During my mental wellness clinical I got a opportunity to care for a patient with the diagnosed of schizophrenic disorder. My patient rudiment was 62 old ages old male, married and father of one girl ( 16years ) and boy ( 14 old ages ) . He was an electric applied scientist and worked in Pakistan and on board boulder clay 2004. He does non hold any household history of psychiatric unwellness. He has been admitted to the infirmary multiple times, because 10 old ages back he has been diagnosed with this disease. This clip patient presented in the infirmary with complain of gustative hallucinations, societal backdown and deficiency of involvement in day-to-day activities. He lives entirely at place since one twelvemonth and no 1 is at that place to assist him out in his day-to-day activities, he take prepared nutrient from near by eating house.His female parent died when he was merely 13 old ages old, and father died when he was 40. Harmonizing to patient he is holding a matrimonial struggle that is why he lives entirely. In the infirmary besides I have non observed any of his household member to see him accept his brother in-law.
Support from any beginning is of import during physical every bit good as mental unwellness.
There are many sort of support system available to ill individual like support from friends, relations, community, group of people with same disease and household etc.In this paper I will speak about support from household during mental unwellness. Although function of household is important in physical unwellness every bit good but in mental unwellness it is considered as an indispensable portion of intervention regimen and it is really one of the mental wellness advancing pattern. Family is an built-in facet for an single and its presence gives us psychological support and strength to efficaciously cover with all the hurdlings. Trangkasomba ( 2006 ) states that “ household is the most of import context of an person. The primary map of a household unit is to supply a scene for the development and care of household members on the societal, psychological, and biological degrees ” ( p. 1946 ) . Patients who are being diagnosed with mental unwellnesss are the most powerless people who are being ignored by the society. Furthermore the stigma attached to it makes it more worse for the patient, if household does non back up them and see them as a load so society will ne’er makes an attempt to accept an single with psychiatric unwellness.
If we will see this construct to our Pakistani context most of its population lives in joint household, and during mental and physical unwellness the patient acquire support from one or more of its household member. Cook and Tarnovetskaia ( 2008 ) stated that the support of household for an person with mental unwellness is important in Asiatic Indian civilization. The extended household system makes the state of affairs easy for patient to acquire support from many of his /her household members during mental unwellness. The Engagement of the household is so imperative, that frequently it become a requirement of seeking aid for psychiatric unwellness. Furthermore harmonizing to Warner ( 2009 ) surveies have concluded that the rate of recovery from schizophrenic disorder is greater and mortality of people with schizophrenic disorder is lower in the development universe than in the developed states. The cardinal positive factor that brings that alteration is the engagement of households in the class of intervention. Family support is most of the clip available to patient in our civilization, we have close association with each other that makes our life easy to cover in troubles. In my patient the state of affairs was different, there was no household support except his brother in-law seldom visit him. Harmonizing to Sousa ( 2009 ) in states like Pakistan household is the major support system for the mentally sick patient but sometimes patient is frequently deprived of psychiatric intervention due to household loads. So in this respect we can state that although we do non hold up to day of the month resources available to extinguish mental unwellnesss, but we have strong household support which is helpful in cut downing the backsliding, pull offing the symptoms and increase the medicine conformity through psycho instruction.
If we will look this facet in a sense that what difference it will do if household is non involved in the intervention of psychiatric unwellnesss. Harmonizing to Trangkasombat ( 2006 ) , surveies have suggested that if there is a break in household operation so the ability of the household to cover with the psychiatric unwellness would be affected. Most frequently household maps are more interrupted in patients with psychiatric unwellness as comparison to non clinical group. In conformity to above presented scenario, household operation was disrupted since many old ages and the patient was entirely in the infirmary and at place. Although he had a complete household but he does non acquire any support from them, accordingly the deficiency of support from household becomes one of the factor which consequences in hapless advancement of the patient. During my articles search, I came across with several surveies those negotiations about household function in advancing mental wellness.
Cook and Tarnovetskaia ( 2008 ) , “ household engagement is a cardinal ingredient of the direction of terrible mental upsets ” ( p. 115 ) . But at the same clip there are many factors which can take to hapless household support during mental unwellness. Harmonizing to Fujino and Okamura ( 2009 ) , Some factors which can lend to hapless household support are demographics features of the households, the badness of the psychiatric symptoms and the patients ‘ ability for societal version ( including demands of the patient ) , the continuance of attention, and economic jobs, and consciousness of household members about psychiatric unwellnesss. Bing wellness attention professionals we need to understand this facet exhaustively. Our intercessions would merely be effectual one time household members do n’t see the morbid individual as a load on them. In instance of my patient, unluckily I was non able to place the exact factor, why there was no household support. ( Because I merely got one opportunity to speak to his brother in-law on the really first twenty-four hours of my clinical ) . One ground which the patient him self shared was he had matrimonial struggles with his married woman. Furthermore the patient every bit good the household has to confront stigmatisation from the society. Therefore, household members are non able to care for the morbid individual efficaciously and hence, mental unwellnesss are predominating in our society. For that it is critical to cut down the sense of load felt by attention givers.
