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The biopsychosocial perspective is a comprehensive approach to health and illness that is crucial to improving the quality of life.
The purpose of this essay is to describe a practice experience from a biopsychosocial perspective of a patient admitted to a unit for respite care. The patient has a diagnosis of secondary progressive multiple sclerosis and the area being considered is the patient’s immobility. To begin, biopsychosocial will be defined and a brief description of the patient will be given before discussing how this central nervous system condition has affected the patient. The patient’s primary symptoms affecting their mobility will be described, along with a secondary symptom which the patient is vulnerable to developing. Subsequently, the associated tertiary symptoms affecting the patient psychological state and social systems will be discussed before summarising the knowledge gained and how this will alter skills in future practice experiences.
To respect and maintain patient confidentiality in line with the Nursing and Midwifery Councils (2008) code, a pseudonym will be used and will be referred to as Mary throughout this essay.
Mary is a forty-nine year old female who was diagnosed with Multiple Sclerosis twenty-one years ago. In 2006 her mobility deteriorated after a significant relapse and as a result of her symptoms she has been confined to bed since 2010. Additionally Mary has mild speech difficulties, is doubly incontinent and has a history of depression.
In 1977 George Engle developed the biopsychosocial model proposing that effects on a person’s health are a result of interactions between biological, psychological and social factors and not a single factor alone. Biological signs and symptoms are explored further by establishing the patient’s psychological state and social structure, for example their feelings, beliefs and relationships....

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