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Serious Illness Scenarios

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There are many kinds of stressors that can make a person struggle; exams, marriage, separation, moving, economic difficulties, loss and death. According to the Social Readjustment Rating Scale (SRRS), the death of a spouse ranked 1st place as the highest stressor, with a score of 100 (Homes & Rahe, 1967). Serious illness diagnosis placed as the 6th major stressor, scoring at 53, just below the death of a close family member which had a score of 63 (Homes & Rahe, 1967). However, recent research found that personal injury or illness was the most stressful event in a more contemporary lifestyle, placing 3rd in SRRS (Scully et al., 2000 P875). Serious illnesses influence the patients and their families’ lives, and the majority of people are known …show more content…
Patients diagnosed with cancer frequently confuse their belief of a fair and safe world, and patients often express disorientation, confusion and anger accordingly. Some people believe that if they have led a good, healthy lifestyle and have followed the public knowledge of health, they should be immune to the harm of a life-threatening illness. Consequently, if they become sick or are diagnosed with an illness, they may feel it ‘unfair’. Usually, a patient’s anger is accompanied by covert behaviours such as being silent, moody, withdrawn, acting bitter, apathetic, asking loaded questions, refusing to see visitors, refusing to eat or drink, displaying indecisiveness or ambivalence, or forgetting to do important things (Carroll-Johnson, 2006). Physically, the patient may experience: an increase in heart rate and cardiac output to transport nutrients and by-products of metabolism more effectively; increase in rate and depth or respirations because of dilation of the bronchioles, promoting hyperventilation; dry mouth; increase in muscle tension to prepare for rapid motor activity or defence and increase in blood sugar because of the release of glucocorticoids and gluconeogenesis. (Berman et al.,

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