Analysis: A Patient's Narrative

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A Patient 's Narrative

Health according to the World Health Organisation (WHO, 1948), is considered to be not just an absence of a disease but it also includes the maintenance of sociological, psychological and physical well being (Nash, 2014, pp. 2–3). Previously Maslow (1943) developed a ‘hierarchy of needs’ which outlines the essential needs of any person. These are split into groups - self-actualisation, esteem, social, cognitive, safety and physiological, all of which can be subdivided again (Rana and Upton, 2008a, p. 55). Both the WHO definition and Maslow 's theory seem to mirror each other in the sense that health is more complex than it originally appears and both have addressed these crucial and often overlooked factors and explored them in much greater depth.
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Thus any illness could be cured via biomedical treatment such as medication and vaccinations. However there was no regard for social or psychological reasoning and therefore the treatments were very limited. Engel (1977) argued that this model was not sufficient as other factors could impact on health which could not be determined as physiological. This resulted in a new approach known as the biopsychosocial model (Rana and Upton, 2008b, pp. 6 – 7).

Nowadays the provision of holistic care is encouraged and advised, furthermore it is stated in the Nursing and Midwifery Council 's (NMC) professional values under ‘Competency 2’ (Halbert, 2015). Holistic care is defined as physical, spiritual, psychological and social. It views each patient as individual which in turn means they may require different treatment depending on what they believe will work for them, this will differ from one patient to the

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