Psychological Aspect of Health Care Essay

The assessment process is the back bone to any package of care and it is vital that it is personal and appropriate to the individual concerned. Although studies have found that there is no singular theory or understanding as to what the purpose of assessment is, there are different approaches and forms of assessment carried out in health and social care. These different approaches can sometimes result in different outcomes.

Nursing practice has revolutionized itself throughout the years. Today we realize the causes of current illnesses as complex and multifaceted (source). In past models, for instance the medical model, the approach was straightforward and neglected the patients active involvement in their care; the patient was viewed as the passive recipient and the doctor, an active agent that “fixed” their patients. ( source). New developed models since then, such as the biopsychosocial model, show us that care focuses on many factors. The model demonstrates understanding of how suffering, disease, and illness can be associated by many factors seen at the different levels in society and the medical sciences (source). Caring for each component is

The Health Belief Model is commonly used for health promotion and health education. Its’ underlying concept is that health behavior is explained by perception of the disease and the strategies available to lower its occurrence. There are four perceptions of the HBM, which are perceived seriousness, perceived benefit, perceived susceptibility and perceived barriers. In addition to that, more constructs are added to health belief model that includes motivating factor, cues to action and self-efficacy. Each of these constructs in combination or individually, could be used to determine health behavior. The HBM also provides guidelines for the program development allowing planners to address reasons for non-compliance with recommended health action. The health belief model is a process used to promote healthy behavior among individuals who may be at risk of developing adverse health outcomes. A person must gauge their perceptions of severity and susceptibility of developing a disease. Then it is essential to feel vulnerable by these perceptions. Environmental factors can play a role as well as cues to action such as media, and close friends. In order to determine that taking action will be meaningful, the benefits to change must be weighed, against the barriers to change behavior (Green & Murphy, 2014).

Acknowledging how the patient perceives illness and health, helps in understanding the beliefs and how they relate with preventing

Leventhal’s model of self-regulation is based on the idea that each person forms a cognitive representation of their illness, which allows them to make sense of their symptoms. This illness perception and the patient’s emotional response then guide behaviour towards managing the illness (Leventhal et al., 1984). An illness perception is made up of five major components. These are illness identity, potential cause, timeline, its consequences and how it may be controlled. Often patients with similar diseases can hold very different perceptions of their illness (Petrie and Weinman, 2012). Clinical severity of the condition does not necessarily predict how a patient will cope. This essay will outline strengths and weaknesses of whether the model can be used to explain health outcomes and coping strategies, implement successful interventions and predict or even improve adherence to treatment. Finally, the importance of constructs not included in the model, such as social support, will be discussed. The essay will evaluate the model using examples of illnesses such as stroke, cancer, diabetes and asthma.

Arthur Kelinman developed the explanatory model of illness which incorporates a series of questions that is unique to a patient’s illness to develop a treatment plan. This model assesses how patient illnesses are associated with the environment and the culture around them, while also “seeking the how, why, what, when, where, and what next of illness, disease, and health experience” (“Explanatory Model”). Asking the patient what is their opinion on what caused their illness and how they believe it should be treated will help identify their beliefs and help when planning an intervention.

When someone is suffering or living with a chronic illness it can have a huge impact on them psychologically and socially. Chronic Illness is a condition that is prolonged in duration, usually more than 3 months and is rarely cured (DoH, 2012). Having to cope with a chronic condition might lead to life changes, such as dependency on others, loss of income, which can cause feelings of loss and reduced self-esteem. They can also report feelings of social rejection, poor healthcare and workplace termination due to their presenting condition (Earnshaw, Quinn, & Park, 2011).

The Health Belief Model (HBM) of health behaviour change was originally developed in the 1950s in order to understand and explain why vaccination and screening programs being implemented at the time were not meeting with success (Edberg 2007). It was later extended to account for preventive health actions and illness behaviours (Roden 2004). Succinctly, it suggests that behaviour change is influenced by an individuals’ assessment of the benefits and achievability of the change versus the cost of it (Naidoo and Wills 2000).

The healthy belief method was demonstrated with this study. The study demonstrated that the impact of health beliefs on behavior showed a direct relationship between health

Health Belief Model is a psychological theory to explain the patient’s health behaviour change and take the treatment, which mainly decided by the patient perception of his illness. Perceived severity is one of the important factors in this model. In the case study, Dave was diagnose with epilepsy. Untreated epilepsy is dangerous as the seizure can cause a fatal issue such as brain injury or death. (NHS, 2017)

Both the health belief model (HBM) and theories of reasoned action/planned behavior (TRA/TPB) are two model that has their root from psychology. Both models rely on social cognition as a mechanism to change individuals’ behaviors. Opponent criticizes the models for being unable to target social influence outside of an individual and overlook difference between target audiences.

Conner and Norman, 1995 describe the health belief model as ‘the oldest and most widely used model in health psychology’. It originated in the 50’s and was developed further by Hochbaum, Rosenstock and Kegals throughout the 1980’s for health education programmes and to predict different health behaviours and responses to treatments. The four terms that are the basis for the HBM are perceived susceptibility, perceived barriers, perceived severity and perceived benefits. The behaviour of the individual depends on their belief that they are susceptible to a health problem, how serious they deem it to be, whether they think that treatment will benefit them and if there are barriers that may get in the way.

As a nursing student, my understanding of different illnesses is often challenged in both clinical practice and class. Very rarely, is my ability to interpret the illness experience from the patient’s point of view questioned. I tend to overlook the uneasiness and the stress the patient may be experiencing, as I as more fixated on providing the appropriate care for the patient. Uncertainty is a prevailing theme amongst not only the patient but their families as well, when dealing with an illness. Mishel’s Uncertainty in Illness Theory can help explore the uncertainties of the illness experience. Relating one of my own clinical experiences to the theory, provides the element of self-reflection which can ultimately help me analyze my actions.

According to Boston University School of Public Health the health belief model (HBM) has a number of limitations that interfere with the models effectiveness in the public health system. These limitations are not limited to failure to account for individual’s attitudes, emotions, beliefs, or other determinants that command an individual’s willingness to adopt that health behavior. The HBM does not explain habitual behaviors that will lead to an advised decision-making process for a particular action. Neither does the HBM take into account those actions which are non-health related that are directly linked to social acceptability and economic factors that will influence the adoption or abandoned of the recommended action. The HBM assumes every

Specifically, components of the common sense model that were significantly associated with high levels of depression and anxiety included the perception of; strong illness identity, severe consequence, little control and a psychological cause of illness (Edwards et al., 2001). From their findings Edwards et al., (2001) conclude from this that individual’s beliefs towards their illness may play an adaptive and enduring effect on chronic illnesses such as