A stay in hospital: its effect on patients Flashcards
What are the main consequences of bed rest? And is it good for you?
- deterioration in fitness, loss of muscle strength
- NOT good
- Problem in the elderly
How can HAIs be reduced?
adherence to hospital infection control guidelines
What are the main factors that make hospital unlike any other environment that a patient will have experienced?
- privacy = limited
- wards = stressful
- staff wear uniforms
- patient could interact with up to 30 people per day
- many objects in the environment are unfamiliar
What is included in entering the role of the patient?
loss of familiar social roles from work and home results in the patient ‘role’
- wearing night clothes during the day
- allowing parts of their body to be examined
- little control over timing of meals, visits or when the main lights go out
- GOOD vs BAD patient
- Good = not demanding
- Bad = demanding
What restrictions are placed on patients that result in a loss of control?
- therapeutically desirable
- organisationally desirable
- reactant
What is RLOC
recovery locus of control
What are the main types of control?
- behavioural
- dognitive
- decision
- informational
What is meant by internal and external control?
- internal = within the patient to take control of their own recovery
- external = lies with doctors/god/health system
INTERNAL + more likely to make a fuller and faster recovery
What is depersonalisation?
when your patient is treated as though he or she were either not present or not a persin
Why does depersonilsation occur?
- a way of distancing the doctor from the fact that the body they are treating belongs to a thinking and worried person
- helps practitioners deal with deterioration and dying
- overworked, stressed and tired doctors can lead to less personalised care (burnout)
What is instiutionalisation?
behavioural repotoire shirnks; difficulty of patients adapting back to normal life after a long period in hospital
Summarise the main factors of an adult stay in hospital and its effects on the patient
- hospitals = unfamiliar environments
- people can enter the role of being the patient
- loss of control by the patient
- staff depersonalise patients
- institutionalisation may occur
What are the main emotions of a hospitalised child?
separation anxiety or stress
What are the stages of separation?
- protest
- despair
- detachment
What are the misconceptions and faulty illness representations of illnesses of children?
- illness is a punishment
- faulty representation - how the child imagines the disease/condition
