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The uncertainty in the outcomes of the various studies was taken into consideration to stress the need of further research to cope with the pain and handicap reducing methods by dealing with the patient psychologically were discussed. The psychological impact of the support given by the family members, friends and society were taken into consideration and the result of the reaction of the disabled person were also mentioned.
The life outcomes of lower limb amputated are physical, psychological and psychosocial conditions. This situation is somewhat out of the limits of the surgeon or a doctor. The nurses attending the patient during the course in the hospital and after discharge have more roles to play. The time taken to adjust with the disability depends on the nature of the patient. Though the time of adjustment depends on the sex also, it depends more on the circumstances. Men are more worried about losing their opportunities if they are the supporters of the family. (I think there should be reference to suppost) Same worry plays with the women also, if they have the responsibility of supporting the family. So the study about coping with the disability depends more on the support the disabled person gets from hospital, family, friends and relatives decides the course of acceptance and his will of acceptance finally plays a critical role in coping with the problem. ‘Coping’ is the word used by health professionals, which means about the patient’s understanding and managing the situations that arise due to the disability.
Body image and disturbance of self esteem were the main issues that affect the disabled person. The lot of literature till date that focussed on leg amputation can be divided into three categories: 1.Clinical observations of psychosocial responses, experiences, and expected phase for adaptation. 2.detailed in nature, empirical studies that show the affect of particular psychosocial responses and experiences among those with limb losses and 3. the investigations, which are related to each other and enable one to predict the relationship between a host of socio demographic, experiential, personality, environmental, and disability-related variables and certain psychosocial indices of adaptation to the traumatic loss1.
The results of clinical observations link the loss of lower limb to castration, loss of spouse, and even equal to capital punishment in some sensitive persons. One thing in common is that the people who are amputated feel more depression, tension, and pressure when they think about the daily life activities and future course of action. The empirical research on amputated persons has gathered the results regarding predictive power of a person’s socio demographic characteristics (present age, age at the time of amputation, marital status), disability related variables, psychological variables and the context of environment.