scenario
Mark is admitted to an acute medical unit with acute abdominal pain. He is 20 years old and has autism spectrum disorder and mild learning difficulties. He appears agitated and is reluctant to take any medication.
He lives with his parents who describe him as highly intelligent, with a passion for detail which could be overwhelming. Mark has experienced social communication and social interaction challenges.
Learning outcomes:
Note:
NMC 2018
Rainbow model
Engel model
Medial model of health
Biomedical model of health
There are many different ways in which ill-health can develop, and each individual will experience different impacts depending on the specific combination of biological, psychological and social factors at play. However, there are some general trends that can be observed in how these different aspects of ill-health interact with each other.
Biological factors such as genetics and physiology can play a role in making individuals more susceptible to developing certain health conditions. For example, someone with a family history of heart disease may be more likely to develop the condition themselves. Similarly, someone who is born with a congenital defect may be more likely to experience health problems later in life.
Psychological factors such as stress and anxiety can also contribute to ill-health. If someone is constantly under a lot of stress, they may be more likely to develop conditions like hypertension or heart disease. Similarly, if someone is constantly anxious, they may be more likely to develop conditions like panic disorder or generalized anxiety disorder.
Social factors such as poverty and social isolation can also play a role in ill-health. People who live in poverty are more likely to experience a range of health problems, including mental health problems, due to the stress of their situation. Social isolation can also lead to health problems, as people who are isolated from others are more likely to experience loneliness and depression.
When it comes to complex health needs, all of these different biological, psychological and social factors can interact with each other to create a unique picture for each individual. For example, someone who is genetically predisposed to a certain condition may be more likely to develop that condition if they are also under a lot of stress or living in poverty. Similarly, someone who has a congenital defect may be more likely to experience health problems later in life if they are also socially isolated.
It is important to remember that not everyone will experience ill-health in the same way, and that there are many different factors that can contribute to the development of complex health needs. However, by understanding the different ways in which these factors can interact, we can start to get a better picture of how ill-health develops and what we can do to prevent it.
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