Abstract
The focus of this paper is to conclude a theory that presents an explanation as to why a large percentage of patients often develop depression post open-heart surgery. This theory will consider dynamic causes of depression including physiological, psychological, developmental, social, and spiritual factors of patient experiences.
Post-Cardiovascular Surgery Depress
Physiologic Stressors Depression is among one of the many risks involving any cardiac open-heart surgical procedure. The body is put under a tremendous amount of physical stress and could cause someone to feel the effects of depression. A saw is used to crack open the sternum, the muscles are stretched apart and the adjacent nerves are strained to expose the
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Patient’s worry that the relationships they had pre-open heart surgery will never be the same due to their condition. It is important for patients to realize that a support system is so vital to their recovery and wellbeing.
Spiritual Stressors Open-heart surgery will also try a patient’s spirituality. Patients may ask God, “why me?” and develop a sense of anger and or betrayal. This may cause he or she to feel forsaken and separated from God; this mistrust in God can further contribute to a patient’s loneliness and depression. The varying combinations of stressors mentioned above compromise a patients normal state of mind and can easily be attributed to their negative and depressed way of thinking which only makes sense to lash out against God. Hopefully a patient’s actions and mentality can be persuaded and enlightened by the nurse or others taking care of the patient. (Isaiah 41:10 KJV) “Don’t you be afraid, for I am with you. Don’t be dismayed, for I am your God. I will strengthen you. Yes, I will help you. Yes, I will uphold you with the right hand of my righteousness.” It is important for the patients to see their condition in a more positive and proactive light. This patient should view their surgery as a success through the power of God and as second chance to change their life style to improve their health and hopefully prevent the need for future surgical procedures.
Conclusion
The author speculates that post open-heart surgery depression is triggered by
The patient believed he was experiencing this from his heart’s previous owner. This raised the question if the heart’s new owner received feelings, thoughts, or personality changes from the heart’s previous owner. A study was conducted in 1991 by a team of Viennese surgeons and psychiatrists. Forty-seven patients were interviewed, and forty-four said that they hadn’t experienced anything. Two patients said that they had taken on some personality traits of their heart’s previous owner, and one patient simply referred to herself as “we”. Roach did more research on the psychological consequences of receiving a new heart from someone else’s chest, and she found that “fully half of all transplant patients develop postoperative psychological problems of some sort”
The hospital can be an isolating place for some people and this does not encourage healing. The Christian faith can be lived out in the medical field by having a genuine desire to connect with those around you. The comfort of having someone who cares about you and always connects with you is a stress relief and helps with the healing process. Offering to pray with or listen to the patient's worries builds this relationship. Knowing someone is fully invested and wants the best for them will make communication much easier in the hospital because there is a sense of
Love and compassion, along with providing services to others is just a few components of a healing hospital. Often time the hospital is where patients are at their weakest state, both mentally and physically. This environment is a place where diagnosis and treatment of illnesses are implemented with the use of pharmacologic and technical means. It’s vital that the focus remains on the patient as a whole; therefore the physical and spiritual issues must be equally addressed. Patients could be placed in a defenseless circumstance upon admission to the hospital; therefore they may feel a sense loss of their
Q1. Identify the psychosocial impact of surgical intervention including the psychosocial impact of elective and emergency admissions, separation, and loss of income and/or loss of control as related to the case study
Discussion how “words of comfort” encapsulated the books take on medicine, I feel that these words are showing us how in medicine being a caring and sympathetic health care provider is important. (Verghese, 2009) In the book relationships with patients is shown to be as important as the care they are providing. Knowing how much technology and medicine has advanced in the last years I feel that no matter how good the scientific side of it is there has to be a relationship with the health care providers and patients. It is proven that a positive relationship helps a patient recover faster. Relationships can help in many ways just having someone to talk to, give feedback, and encouragement are all way relationships are able to benefit and speed up recovery. (Brainline, 2015)
The article “The Practice of the Ministry of Medicine” by Dr. Margaret Mohrmann was written to share real life stories of patients struggling with diseases. The article “Spiritual struggle and affective symptoms among geriatric mood disordered patients” by David H. Rosmarin, Mary C. Malloy and Brent P. Forester was written to explain the medical approach on spiritual care for patients. Therefore, these articles show the difference between emotional and unemotional language while discussing healing a person.
