with. This essay pull up stakes explore these different biological, psychological and social factors that provide face Mrs. Chatsworth throughout her treatment as well as the implications for her practitioner.There are a number of biological factors affecting Mrs. Chatsworth, round resulting from the total joint replacement in her right-hand(a) hip six weeks ago and others stemming from osteoarthritic changes which defend been occurring for a number of years. According to (Moskowitz et al, 2007) osteoarthritis diseases are a result of both mechanical and biological events that destabilize the public coupling of degregation and synthesis of articular cartilage chondrocytes and extracellular matrix, and subchondral bone. Mrs. Chatsworth experiences osteoarthritis in her stifles, hips and shoulders. It was these changes in her hip joint that led to her having a total hip athroplasty. Daily activities such(prenominal) as obtain would be difficult for Mrs. Chatsworth as the osteoarthritis in her shoulders leave alone make it difficult for her to carry shopping bags. Another biological factor to be concerned with, when dealing with Mrs. Chatsworth is the symmetricalness knee and thigh ostentatiousness as a result of the hip replacement. Wounds that failto heal in the expected time range a re loosely referred to as degenerative.(Shamely, 2005). Swelling present at this stage post-operatively would indicate chronic inflammation in the knee and thigh region. Chronic inflammation mustiness be replaced by acute inflammation for healing to occur (Shamely, 2005 pg 4). This extrusion has decreased the range of motion in her knee as it will be painful to move it. Mrs. Chatsworth is only partially weight behavior, with her knee slightly flexed and as a result requires elbow crutches to get around. This will affect Mrs. Chatsworth ability to climb steps, which she has to do daily as her flat is on the first floor of a building which has no lift. Her right hip is still very stiff after the operation this once more will affect her ability to get around. Also the therapist will absorb to be aware of the post operative guidelines when forming a plan, adduction and intragroup rotation of the hip are limited by these. Another place facing Mrs. Chatsworth is weakened ponderos itys in the thigh region her right and left hand quadriceps have very little definition or bulk, in any movement in her right leg there is a signifi kindlet step-down in her gluteal muscle group, which are very important muscles entangled with the movement of the hip and knee joint, her practitioner will have to rank strengthening exercises for these. According to (Schult et al, 2005 pg420) the hip and gluteal muscles have evolved into massive and ruling m all overs and stabilizers of the femur counteracting the loads imposed by support of the whole personify weight on two limbs and maintain balance and stability during two-footed locomotion. This means that Mrs. Chatsworths balance is decreased as a result of this muscle atrophy and her practitioner will have to plan for this. Mrs. Chatsworth is excessively pickings Atenalol for high blood pressure this will affect her as over exertion whitethorn cause further injury. The practitioner will have to ensure that he/she makes a treatment plan that is effective but at the same time not too physically demanding on Mrs. Chatsworth.When dealing with Mrs. Chatsworth case the practitioner will have to look nearly at the psychological and social factors which will have a accusation on her treatment e.g. treatment time and the eventual outcome of this treatment. Mrs. Chatsworth may be depressed or stressed over the death of her economise six months ago this may have an adverse effect on her rehabilitation. The practitioner will have to realise that because Mrs. Chatsworth is lonely her motivation to sweep up a recovery plan may be somewhat limited. On the other hand Mrs. Chatsworth is worried about being a nub on her daughter who will have less time on her hands soon as her children will be on holidays from school, so this may give her added drive to recover quicker this may lead to Mrs. Chatsworth causing further injury to herself by over working to recover. This phone number will may lead to Mrs. Chatsw orth trying to perform daily tasks which she was not able to do post-operatively. Another obstacle for the practitioner to overcome is Mrs. Chatsworths fear of weight bearing on her right leg. Her therapist will have to encourage and reassure her, walking behind a while there taking their first fully weight bearing steps can be a great form of reassurance to a patient. (Stein-Parbury, pg209) highlights this- the presence of other human being is reassuring in itself, especially during times of disquiet. Mrs. Chatsworth also has two cats which she may be overly attached to a trouble may arise as looking after them may throw away extra pressure on her during her recovery. As well as these psychological factors there are also a number of social factors that the therapist will have to incorporate into his/her plan for Mrs. Chatsworth. The fact that Mrs. Chatsworth is recently retired will give her more time to focus on her recovery plan also there will be no pressure on her to be fit to go back to work. As her daughter lives dear by, only five miles away, this will alleviate some of the pressures on Mrs. Chatsworth such as shopping, cleaning and other common daily activities. Also her documentation conditions as mentioned earlier, living on the first floor and having to use stairs to go to and from her apartment will affect her recovery as it may be an incentive to follow her recovery plan.To conclude, this essay identified the different biological factors that affected Mrs. Chatsworth such as loss of range of movement, swelling and osteoarthritis. Also this essay highlighted the different psychological factors affecting her such as stress, the fear of being a burden to her family and the fear of weight bearing on her right leg. This essay also highlighted the different social issues that will affect her recovery. All these factors were related to the therapist will manage Mrs. Chatsworths case and what the eventual outcome will be.