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Determinants of health conclusion
Determinants of health conclusion
Essays on the determinant of health
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The health experience of the guest speaker involves the long and challenging journey in her fight through breast cancer. For the sake of confidentiality, my patient will be referred to as Mrs. M throughout this paper. Throughout her presentation she explained the steps leading up to her diagnosis, her experiences through chemotherapy and radiation, as well as her thoughts, feelings, and emotions during the most difficult time in her life. This paper will discuss the various determinants of health that have shaped her health experience, abstract concepts that stood out throughout the presentation, personal assumptions, and the overall meaning of her illness.
Health Experience Narrative
Mrs. M’s journey in her battle through breast cancer all
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1). By taking into account our determinants of health and understanding the interrelations between them, it provides us with a greater picture into a person’s story and the various factors that have shaped their overall health experience. This is evident in Mrs. M’s story, as she exhibits several determinants of health that have been impacted in her fight through breast cancer. Social support networks, psychology, and personal coping skills were evident and greatly impacted her long and challenging journey. According to Kroenke et al. (2013) women who have larger support networks throughout their illness tend to have a greater quality of life (p. 525). Mrs. M not only had her family as support, but she had her physicians, surgeon, friends, and her mentors from Wellsprings. Luckily enough, her husband’s job was very understanding and even offered to pay for many of the extra expenses, such as her mastectomy, so that her husband was able to take time off work to be with and support her. Fortunately, the Alberta Cancer Foundation paid for the procedure, which alleviated the financial stress they may have had. Not having to worry about the payment resulted in a greater support network as her husband was able to take time off of work, ultimately increasing her quality of …show more content…
348). Uncertainty can be triggered by various events, some of which may include: the initial diagnosis of cancer or meeting with a specialist for the first time (Schapira, 2013, p. 1). These events directly apply to Mrs. M, as the feeling of uncertainty began as soon as she was diagnosed with breast cancer. Hansen et al. (2012) described uncertainty as the feeling of “something hanging over them, spoiling their environment” (p. 272). Mrs. M experienced this feeling during her family trip to Disney Land, right before she told her children the news. It was difficult for her to keep her feelings and emotions together, and she would often have to sit down to prevent herself from having a panic attack. She was uncertain as to how she would confess her illness to her children, wondering whether or not she would ever be able to go on holidays with them again, whether or not she was going to die, and how everyone in her family would
Although illness narratives are not novel or new, their prevalence in modern popular literature could be attributed to how these stories can be relatable, empowering, and thought-provoking. Susan Grubar is the writer for the blog “Living with Cancer”, in The New York Times, that communicates her experience with ovarian cancer (2012). In our LIBS 7001 class, Shirley Chuck, Navdeep Dha, Brynn Tomie, and I (2016) discussed various narrative elements of her more recent blog post, “Living with Cancer: A Farewell to Legs” (2016). Although the elements of narration and description (Gracias, 2016) were easily identified by all group members, the most interesting topics revolved around symbolism as well as the overall impression or mood of the post.
Ehrenreich’s essay states that corporations and community members are popularizing the celebration of the “breast cancer sisterhood,” while stemming the drive for the discovery of a cure. This can be used as a persuasive technique, because it permits the reader to feel more secure in the words that they’re reading. Ehrenreich’s anecdote is extraordinarily effective, because it transitions the events of a “normal” day into the horrific new lifestyle associated with cancer. She describes the stop to the doctors as a “.drive by mammogram, one stop in a series of mundane missions.”
Spiegel, D., Bloom, J. R., Kraemer, H. C., & Gottheil, E. (1989). Effect of psychosocial tr@ent on survival of patients with metastatic breast cancer. Lan@t, 88:8-891.
So, regardless of how her husband viewed her illness, she knew she had to look beyond her husband’s constraints and continue looking toward her goal of healing. She continues to seek self-worth. Desperately, she seeks answers. “The force of character is cumulative.”
Almost all of us have heard of a scenario such as this one: A woman battling cancer has lost almost all hope of recovery. She has not been able to turn to her family for support for fear of their reactions to her illness. One morning she finally breaks down and tells her husband about the cancer. Instead of being devastated and turning his back on his wife, the husband supports the wife, every step of the way, and she gradually seems to improve.
This weekend I was paired up with a nurse from the floating pull. It was a very interesting experience. For the first time since the beginning of the semester I can say that I was faced with a lot of critical thinking situations. I spend the day running around reminding my nurse of things he forgot or task we had to finish. It was already 2:00 pm and I still hadn’t performed an assessment on a patient, at this point I remember what Mrs. McAdams had said before “ we are in the hospital to help but our main priority is to learn and practice our skills” so I made the critical-thinking decision to tell my nurse that I needed to at least complete an assessment and since we were about to discharged a patient I could performed a final assessment on him before going home. I performed my assessment, had time to document and helped my nurse with the discharged. This weekend was a very challenging clinical for me but I also learned a lot. I learned to managed my time better, be proactive in my clinical experience and I also found my voice.
...health while going through cancer. In this case, their family leads to the emotions that can impact the patient’s health and decision-making.
