Biomedical model of health This view underpins the policies and practice of the NHS. It looks at health as being an absence of disease and sees the intervention of health professionals as necessary in terms of illness. The role of the NHS is to use scientifically tested methods to address illness and disease.
There is little regard paid to social and environmental impacts on health. The primary focus is on finding a cure for the individuals poor health. Write a definition for this now.....
Socio-medical model of health This model focuses on the social factors that contribute to health and well-being in our society. Research shows that improvements within society such as sanitation has impacted on rising levels of mortality rates. It believes that a significant source of disease and ill health lies in the environmental and social conditions of society and it is not solely located in the individual.
Task In your groups read the fact sheets Summarise your model – You will present this – Use the Debate Rules as help
Case Study Mr. C.T. is 65 years of age. One month before his date of retirement he developed ankle oedema and ascites. His general practitioner first saw him late one night when he developed acute and severe dyspnoea. Examination indicated mild hypertension, biventricular cardiac failure and slight cardiac enlargement. Routine investigations yielded only the one additional useful finding that his cardiac failure was probably caused by ischaemic heart disease (ECG evidence). Unfortunately, fairly large doses of Digoxin and diuretics had no effect on his ascites and oedema, although his blood pressure was well controlled with Methyldopa. He had no further attacks of pulmonary oedema. One month later, therefore, he was hospitalised with a view to controlling his right-sided heart failure. Even with complete bed rest and massive doses of Frusemide and Spironolactone this problem was extremely difficult to manage. At this time he became increasingly anxious, irritable and demanding. It became difficult to keep him in bed or to get him to take his medication, which he seemed to view with suspicion. Eventually this ended in a mixed manic-paranoid reaction. He claimed to be in perfect health and said that he was in hospital to help his wife's illness (she was in good health). While embarking on numerous impractical projects simultaneously, he would make grandiose and untrue proclamations about how wealthy he was. His distractibility made it difficult for him to sleep or eat, and his motor restlessness made him a difficult nursing problem. At times he showed fluctuating paranoid delusions about the nursing staff, saying that they had poisoned him and stolen his money. On the other hand he became unprecedentedly sexually suggestive and familiar with the same nurses. Although showing undoubted manic signs when interviewed, the depression was just below the surface. He became extremely distressed and tearful when certain important and personal and life topics were discussed. Although Chlorpromazine was needed to contain the immediate situation, the bulk of his improvement came from helping him come to terms with his underlying emotional problems.
Extension Task Form a proposal on the rights of service users What rights do they have How should these be met Consider everything you have been taught in this unit so far
Task 2 You are going to give a presentation using PowerPoint to new employees within your work setting, about the principles of professional engagement within the workforce and with service users. The presentation will be titled ‘Professional Engagement’ and run for 5 – 10 minutes. Start with an introduction into professional relationships and describe your role within the company. You will then explain the nature of three different professional relationships within your setting, including external agencies. Think about what problems that could arise within these relationships and give examples of how to overcome them. Lastly you will evaluate personal effectiveness in promoting and supporting the rights of the individual within your workplace. To achieve M1 you must demonstrate that you have looked at various problems, which may occur within the relationships and made effective judgements on how to resolve the issues.
Unit Specs Professional relationships: with individuals, their family and friends, team members, line managers, workers in other agencies; rights and responsibilities of users of service versus care workers and others; professional codes; trust; advocacy; empowerment Models of support: medical health versus social model; individual benefit versus organisational benefit Dilemmas: risk, abuse, challenging behaviour, conflict, ethics, confidentiality versus disclosure, expectations changing over time, conflicts between principles of good practice and values of others Own practice: roles e.g. meeting needs of users of service, provider of health and social care services, facilitator, advocate, adviser, counsellor, mentor Barriers: miscommunication, different professional codes of practice, group cohesiveness, personalities