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Biopsychosocial framework essay
Six different perspectives of biopsychosocial model
Six different perspectives of biopsychosocial model
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The purpose of this essay is to demonstrate the knowledge of concept of health and to discuss the complex factors that influence it. For this reason the essay will identify an individual from a scenario who can benefit from health promotion from the perspective of a mental health nurse’s role. Therefore a plan will be developed outlining and focussing on the health needs that necessitate the need for health promotion by means of identifying and discussing the bio-psychosocial factors that contribute to the individuals’ health. Thereafter activities that need to be undertaken will be outlined in order for their health promotion giving justification for actions undertaken, subsequently identifying, discussing and evaluating the appropriateness …show more content…
As according to (REF) the behaviour that challenges individuals with Alzheimer’s may be generated by various factors for example; the person’s physical health, individual biography, their cultural background, religious beliefs and spiritual identity. George Engel an American psychiatrist promoted a biopsychosocial model of health and illness that states that interactions between, biological, psychological and social factors determine the cause, manifestation and outcome of wellness and disease (An example of this model can be found in Appendix 1). Each domain outlines the factors that may contribute to David’s illness. Such as; the biological domain that focuses on the depletion of certain transmitter substances within the human brain and the impact that it has on the person’s memory function and cognitive abilities. The psychological domain identifying that care-givers engage well with the individual first and foremost by recognizing that their behaviour may be driven by certain situations; and finally the social domain identifying the importance of social identity ensuring relevant communication skills are used positively for the …show more content…
They noted that the psychosocial domain the ‘fixed factors’ are represented by education, life events and personality traits, ‘tractable factors’ would include the person’s social psychology and environment and ‘interventions’ would include the cognitive, behaviour work and multi-sensory stimulation. This model shows that dependency of the individual is seen as an inevitable consequence of living with the progression of Alzheimer’s, therefore by using a biopsychosocial model promotes the individual health and wellbeing of David and that care-givers have the knowledge and skills for holistic, person-centred Alzheimer’s care. In addition to this, NICE () note that Alzheimer’s is associated with complex needs, especially in the later stages leading to high levels of dependency, which can challenge the care-givers. Therefore it is relevant to consider ways of supporting and enhancing the input of family and friends of the individual by understanding models of
Michael is a 56 year old male who lives alone in a small tin shed in the middle of the bush in central Queensland. He has no children, no partner and lives by himself. During the day he spends his time sleeping on the couch or doing chores around the property. If he isn’t asleep, he requires a stimuli to remain occupied. When he was a young boy, he was a very calm child with a great sense of humour. His physical health was perfect with good energy levels. When he was sexually abused at the age of 8, by his grandfather, these characteristics started to change. From the age of 16 he was having regular breakdowns in his thinking and emotional responses. Michael was constantly feeling irritable and having trouble sleeping with frequent nightmares. As the years went by his attitude was extremely negative which led on to him being withdrawn from his family and friends. During his last year of high school, he started to regularly use marijuana. He would experience countless amounts of paranoia episodes where he would hear voices and thought he was being spied on. At the age of 45 he was fin...
(Davidson, F. G.) Due to the nature of dementia being a neuropsychological disorder, those affected by the disease tend to look like they will not require much care, which, in reality, they often require more care than the caregiver originally expected, leading to stress and burnout. Another effect caused by this can be the caregiver blaming themselves by feeling like they are failing to give proper care, which, in reality, can often be very far from the truth. If the caregiver does not receive help from anyone else, the task of watching over the victim becomes a daunting twenty for hour task. Sometimes, the caregiver won’t be allowed quality sleep. Over 66 percent of home caregivers suffer from some form of psychological or physical illness. The most common illness that is resulted from giving care to Alzheimer’s disease is depression. The caregiver needs to monitor their emotional well-being as well as the well-being as the person that they are giving care to. Usually, giving care to those with dementia is actually more stressful than giving care to those with cancer. When the caregiver is a family member and not a professional, the emotional toll is often even greater. It is important for caregivers to remember that they need to take care of themselves first and
The essay will describe the biopsychosocial model of health and its development including who developed the model, then it will look at the models separately which are the biomedical, psychological and sociological models. This essay will outline the effects that diabetes has on people in different ways in relation with the biopsychosocial model of health.
It is generally accepted within healthcare that to understand mental health we must adopt the biopsychosocial model. This model assumes that an interdependent relationship exists between biological, psychological and social factors which are involved in all aspects of mental health (Toates, 2010, p. 14). To be true to the model research must be holistic and not investigate the factors in isolation.