Looking in to the above reference literatures it is grounds that affecting the households of patient with terrible mental unwellness has proven to be effectual in cut downing the backsliding rate for patients and the distress degree of households. Mental wellness professionals use different theoretical accounts and models for different therapies in their every twenty-four hours pattern. . Mottaghipour and Bickerton ( 2005 ) , give a Pyramid of Family Care which is more or less same to the conceptual work as Maslow ‘s Hierarchy of Needs. The bottom degree includes the debut and account household ‘s partnership in patient attention, placing the cardinal household attention giver and placing the household ‘s basic needs for information about the unwellness. The 2nd degree focal points on general instruction about mental wellness, unwellness, and resources available at community degree. Third degree is the degree in which psycho-education is given. It bit by bit becomes more specific and at 4th degree a meeting sing other curative regimen is done with household. The top degree represents working on household relationships can be done. In the instance of my patient, this Pyramid would be really utile in planning and implementing the household support and household instruction. Although I was non able to decently use the theoretical account on my patient due to clip constrain and inaccessibility of household members. But it could be done in a more effectual and comprehensive manner. First of all a complete appraisal of the household could be done by direct questioning his brother in-law in order to research all the issues and jobs. It can besides assist in placing assorted characteristics of household relationships. In this manner we can construct the trust with the household and link them with the mental heath service. After this a general instruction sing other resources available in the community, the patient and household ‘s right and mental unwellness and intervention will be provided to the household. Then after constructing the household ‘s trust on wellness attention suppliers they can now educate the household about patient ‘s disease procedure, including intervention option and medicine conformity. Further by deriving the familys assurance we will be able to research the relationships within the household. By utilizing this theoretical account we will be able to efficaciously affect the household in attention. By using this theoretical account in patient attention a considerable clinical addition can be made through simple intercessions with a big figure of households. This frame work can be applied at single, group or establishment degree really easy. A last sum of attention is clearly defined to steer the wellness attention suppliers and guarantee the basic undertakings are fulfilled before set abouting higher degree. By specifying and interrupting down the undertakings, the wellness attention suppliers empowered to affect households as an accomplishable portion of their mundane pattern through coaction with households. If the basic degrees in the pyramid are fulfilled efficaciously, there will be less demand of the higher intercessions. Therefore this can be applied at any degree.
Some schemes that could assist in affecting households in attention in order to advance mental wellness can be at single, group and at institutional degree. At single or group degree in-depth conversation with the patient and household is of import. So that their perceptual experience about the disease and who is the active spouse in the curative procedure can be identified. A thorough appraisal by wellness attention squad should be made so that they can be after and implement the identified pattern efficaciously. After thorough appraisal nurse can be after to supply learning on identified demand with the end that it will assist them to be able to take attention of morbid individual. During execution stage, we can carry on a instruction session maintaining in head the understanding degree of attenders. Interventions can be evaluated through looking into the household engagement and understanding about patient status. Group focal point schemes should be supply an educational Sessionss as on on-going footing at grass root degree like in school. Beside schools plans awareness related to mental wellness in the community is besides of import. At single or at institutional degree we can assist the patient and household to place support group, we can assist them in placing NGOs or other societal bureaus who are working specially to advance mental wellness. In add-on there could be other schemes which could be applied at institutional degree like treatments, debriefing session and household therapy that aids in advancing the pattern to affect households in attention which promote mental wellness.
Through this paper authorship, I have learnt the importance of integrating households in patients ‘ attention and identified some positive results of this pattern in patients ‘ conditions that are really clearly mentioned in the literature. Besides, it has enhanced my acquisition by supplying some relevant schemes that could be apply in our context to advance mental wellness. I feel that we nurses as a wellness attention professional can do an attempt in cut downing the load of households by merely affecting them in attention. Family support is really utile in advancing patient ‘s status which should be applied on any patient. I think household support is good for non merely psychiatric patients but all the other patients who are hospitalized due to any ground.
In decision, households play a important function in advancing mental wellness, at the same clip it is of import for wellness attention professionals to be cognizant of some factors that can suppress household members to care efficaciously for their loved 1s diagnosed with mental unwellnesss. By affecting the household in attention we can do an attempt in relieving the load of mental unwellnesss that would indirectly magnify the effectivity in attention provided to the patients ‘ diagnosed with mental unwellness. The demand is to see patients ‘ holistically and household as an of import ingredient in intervention procedure this will leads to mental wellness publicity.