The heart is not just a organ to pump blood, the heart (I feel) contains emotion. Emotions of things you might have done in your lifetime! In the documentary ¨Transplanting Memories¨ There were recipients of the organ and they were doing certain things they never did before. For example one lady was drinking beer eating certain foods that her donor ate, but she never ate or drank these things before the transplant.
Postoperative pain with open heart surgery patients is a common concern for patients and their families, as well as members of the health care team. Poorly-managed pain may slow recovery or lead to postoperative complications, some of which may be serious. Music therapy as a complementary alternative to analgesic medication is a low-cost and risk-free nursing intervention that may be helpful in managing the postoperative pain of cardiac surgical patients. This is a review of literature about the effectiveness of music therapy on postoperative pain. It includes 10 primary studies as
The research was conducted at Mended Hearts, and volunteers who were once patients were asked a series of questions that uses the Likert scale. Seventy chapters, which is about 877 volunteers, participated in the experiment. The study is split into two stages. For the first stage, volunteers were asked about their involvement, quality of life, and physical and mental health. For the second stage, volunteers were asked about their reasons for volunteering, the meaning and purpose obtained from volunteering, and types of support they gave to the victims. Because there was only a 52 percent response rate, the results could not accurately represent all the Mended Hearts visitors. The independent variables of this experiment are the volunteers because the “role of a visitor” is constant.
The person component according to Marchuk’s philosophy and science of human nurturing, is clarified as an exemplified soul in which there is solidarity of nature, brain, and body (Marchuk, 2014). Through experience, I realize that anxiety, depression and low self-esteem most of the time ruins recuperation and successful outcomes. This not only refers to the patient but the family/caregiver as well. Involving the patient’s family into the patient’s plan of care is also known as family-centered care, reinforcing the education also promotes positive patient outcomes. Therefore I always take my time to explore any worries in my patient’s or family member that can influence in their recovery.
Most chronic health conditions have at least some psychological effect on a person, and sometimes it can psychologically affect their loved ones around them also. This is true with congenital heart disease. Congenital heart disease is a number of different defects of the heart that are present at birth and is one of the most common types of birth defects. With the advancement of medical technology and cardiac surgical techniques children with congenital heart disease are living longer and even surviving into adulthood. Along with this new generation of congenital heart disease survivors has come the question of how congenital heart disease plays a role in ones psychological welfare. Many studies have been done on this subject, but mostly with children and adolescents. Most of this population is just now reaching adulthood, so not much information is
Postoperative anxiety among patients is very common and is often ignored. Anxiety is best described as subjective unpleasant feelings such as unease, worry, dread, and apprehension over something that is unlikely to happen (Sigdel, 2015). Patients may be anxious during the postoperative stages because they are facing the unknown and have a lot of uncertainty about the outcome of surgery, financial loss during recovery, separation from loved ones, and dealing with postoperative complications (Goldsworthy, Goodridge, & Lewis, 2013). Postoperative anxiety can occur in any patient undergoing surgery and can cause increased stress levels within the patient which can cause an increased difficult time with postoperative healing and pain management
Many patients will realize that there is no need to be alone. They will seek out and find long term meaning and purpose for their life through religion and beliefs (Sarafino, 2006).
The spiritual significance of illness and suffering is a topic Christians continue to grapple with, as Larchet points out in The Theology of Illness. Scripture offers a wealth of wisdom and cues for understanding illness, health, and healing from a Christian perspective. Larchet analyzes the various and often contradictory Christian positions on health and illness, revealing how attitudes have shifted over time and with changes in medical technology, practice, and ethics. For example, St. Barsanuphius presents a comprehensive analysis of the spiritual significance of illness and suffering. One view holds that illness signifies a lack of faith; another presents illness in terms of a person who is offered the opportunity to develop a stronger faith, or whose faith is being put to a test like the story of Job. Ultimately, the latter remains the most helpful way to approach illness and healing from a Christian perspective. The essence of Christian health care is that, "Healing itself, while resulting from natural processes, actually comes from God," (Larchet 116).
In cosmetic surgery, you can get hurt emotionally as well. You can be unhappy with the outcomes of the surgery. Allison A. (2008) states that people can get depressed before and after surgery because there is never a 100 percent chance of being satisfied with appearance. There is always something, one little thing that bothers you. Because of the Hollywood figure that