Value of the Biopsychosocial Model of Health

Value of the Biopsycho social Model of HealthVarious approaches of rehabilitation base on scientific models are implemented to cope with disabilities, impairments, dis palliates (Lorenzo, M, 1999, p.1). Before the execution of Biopsychosocial model, Biomedical model was traditionally practised and heavily apply upon assessing patient. (Engel, 1977, p.130).Engel (1977, p.131) states that biomedical model illustrates the alteration of particular biochemical is commonly assessed in a specific diagnosis in relevant to the pattern of the disease. He withal mentioned that additional concepts and frames of reference should be taken into account.Biopsychosocial model is said to be an improved model than biomedical model as it is a focal point of examining patients at the two important interlinked systems mind- form connection. (Engel, 1977, p.132). This model was proposed by psychiatrist George Engel in a 1977 article in Science. This biopsychosocial model treats patients from biologica l, psychological and sociological aspects of body (Lakhan, 2006). Unlike biomedical model, psychological and sociological was non being underscore as it solely examine the biological aspect (Erskine et al, 2003, p.173).The most transparent dissimilarity of Biopsychosocial model than Biomedical model is that Biopsychosocial model encourages patients active fellowship whilst Biomedical model is not much a model which promotes patient-centred allot in terms of appreciating the individual extremitys and right of patients, understanding patients distemper and health care experiences, and embracing them within effective kinds which enable patients to come in in clinical reasoning to a greater extent(prenominal)(prenominal) (Ersser, 2008, p.68).Biopsychosocial model approach was used during a clinical placement Mdm. C went for her first give-and-take in physiotherapy department after being referred case from an orthopaedics bear upon to a physical therapist. Mdm. C is a 56 ol d age old housewife who is diagnosed with shoulder osteoarthritis. Shoulder osteoarthritis typically affects patients over 50 years old and it is more common in patients who have a narration of prior shoulder injury as well as familial predisposition (Cluett, 2009). Mdm. C was having language barrier with the physiotherapist responsible, Mr. S as she is in workmanlike in speaking English and Malay. Immediately, Mr. S finds another appurtenant who is able to communicate to her in Mandarin (Chinese). Despite the barrier faced, Mdm. C was greeted nicely by the Mr. S. Based on the physicians report, Mdm. Cs condition set up the symptoms of shoulder osteoarthritis inflammation and degeneration of cartilage, pain with activities, limited clutch of motion, stiffness of the shoulder, swelling of the joint, tenderness around the joint, and a feeling of excoriation or catching within the joint (Cluett, 2009). Both objective and unobjective assessment is carried out to initiate the treat ment as well as to identify and confirm the biological aspects. (Petty, 2004)While assessing Mdm. C subjectively, Mr. S communicates with Mdm. C whole-heartedly, questioning her nigh her background, her career, social life, daily habitual routines. Petty and Moore (2007, p. 130) states that this would ease the physiotherapist to investigate more about the initial cause of the crack as well as to treat her effectively in achieving the short-circuit-run and permanent finis in rehabilitation. strong-arm therapist practised active earreach duration listen with heart of compassion, patience and without any judgmental view. Physiotherapist should also choose words carefully and meaningfully without stepping into patients borderline by using open-ended questions to search for discipline until full understanding is achieved. susceptible verbal and non-verbal communication is witnessed throughout the seance (Petty and Moore, 2007, p.130).Physiotherapists attempt to enquire more abo ut Mdm. C is successful as Mdm. C became more easygoing in exposing and describing more about her complains of pain. This indirectly allows the physiotherapist to gather more information for a better rehabilitation outcome at ease. Engel (1977, p.130) states that more information needs to be gathered during consultation as physiotherapists need to find out about the patients biological signs, psychological state, their feelings and beliefs about the illness, and social factors such as their relationship with families and larger community. Thus, the interview process acts as a mean for the patient to institutionalize as much information as possible not solely based on physical symptoms, but how the illness affects the patient. (Engel, 1977, p.130)Physiotherapist started the objective assessment with the examination of coach of Mdm. C in sitting and standing, noting the posture of the shoulders, head and neck, thoracic sticker and upper limbs. Physiotherapist