7. The Treatment/Care Context Part 2 Flashcards
Being Hospitalized?
Although being sick is unpleasant and being seriously ill is worse, being hospitalized adds many other negative aspects to a person’s sick role experience…
- It limits privacy.
- It restricts the individual’s activity.
- It requires a high degree of dependency on others.
- It involves a variety of stressful events/experiences.
Coping in the Hospital
Problem-focused coping?
Is more common when patients believe they can do something about the problem.
Coping in the Hospital
Emotion-focused coping?
Is more common when patients perceive
having no control.
Examples of Emotion-focused coping?
Blame:
Very common! Blaming others is more strongly associated with poor adjustment than self-blame.
Helplessness:
Can arise from feelings of low control this can
impede later situations where control is possible.
Denial, rumination, and catastrophizing (opposite of positive reapprsial) are other common responses.
The most effective approaches to help patients prepare for procedures or surgeries are those that?
Enhance one or more of the following types of control for patients:
Behavioural control:
Being able to reduce discomfort or promote
recovery during/after the medical procedure by performing certain actions, such as special breathing or coughing exercises.
Cognitive control:
Knowing how to focus on the benefits of the
medical procedure and not its unpleasant aspects.
Informational control:
Gaining knowledge about the events and/or
sensations to expect during or after the medical procedure.
Monitors versus Blunters?
People vary in how much health related information they desire.
Monitors?
More concerned and worried about issue
-> seek information.
To motivate:
Provide messages that include detailed information about risks & strategies.
Blunters?
Overwhelmed by threatening information
avoid information.
To motivate:
Keep messages short, succinct, non-threatening, and in simple terms. But shorter information that is repeated tends to decrease anxiety.
It is too much information all at once that if overwhelming.
What factors contribute to patient satisfaction in a care setting? (3)
- Technical quality of treatment/care
- Quality of interaction with practitioner
- Sense of autonomy and informed consent
Canadian Institute for Health Information (CIHI, 2019) survey of patient experience in acute care hospitals in Canada.
Overall, the majority of patients surveyed (62%) described their hospital experience as very good, with less than 15% describing their experience as poor.
CIHI (2019) further identified 3 key factors in patient satisfaction?
- Communication listening carefully, explaining things effectively.
- Coordination and communication among care providers
- Support and planning for leaving the hospital
Patient satisfaction has been correlated with?
Many good health outcomes such as:
- Reduced hypertension
- Fewer complications after surgery
- Reduced mortality
- Improved patient compliance/adherence
- Improved use of health services
The Physical Space matters in hospitalization! Give 3 examples?
Single-bed hospital rooms result in better physical and mental health outcomes for patients… (except if the people are sharing a room with someone who has gone through the same procedure that will go though -> Reduces anxiety)
-> Reduced infection and improved privacy.
Also reliable evidence of benefits associated with having a window in one’s room, and having a view of nature specifically…
-> Improves satisfaction and reduces anxiety and pain.
Patient experiences with hospital food play a significant role in overall ratings of satisfaction with care.
Alternative Medicine defintion?
Any practice that has purported healing effects but is not scientifically based; used in place of medical treatment.
Complementary Medicine definition?
Alternative medicine used in conjunction with conventional medical treatment.
CAM (Complementary and Alternative
Medicine) for short.
CAM methods are quite diverse and can be classified into types? + Other CAM practices include…?
- Manipulative and body-based methods (e.g., chiropractic care, massage therapy, and reflexology).
- Natural products (e.g., herbal products, vitamin and mineral supplements, and other dietary supplements). Excessive amounts can lead to toxicity.
- Mind-body interventions (e.g., progressive muscle relaxation, meditation, yoga). Various benefits of these, but they also make claims that are not supported.
Other CAM practices include homeopathy (applying diluted substances that produce symptoms in healthy people like those the ill person has) and traditional Chinese medicine.
