1. CheckPoint: Coping Styles and PsychologicalPreparation
Resources: Ch. 5, Table 5.1 (p.120) &Ch. 10 of Health Psychology, and the WebMD® Web site athttp://www.webmd.com
Review the cardiac catheterization procedure presented in yourtext on p. 280, or read about it on the WebMD® Web site.
Select either Case A or Case B:
o Case A: Gerry is a tall and lean 64-year-old male pacing thefloor at the cardiologist’s office. He has been experiencing severechest tightness and shortness of breath for several days, but hasnot told his wife because her father recently passed away from amassive heart attack. She is still mourning the loss. Gerry’scardiologist has just told him that he needs a cardiaccatheterization. Gerry squeezed this appointment into his busyschedule as a real estate broker for a commercial real estatecompany in Boston. He now wonders if all of the extra time at theoffice he put in to climb up the ladder of success was worthit.
o Case B: Marsha (age 40) and Clint (age 45) have been waitingpatiently in the clinic room for preoperative instructions formitral valve replacement. Marsha’s surgery is scheduled for oneweek from today. She had rheumatic fever as a child and has beenexperiencing shortness of breath and exercise intolerance, notedwhen walking around the block. Marsha and Clint have two healthychildren, ages 10 and 14. Clint is a journeyman plumber. Marsha isa homemaker who struggles with reading. She has dyslexia, and isupset with herself for not trying harder to read more about how tostay healthy. Both Marsha and Clint’s parents live about 1,000miles away, in a farming community where the couple grew up, met,and married. They are very involved in their church, and peoplehave already offered tohelp. Determine the patient’s coping style. Explain which psychologicalpreparation method would be most appropriate for the patient basedon his or her background, coping style, and behaviors in 250 to 300words.
Update Appendix B.
2. Discussion Questions
Post your response tothe following: Has specialized medicine made an overall positive ornegative impact on the quality of patient-centered health caredelivery? Give examples as you explain your opinion. Does youropinion change when discussing patients as a group versusindividual patients? Why or why not?
Resource: WebMD® Web site at http://www.webmd.com
Select either Case A or Case B:
o Case A: Kevin, a 3-year-old boy, stands screaming in a hospitalcrib as he watches staff walk past his room. His mother has justleft to go to the cafeteria for lunch. She rarely leaves his side,even though she is a single mom with three older children.Neighbors have offered to help watch the older children any timeshe needs to leave the house, especially for doctor visits. Kevinis dehydrated due to gastroenteritis, and has an IV in his righthand, which is swaddled in gauze to prevent him from pulling the IVout. He is right-handed, and cannot play as well with his lefthand. He cannot eat or drink anything yet, even though he isbeginning to feel hungry.
o Case B: Sarah is a 9-year-old girl with cystic fibrosis. She hasdeveloped pneumonia again, and the doctors want to try a newmedication along with a new type of breathing therapy to helpdeliver oxygen to her lungs. The new therapy must be done in alarge, new medical center Sarah has never been to. Her mother willbe unable to come in the treatment room with her, but she will beallowed to accompany Sarah up until the department waitingroom.
Visit the WebMD® Web site if you choose to learn more about thechild’s illness in case study you selected.
Post your response to the following: Indicate which case studyyou selected in the subject line of your post. What developmentallyappropriate methods can be used to help the child cope with andprepare for various aspects of their hospital visit? How would youaddress the child’s emotional needs? What adjustments must thechild make?
ScholarMatic: Explanation & Answer
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