notes bony and soft t issue contours around the region. He checked the alignment of the head of humerus with the acromion as this can give clues about the possible mechanical insufficiencies. Mr. S pinch-grips the anterior and posterior aspects of the humerus, passively corrects any asymmetry to determine its relevance to the Mdm. Cs problem (Petty, 2006, p. 212). heading assessments are accompanied by other tests and after all been carried out, Mr. S had drafted out the treatment plan for Mdm. C.Mr. S then carefully and soft explained the treatment to Mdm. C and set a short-term goal for her as it would not be a burden for Mdm. C in short duration. Mdm. C also benefits from getting a better idea of her conditions, treatment alternatives, and expected improvements. Sullivan (2007, p.11) states that anticipated goal and expected outcome can name in predicted change in overall health, risk reduction, and prevention and optimisation of patient satisfaction. He also states that this would further encoura ge faster reco genuinely. Mr. S then applied hot packs on Mdm. Cs shoulder as heat helps to prepare the tissues for stretching and should be performed prior to any exploit sessions (Anderson, 2009). Time duration for 10-15 minutes are used for the treatment and several(prenominal) layering were used to wrap to hot pack to avoid burning of skin. Thermo therapy is believed to liberate muscle tightness and to relief pain, reduce muscle spasm, and increases blood circulation (Inverarity, 2005).Mr. S then teaches Mdm. C simple exertions to facilitate her restricted movements. Before jump the treatment, Mr. S demonstrated the exercise slowly and gave short, clear and easy-to-understand instructions and explanations about the treatment without using scientific jargons and labels to enhance the understanding of Mdm. C as wells as to minimize the emotional distress (O Sullivan and Precin, 2007, p.56). This consider patients sanction into account as physiotherapist informed and explained the treatment options to patients before commencing the exercise onto patient herself. The exercises presumptuousness are finger walk, towel stretch, and armpit stretch. The goal of these exercises is to stretch the shoulder to the point of tension without pain (Anderson, 2009).Mr. S monitored Mdm. Cs psychological aspects properly by observing Mdm. Cs facial look and body language. Facial expressions act as an indicator of patients psychological affection(Petty, 2004). It would somehow affect the quality of exercises performed by patient. By observing patients facial expression, it tells physiotherapist how they are feeling while doing exercises and whether they are comfortable doing it or not (Petty, 2004). For instance, if Mdm. C feels like grownup up due to fatigue and disappointment doing exercises, Mr. S would act as a motivator to affect her to conduct her efforts by encouraging and supportive words like, Dont stop, youre almost there, Keep going, youre doing very wel l, You can do it, its easy, Hang in there, just a while more, Youre doing very good, come lets finish it together, this indirectly would comfort the patients psychological discomforts and motivate her to be on the right track. Mr. S enquired again, if Mdm. C is comfortable with the given exercises to ensure that Mdm. C knows what she is doing and why is she feeling this way, and how does she cope with it if she feels like giving up due to tiredness. These covered the psychological aspects (Petty and Moore, 2007, p. 131).Though Mdm. C came unsocial for this treatment, she was encouraged by both Mr. S and his assistant who are competent in Mandarin throughout the session. Thus, Mdm. C knows that she is not doing it alone. When the treatment session is over, Mr. S gave Mdm. C few sheets of paper containing the exercises she did earlier. Mr. S contacted Mdm. Cs nigh kin, her daughter to stress the importance of home exercises and to ensure that Mdm. C eternally does that at home, as well as to encourage the family members to participate in the exercises in helping Mdm. C to improve her muscle strength and beg off the symptoms. Mr. S educates the family members about precaution and safety at home. Mr. S powerfully encouraged family members to accompany Mdm. C for her next scheduled treatment so to overcome the language barrier and to make the family involved. These cover the sociological aspects of treatment. Sullivan, (2007, p. 52) states that kindly support helps the increased of self-esteem, adjusting and adapting oneself with disability.Biopsychosocial model takes into consideration of patients involvement in treatment, patients needs, and patients relationship with clinician during a clinical practise as this model comprises the biological, psychological, sociological aspects of a patient. To conclude, biopsychosocial model is practical, applicable, and agreeable as it brings enormous improvements on patients condition. (1497 words)