In spite of what she has been faced with, she has always had a positive attitude and outlook. She is a woman of strong faith, which I believe has played a big part in getting her through the challenges she has faced. Chronic illness not only affects the patient, but all members of the family as well. For her, it has been a challenge with the expense it has incurred for her. She has health insurance, but some of the medications that she is on are very expensive. In the beginning of her illness, it placed more of a financial strain on her. She was divorced and did not have the best health insurance coverage to begin with. She remarried a couple of years ago and now has better health care insurance through her husband. Not being able to pay for your health care during a difficult time is very hard to deal with. As the nurse, we can offer referrals to agencies that may be able to offer some assistance. Psychosocial care should be incorporated into the routine care of patients with cancer (Jacobsen & Wagner, 2012). Dealing with a chronic illness can also have emotional effects on the patient, as well as other family members. Depression is a commonly incurred condition that coincides with cancer, which can lead to other health and social issues. It is of great importance to provide emotional support to the patient and their family members. As the nurse, we can offer support groups to the patient and
Elphee, E. E. (2008). Understanding the Concept of Uncertainty in Patients With Indolent Lymphoma. Oncology Nursing Forum, 35(3), 449-454.
Cancer. The word by itself can conjure images of severely ill and frail people attached to IV medications and chemotherapy drugs as they cling to life in a hospital bed. Other illustrations and pictures depict unrecognizable, misshaped organs affected by abnormal cells that grow out of control, spread, and invade other parts of the body. Cancer studies show that close to one-half of all men and one-third of all women in the United States will be diagnosed with cancer during their lives. Today, millions of people are living with cancer or have had cancer. As patients are newly diagnosed with their specific type of cancer, whether it be breast, lung, prostate, skin, or blood cancer, etc., each patient has to consider what will happen with their future health care plan and who will be involved in their long journey from treatment to recovery. Once diagnosed, cancer patients become the focal point and the center of all activity in terms of care but cancer not only physically invades the patient’s body and well-being, it goes beyond the patient and significantly affects the emotional stability and support from from their loved ones and caregivers. Based on the insidious nature of cancer and typically late detection of malignant diseases, family members (either spouses, children, parents, other relatives, and friends) often become the patient's main caregiver. These caregivers, also known as informal caregivers, provide the cancer patient with the majority of the support outside of the medical facility or hospital environment and become the primary person to provide various types of assistance. They provide the physical support with bathing and assisting in activities of daily living, they become emotional ...
This model believes that an individual may be free from disease or physical injury however social factors that surrounds a person will determine their wellbeing. In the social dimension of health a person has to be able to interact with people, such as friends and family. According to Antonia C. Lyons and Kerry Chamberlain (2006) Health Psychology a Critical introduction ‘studies have demonstrated an association between what is called social integration and physical health, including mortality rates’. The skill to be able to build healthy relationships may give an individual a positive self-image. Poor social skills may mean that an individual may become isolated or stressed. If an individual becomes stressed and isolated they will be free of disease as they will be physically and mentally fit, however the stress will contribute to the health status of the individual. According to Charles L. Sheridan and Sally A. Radmacher (1992) Health psychology challenging the biomedical model ‘attributes like strength, health and attractiveness can be helpful in coping with
“Just take my hand, together we can do it, I’m gonna love you through it.” (I’m Gonna Love You Through It- Martina McBride). Breast cancer is an awful disease that will change your life in a single moment. ”Everything in my life was turned upside-down. I really had a wonderful life; A husband, three children. And breast cancer came along and just smashed my world” (Janelle’s Journey). Breast cancer is an aggressive war that takes a great amount of fighting to survive. “You go from being perfectly healthy, to feeling like, ‘okay, I’m dying’. It started a whirlwind of things that I never anticipated having to go through.” (Bonnie’s Story- Beyond The Shock). Did you know that the youngest person ever to have been diagnosed with breast cancer
Dunniece, U. Slevin, E. (2000). Nurses' Experience of Being Present With a Patient Receiving a Diagnosis of Cancer. Journal of Advanced Nursing 32, pp.611-618.
Dr. Merle Mishel is an American, nursing theorist who is accredited with the creation of the uncertainty in illness theory and measurement scale. She holds both a master 's degree in psychiatric nursing and a PhD in social psychology. She has accrued many distinguished awards and honors for her works showcasing her expertise in dealing with psychosocial responses to cancer and chronic illness and also the best interventions to manage the hardship and stress that can accompany uncertainty when it comes to illness. Dr. Mishel, currently she holds a position at University of North Carolina at Chapel Hill School of Nursing as a Kenan Professor of Nursing, where she continues her teachings, research and advocating of cancer patients and those with
Historically speaking breast cancer has been around for hundreds of years. Thankfully the treatment has improved. Patients who get the cancer removed and take care of themselves after, for example, by exercising and eating healthy, will live longer. There are many risks that increase the likelihood of developing breast cancer, for instance, age, family history, and race. A women who made history with breast cancer was Betty Ford, Betty was one of the first lady’s to speak openly about her disease. Betty encouraged women who have been affected with the disease to go to their doctor as soon as possible and told women who had shared that they didn’t have breast cancer to do self breast exams regularly and get mammograms. She also said when women get diagnosed with it don’t be embarrassed. Treatments in the past were pretty good and quite the same compared to the treatments given to people now, for instance, mastectomy’s which was the primary...