Study On The Biomedical Model And Biopsychosocial Model

Study On The Biomedical Model And Biopsychosocial Model harmonise to human being Health Organization(WHO,2003) heath is defined as state of bump off physical, cordial and social well-being and not merely the absence of infirmity or infirmity. Every human being on earth desire for a good health. Good heath assists us to gain better order of life. When the good health is bear on, every longanimous who suffers from any kind of heath disorder or illness be usually in a fragile condition of mind or curious. So the approach toward them by medical practitioners should be to explain their current situation and to help them. in that respect are a few(prenominal) beats of health created and utilise in hospitals or clinics in order to guide the medical practitioners in treating the patient. This includes biomedical imitate, social model and biopsychosocial model. Most commonly used in practice today are biomedical model and biopsychosocial model.Before the development of biopsycho social model, biomedical model used in practice. Biomedical model states that good health is the freedom from pain, soil or disease. It mainly focuses on physical factors that affects the health such as biochemistry, physiology and pathology of disease. It does not include social or psychological factors into account.In 1977 George L. Engel questioned the control of the biomedical model via well known journal, Science. He to a fault explained the pauperization for a new model that was more holistic. He said that in order to provide a basis for understanding the determinants of disease and arriving at a rational intercessions and patterns of healthcare, a medical model must excessively take into account the patient and the social context in which he lives. So in the same year biopsychosocial model was theorized by L.Engel. harmonise to OSullivan Schmitz (2007, p.28), patient outcomes improved considerably when they are inured with consideration, educated on their condition a nd are shown respect by the therapist and staff of the hospital. When treated as such, rehabilitative goals set by therapists rear end be reach as patients have more confidence in themselves and in their therapist and are willing to go the extra mile to regain form functional independence. This particular approach is known as the Biopsychosocial method.Recently Borrell-Carrio, Suchman, and Epstein (2004, p. 576) said,The biopsychosocial model is both a philosophy of clinical care and a applicatoryclinical guide. Philosophically, it is a way of understanding how suffering,disease and illness are affected by multiple levels of organization, from the societal to the molecular. At the practical level, it is a way of understanding the patients subjective experience as an inherent indorser to accurate diagnosis, health outcomes, and humane care.Biopsychosocial model which is a more complete conceptual framework emphatizes on biological, social and psychological factors, all black ma rket an important role in human functioning when the person is affected by any disease or illness. A.Fava(2008,pg 200) states that study of very disease must include the individual, his/her body and his /her surrounding environment as an essential components of the total heath system.During my first clinical placement, I had the opportunity to attain and note the implementation of the biopsychosocial model by the physiotherapist in the sermon of patients in a private hospital. Implementation of biopsychosocial model is clearly seen in a patient who is 23 years old, Mr K. When the patient first entered the centralise Mr X, who is the physiotherapist responsible greet Mr K with smile on his case and introduce himself to the patient. According to the doctors report, Mr K had minor operation overdue to his aright anterior cruciate ligament(ACL) tear few weeks before.Mr X begin his session by assessing the patient subjectively. Throughout the assessment Mr X asked the patient que stions regarding his manifestation and social life which leads to the symptom. At first, Mr K repudiated to respond to Mr xs questions. But after few minutes of conversation, Mr X managed to gain Mr Ks respond. This is maybe because Mr X mind to the patient carefully and maintained eye contact with the patient which vex the patient to trust him. Richard S Irwin (2006,page 573) states that good physiotherapy-patient communication includes understanding(18%) and talks to me (15%) were the almost important characteristics, followed by cares (10%) , listens (8%) and respect (7%). Pekka Larivaara (2001,page 9) states that skilled physiotherapist convey earnestness and attention by their forward posture, eye contact and expressive face, movement and tone. At the end of subjective assessment, Mr X got to know that Mr K is a professional football player and he had lateral ankle ligament spran terce years before.Before begin the physical examination , Mr X politely asked the patient to lie on the examination table. After getting the patients go for the physiotherapist palpated below the knee of the patient to check for any several(predicate) symptoms such as swelling or redness around the calf muscle. According to Petty (2004,page 340),informed consent is a paramount to ensure that the patient fully understand what is being carried out and that he has the right to refuse or accept the treatment given. Then physiotherapist measured the twine of motion of flexion of the patients affected knee. During the measurement, Mr X observed the patients facial expression. He realized that the patient having thornyy in flexing his knee after trusted level. He also noticed that the patient is depressed and down due to his recent condition which preventing him from carrying out his daily activities. So the physiotherapist move the patient and gave him moral support.he promised the patient that he would be back to his prevalent lifestyle within 6 months.Before the phy siotherapist begin his treatment , he explained about the treatment which going to be given to the patient. He also explained about the benefits and outcomes of the treatment. He positioned the patient in supine lying by place a pillow under his head and a towel under his thigh. This is to make sure that the patient is in loose position to receive the treatment. Petty (2004 , page 341) states that patients comfort is paramount as it induces relaxation and enhances the adherence to the treatment. Patients comfort during treatment session is a positive importance to their believe in the medical professionals, treatment, and their capability to relax when they change treatment plus patients choice of treatment positions should be respected. physical therapist also make sure that the height of the examination table is parallel to his cannon level to ensure that he can easily reach the patient. Physiotherapist then applied cold pack and TENSE to the patient to assume his pain. The t reatment session took place for 15 minutes.Later, Mr X teaches the patient on how to use the elbow crutches. At the beginning stages the patient find it difficult to walk with the crutches. But after the physiotherapist assist him for few hours, Mr K manage to walk with the crutches. According to OSullivan , the supportive use of hands can allay fears and instill confidence while ensuring safety. The key to success in using direct movement is to intersperse active practice with guided movement, providing only as much economic aid as needed and removing assistance as soon as possible.He came for treatment continuously for few weeks. Physiotherapist praised him upon his success in walking throughout the treatment period. According to Pekka Larivaara(2001) patient-centered physiotherapist acknowledges and appreciates the patients effort to cope with his/her symptoms and problems.