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Case Study: Response To Illness

2825 words - 12 pages

PAGE PAGE 2 Case Study: Mr. Jones
Case Study: Mr. Jones48 Year old, Native American MaleKeiser UniversityMr. Jones is a 48yrs old Native Americans, who presented to the hospital after a motor vehicle accident with fracture to right femur, dislocation of right shoulder and a close head injury. Mr. Jones is a non-compliant hypertensive that stopped taking his medication prior to hospitalization. He is the father of three children, a 15yrs old, a 10yr old and a 3yr old, he is married and is the owner of a plumber company which employs two plumbers. Mrs. Jones is a stay home wife and does some of the business work form home. Mr. Jones has no family and relies on his wife's sister and elder ...view middle of the document...

The nurse plays an important role in helping the ill individual and the family by being cultural competent, recognizing sings and symptoms of anxiety and stress in the ill patient and the family as a whole.Illness is defined in Cultural Diversity in Health and Illness as "a highly personal state in which the person feels unhealthy or ill, may or may not be related to disease" (Spector, 2009) We can start with the social relationship between the sick individual and the group or society the individual belongs too. There is expectations from society from the ill individual, known as the sick role, " The sick role is a shared set of cultural norms, that legitimates deviant behavior caused by the illness and channels the individual into the health care system." (Tischler, 2007) Based on Mr. Jones case study and the literature found on Introduction to Sociology (Tischler, 2007) in reference to the sick role, Mr. Jones is exempted from performing what his day-to-day expectations and social obligations are in order to recover from his injuries, for example attending to his business. Mr. Jones also becomes non responsible for his state of well being and is not expected to be healthy spontaneously, he must recognize that being ill is undesirable and must seek medical attention in order to leave the state of illness.Each individual has a different concept of illness, how the individual experiences this period of instability, is greatly affected by the individual's culture and concept of illness. Although each one of us may experience illness differently, experts in medicine, sociology, nursing and psychology have recognized and attempt to describe five states the individual goes thru when ill, these stages are disbelief and denial, irritability and anger, attempting to gain control, depression and despair, and acceptance and participation. (Chitty and Black, 2011) Mr. Jones was admitted four days ago with fractures to right femur, dislocation of right shoulder and a close head injury and a prior history of chronic hypertension, based on his study he is considered a non-compliant hypertensive for not taking his hypertension medications prior to the accident. Based on the five stages of illness, Mr. Jones seems to be in stage one, disbelief and denial. Mr. Jones stress and being non-compliant with his medications portrays inability to accept being ill and downplay the gravity of his condition. Chitty and Black (2011) describe the first stage of illness as a result of not believing that the sings and symptoms experienced by the individual are caused by illness. Mr. Jones' otherwise seems like a healthy individual and hard worker who might consider him self to be a healthy individual. In his case, Chitty and Black (2011) are correct when they state " People who pride themselves on their vigor and health may down play the significance of symptoms… they may avoid treatment or attempt inappropriate self-treatment."Mr. Jones prior coping abilities with his...

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