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Acute Kidney Injury case study
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Although everyone’s illness experience can be argued to be unique, Edward Suchman has designed a schema that portrays the five key stages of illness experience that most patients undergo. Suchman’s “five stages of illness experience” are the symptom experience, assumption of the sick role, medical care contact, dependent patient role and recovery and rehabilitation. Suchman’s “five stages of illness experience” are crucial to understanding the illness process of Robert Banes, but do not however depict an entirely accurate picture of his illness experience. The first stage of the illness experience is symptom experience, which is where the individual first realizes that there is something wrong with them. At this moment, the individual undergoes through three distinct processes which are the physical pain or discomfort, the cognitive recognition that physical symptoms of an illness are present, and an emotional response of concern about the social implications of the illness (Weiss 143). At this point an individual can accept to seek help, delay treatment, or go into denial. Robert Banes was first diagnosed with focal glomerulosclerosis, a progressive scarring of the kidneys that will eventually destroy them, four years before his kidneys failed (Abrahams 10). However, Robert chose to ignore medical treatment because he had not been socially constructed to understand the perceived seriousness of his symptoms and because he did not have the means to accessible and affordable care (Abrahams 30-31). If Robert had been socially constructed in illness, then he never would have let his illness get so far as to lose his kidneys. The second stage of the illness experience is the assumption of the sick role. In this stage, the indivi... ... middle of paper ... ...There is much the United States can learn by analyzing the different health care systems around the world. There is clearly something wrong when a country as influential as the United States is not able to look after its own citizens. It is time to realize that the health care system in the United States is broken! The United States needs to look at its neighbors and friends in order to rebuild itself into the great, blooming country it once might have been. The United States needs to toss aside its pride and ask for help from countries like those of Great Britain. References Abraham, Laurie K. 1993. Mama Might Be Better Off Dead: The Failure of Health Care in Urban America. Chicago, IL: The University of Chicago Press Weiss, Gregory L., and Lynne E. Lonnquist. The Sociology of Health, Healing, and Illness. Upper Saddle River, NJ: Prentice Hall, 1997. Print.
While most countries around the world have some form of universal national health care system, the United States, one of the wealthiest countries in the world, does not. There are much more benefits to the U.S. adopting a dorm of national health care system than to keep its current system, which has proved to be unnecessarily expensive, complicated, and overall inefficient.
The facts bear out the conclusion that the way healthcare in this country is distributed is flawed. It causes us to lose money, productivity, and unjustly leaves too many people struggling for what Thomas Jefferson realized was fundamental. Among industrialized countries, America holds the unique position of not having any form of universal health care. This should lead Americans to ask why the health of its citizens is “less equal” than the health of a European.
The U.S. healthcare system is very complex in structure hence it can be appraised with diverse perspectives. From one viewpoint it is described as the most unparalleled health care system in the world, what with the cutting-edge medical technology, the high quality human resources, and the constantly-modernized facilities that are symbolic of the system. This is in addition to the proliferation of innovations aimed at increasing life expectancy and enhancing the quality of life as well as diagnostic and treatment options. At the other extreme are the fair criticisms of the system as being fragmented, inefficient and costly. What are the problems with the U.S. healthcare system? These are the questions this opinion paper tries to propound.
The US health system has both considerable strengths and notable weaknesses. With a large and well-trained health workforce, access to a wide range of high-quality medical specialists as well as secondary and tertiary institutions, patient outcomes are among the best in the world. But the US also suffers from incomplete coverage of its population, and health expenditure levels per person far exceed all other countries. Poor measures on many objective and subjective indicators of quality and outcomes plague the US health care system. In addition, an unequal distribution of resources across the country and among different population groups results in poor access to care for many citizens. Efforts to provide comprehensive, national health insurance in the United States go back to the Great Depression, and nearly every president since Harry S. Truman has proposed some form of national health insurance.
The notion of health is contextual and an interactive, dynamic process between person and environment (Schim et al, 2007). Both wellness and illness are conceptualized by the ‘person’, existing on a continuum across the lifespan (Arnold & Boggs, 2001).
health care system for years, leaving many citizens wondering: why would our country do this to us?
Morace, Robert A. “Interpreter of Maladies: Stories.” Magill’s Literary Annual 2000 1999: 198. Literary Reference Center. Web. 6 Apr. 2010. .