Firstly, as a GP, it is crucial to explore the biopsychosocial model of health. One must realise that biological, psychological and social factors all contribute to a person’s overall health. The social dimension cannot be ignored in Anne’s case. According to the World Health Organisation, the social determinants of health are ‘the conditions in which people are born, grow, live, work and age.’ (World Health Organisation. 2013) From the information provided, one could suggest that various social factors have contributed to Anne’s obesity. Anne grew up in a deprived area of the inner city. Growing up in a deprived area does not directly cause obesity, however, social determinants are known as causes of the causes of ill health. (WMA. 2011) Obesity can be caused by consuming too many calories, leading a sedentary lifestyle and not sleeping enough. (Christian Nordqvist. 2011) These, in turn, could be referred to as consequences of living in the inner city. Studies have shown that ‘inner city parents have high levels of anxiety about neighbourhood safety. While these concerns may not entirely explain the discrepancy in activity levels between inner city and suburban children, a safe environment is crucial to increasing opportunities for physical activity.’ (Weir, L.A., Etelson, D. & Brand, D.A. 2006) Similarly, it is possible that Anne’s socio-economic status has influenced her smoking since a person below the poverty threshold is more likely than somebody at or above the threshold to be both a current smoker and not to have quit. (Flint, A.J. & Novotny, T.E. 1997)
Informal supports, such as aid for housekeeping and running errands, are crucial to maintaining the lifestyle of individuals with Alzheimer’s in the community; however, the disease’s erosion of physical, cognitive, and communicative abilities often creates tremendous strain for family caregivers. Individuals and family caregivers dealing with Alzheimer’s often experience increasing social isolation as the disease’s progression undermines both mobility and the capacity for meaningful and appropriate engagement with the community (Banerjee et al., 2003). A number of studies have documented the physical and mental health costs borne by unsupported caregivers, and the link between caregiver stress and the institutionalization of their ill family members (Andren & Elmstahl, 2005; Banerjee et al., 2003). Taken together, the stress and isolation of dealing with Alzheimer’s disease undermine the health and quality of life of everyone involved, eventually precipitating institutionalization.
Butler, R. (2008). The Carers of People with Dementia. BMJ: British Medical Journal , 336, 1260-1261.
This essay which will identify the five approaches with health promotion. It will focus on two approaches for the sake of this essay. These approaches will be defined and show how it could be used to tackle a life style behaviour using the Beattie’s model. The Beattie’s model is one of the several models health promoters use as a guide to direct the intervention mode and strategy which is suitable for any particular problem. This model will be used to identify the location of each of the two approaches, highlighting role of the health promoter in each approach, as well as discuss policies and ethical issues which are associated with each approach. Furthermore the essay will cover the values of each approach while it emphasis the need for health promoters to consider the effectiveness of a model to ensure suitability for any presented problem.
Within the elderly community, the existence of activities and interaction with others creates an impact on the elderly daily living. As being a provider in a home health facility, there has been a substantial amount of complaints from family members due to the lack of socializing by their loved ones. When dealing with quality care of the elderly, relationships is a major form of communication that allows each individual the opportunity to express their emotions, and continue his/her consistency of motor skills. Relationships with others are normally formed in senior citizen centers, senior communities and/or with home health
To reach a state of complete physical, mental and social wellbeing, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment. Health is, therefore, seen as a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities. Therefore, health promotion is not just the responsibility of the health sector, but goes beyond healthy life-styles to wellbeing. Health promotion goes beyond health care. It puts health on the agenda of policy makers in all sectors and at all levels. It directs policy makers to be aware of the health consequences of their decisions and accept their responsibilities for
Depression is a mental health condition which is widely recognised as one of the most common conditions for which people seek and receive care. There are many specific nursing problems which are encompassed by the medical term “depression” and these include physical, cognitive and behavioural patterns. Successful treatments of depression are psychosocial interventions which aim to identify and challenge a depressed persons pessimistic attitudes and beliefs and which promote an individuals’ participation in rewarding activities in an attempt to reduce any negative behaviours. The aim of this essay is to identify specific nursing problems which are encompassed by the term “depression” and relate these to a patient whom the author had met whilst out on clinical placement who had been given a medical diagnosis of depression. It is also the aim of this essay to discuss different psychosocial interventions and how effective these are in assisting a patient in their road to recovery.
“Difficult, depressing, and tragic” are a few of the descriptions generally associated with illness. Those who suffer from dementia, especially, undergo a realm of these characterizations. With this adversity in mind, most people generate a basic understanding based on education rather than personal experience. It is this preconception that can prevent us from gaining a true insight of one’s reality.
Assessment is an essential role of mental health nursing and therefore an essential learning and development requirement for pre-registration nurses (Walker, Carpenter and Middlewick, 2013). Walker (2013) suggests, “Assessment is the means by which patients’ needs are ascertained and appropriate treatment plans created in conjunction with the patient” (p.1). As an essential area of mental health nursing learning and development, it is important that student nurses develop a critical awareness of how to employ assessments in practice. Walker (2013) defines assessment in mental health nursing in broad terms as: “A process by which we ascertain the history, current situation and potential treatment of a person requesting and requiring healthcare”
At this level of the model nursing is able to assess the perceived barriers to one’s lack of health and create plans to improve their health status. The final component of behavioral outcome is the reassessment of the patient and their many factors to ensure there are positive changes in the individual’s health outcome. The assumptions of the health promotion model focus on the incorporation of nursing and behavioral science and the role of the patient in improving and maintaining healthy behaviors while modifying their environment with the help of nursing (Butts, 2015). The can be summarized as identifying individuals as being unique and seeking positive environmental changes with promotion of health professionals and seeking to regulate their own environment and behaviors.
Health is defined by the World Health Organization (WHO) as ‘a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ and health promotion is understood as ‘actions that support people to adopt and maintain healthy lifestyles and which create supportive living situations or environments for health’. In these definitions it is clearly standard that mental health promotion is an essential component of health promotion. Not only are there complex interconnections between physical and mental health, they share many