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Explore the complexities patients face in maintaining wellness, from the impact of hospital admissions to losses in self-image and independence, and the dynamics of personal relationships. Understand the role of privilege and responsibility in the patient's journey, and the importance of effective communication in the patient's story.
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Chapter 7 Challenges to Patients
Maintaining Wellness • Preventive Medicine • Depends on individual • Stage of overall health
Losses of an Inpatient • Depends on extent of illness • admission to hospital can/will disrupt life • impact socially and economically
Other Losses Associated w/ being a Patient • Loss of self image • Losses associated w/ institution - home, privacy • Loss of Independence
Out- Patients • Many patients classify • may be perceived as being not as sick • may feel less important than an inpatient
Losses and Privileges of being a Patient • Society accommodates sick people - to an extent • privileges are granted in order for pateint to get well • some patients will take responsibility for illness -bravery
Some choose to remain a patient - but could recover • reasons: escape, financial gain, social gain • Malingering - hypochondriac
Response to Malingering • respectful • always believe patient - unless you can prove otherwise • counseling/ referral
Chapter 8 Respect for Patients Personal Relationships
Inability to sustain important relationships during illness • lack of interest • dealing with the situation - changes due to illness • uncertainty about future - recovery
Other issues related to relationships • Family caregivers - stress, anxiety, social issues • stigma - certain illnesses • change of values - old vs new • religious values and practices
Paying for Care • High cost of health care - insurance, HMO, PPO etc. • patients are very educated • you are patient advocate - be proactive • educate your-self
Chapter 9 The Patient’s Story
Language Used • Patients vs. HCP • must be able to understand what patient is trying to tell you • medical record - chart, medical language - terminology