In sum, America needs to reevaluate the status quo surrounding medical care. It is becoming increasingly apparent that the current model only benefits a select few and causes insufferable costs for the rest of the world. If there is no reform for these issues, money will continue to be siphoned directly into the pockets of large, for-profit companies that benefit from the strife of
Shi, L. & Singh, A.D. (2012). Delivering healthcare in America: A systems approach (5th ed.). Burlington, MA: Jones & Bartlett.
Individuals with mental illnesses have been successfully treated in the past through different methods including psychotherapy and medication. However, an ethical dilemma presents itself when individuals with severe mental illness refuse to receive treatment for their disorders. In recent decades, the use of forced medication has emerged as “one of the most controversial issues in mental health policy in recent decades” (Swartz, Swanson, & Hannon, 2003, p. 406). The medical community is torn between whether it is appropriate to grant these patients’ wishes or if it’s best to continue on with the treatment they recommend. Despite frequently being faced with this ethical dilemma, society still has not reached an agreement regarding how to proceed.
The uncertain nature of chronic illness takes many forms, but all are long-term and cannot be cured. The nature of chronic illness raises hesitation. It can disturb anyone, irrespective of demographics or traditions. It fluctuates lives and generates various inquiries for the patient. Chronic illness few clear features involve: long-lasting; can be managed but not cured; impacts quality of life; and contribute to stress. Chronic illnesses can be enigmatic. They often take considerable time to identify, they are imperceptible and often carry a stigma because there is little sympathetic or social support. Many patients receive inconsistent diagnoses at first and treatments deviate on an individual level. Nevertheless, some circumstances require
There are many ways to categorize illness and disease; one of the most common is chronic illness. Many chronic illnesses have been related to altered health maintenance hypertension and cardiovascular diseases are associated with diet and stress, deficient in exercise, tobacco use, and obesity (Craven 2009). Some researchers define the chronic illness as diseases which have long duration and generally slow development (WHO 2013); it usually takes 6 month or longer than 6 month, and often for the person's life. It has a sluggish onset and eras of reduction for vanishing the symptoms and exacerbation for reappear the symptoms. Some of chronic illness can be directly life-threatening. Others remain over time and need intensive management, such as diabetes, so chronic illness affects physical, emotional, logical, occupational, social, or spiritual functioning. Chronic diseases, such as heart disease, stroke, cancer, chronic respiratory diseases and diabetes, all of these diseases are the cause of mortality in the world, representing 63% of all deaths. So a chronic illness can be stressful and may change the way a person l...
This also requires the person to be socially and economically productive in order to be seen as healthy. According to Mildred Blaxter (1990), there are different ways of defining health. Furthermore, disease can be seen as the presence of an abnormality in part of the body or where there is a harmful physical change in the body such as broken bones. So, illness is the physical state of disease, that is to say, the symptoms that a person feels because of the disease. However, there is some limitation of these definitions which is not merely an absence of disease but a state of physical, mental, spiritual and social wellbeing.
Introduction: For this essay I am going to critically discuss the biomedical model as well as the social model of health and how they both relate to the lay perspectives on health and illness.
Dr. Mishel’s model describes the concepts as: “stimuli frame”, “cognitive capacities”, and “structure providers”, (Mishel, p.225, 1988). The first concept, stimuli frame, refers to the form, composition and structure of the stimuli that the person perceives and is composed of three components: symptom pattern, event familiarity and event congruency (McEwen & Wills, p.243, 2014). Here we examine the consistency of symptoms, regularity of occurrence and the consistence between what is expected and experienced. According to Mishel, the next two concepts, cognitive capacities and structure providers, influence the stimuli frame. When dealing with illness, there is often times an abundance of information being shared with the ill and those affected. At a certain point, individuals can become overload with information and reach their cognitive capacity, causing a decreased in the amount of information that can be processed, directly effecting the stimuli frame. Next, structure providers, are those ‘pillars’ in an individual’s health journey that provide education to enhance a person’s knowledge base, provide social support (friends, family, or spiritual support) and provide credible authority (knowledgeable, trustworthy healthcare personnel, such as doctors and nurses). Other concepts include appraisal, inference (danger or opportunity), illusion and coping mechanisms”