Health problem/diagnosis
Hidradenitis suppurativa (HS) is a chronic, recurrent, suppurative, cutaneous disease, manifested by abscesses, fistulating sinus tracts and scarring. Synonyms are apocrinitis, acne inversa and pyoderma fistulans significa. The disease is expressed by a variety of clinical features, and many sites may be involved. It affects apocrine gland-bearing skin; the axillae are most often involved, followed by the anogenital region. Uncommon sites include the areola of the breast, the submammary fold, the periumbilical skin, the scalp, the zygomatic and malar areas of the face, the buttocks, the thighs and the popliteal fossa. Patients affected may present to family physicians, general surgeons, gynaecologists, urologists, infectious …show more content…
Patients feel unworthy and not lovable when they have large/many scars and ongoing boils. Various emotional reactions to HS were reported. Irritation, anger and sadness are often experienced when lesions appear. Patients reason that the lesions look ugly, smell, appear quite frequently and are painful. Sadness and worry also occur when patients are unable to do their work because of HS, or if the disease is unaffected by the treatment provided. The painful lesions often limit daily activities, such as dressing or moving around. This leads to a feeling of helplessness and dependency on other people during these periods. As flares can last for many days this easily results in depressive moods. Patients also feel embarrassed because they have visible scars, and they hide the affected areas by wearing long-sleeved blouses, trousers or long shorts. Patients generally look at dating as troublesome, because they find the situation with disgusting lesions too complicated and too difficult to explain, and this makes them push people away. Patients are generally aware that the disease is chronic. They appear to accept the disease as long as it cannot be cured, but they find it difficult to be told: “You have got to learn to live with it.” by some physicians. A continuous consideration for patients is how to dress. Black or dark-coloured, loose-fitting clothes, perhaps with an …show more content…
A social worker is not supposed to be bias when assisting the client in making decisions. The client may have a personal reasoning for declining a particular treatment; even if the social worker knows what that the treatment is best he/she has to respect the client’s right. Additionally, confidentiality can be an ethical dilemma faced with the illness. The social worker must receive the client’s permission in disclosing any information about the client. Since HS is a difficult, sensitive topic for the client to discuss, the social worker needs to ensure to get proper consent when working with the
Hidradenitis suppurativa (HS) is a chronic, recurrent, suppurative, cutaneous disease, manifested by abscesses, fistulating sinus tracts and scarring. Synonyms are apocrinitis, acne inversa and pyoderma fistulans significa. The disease is expressed by a variety of clinical features, and many sites may be involved. It affects apocrine gland-bearing skin; the axillae are most often involved, followed by the anogenital region. Uncommon sites include the areola of the breast, the submammary fold, the periumbilical skin, the scalp, the zygomatic and malar areas of the face, the buttocks, the thighs and the popliteal fossa. Patients affected may present to family physicians, general surgeons, gynaecologists, urologists, infectious …show more content…
Patients feel unworthy and not lovable when they have large/many scars and ongoing boils. Various emotional reactions to HS were reported. Irritation, anger and sadness are often experienced when lesions appear. Patients reason that the lesions look ugly, smell, appear quite frequently and are painful. Sadness and worry also occur when patients are unable to do their work because of HS, or if the disease is unaffected by the treatment provided. The painful lesions often limit daily activities, such as dressing or moving around. This leads to a feeling of helplessness and dependency on other people during these periods. As flares can last for many days this easily results in depressive moods. Patients also feel embarrassed because they have visible scars, and they hide the affected areas by wearing long-sleeved blouses, trousers or long shorts. Patients generally look at dating as troublesome, because they find the situation with disgusting lesions too complicated and too difficult to explain, and this makes them push people away. Patients are generally aware that the disease is chronic. They appear to accept the disease as long as it cannot be cured, but they find it difficult to be told: “You have got to learn to live with it.” by some physicians. A continuous consideration for patients is how to dress. Black or dark-coloured, loose-fitting clothes, perhaps with an …show more content…
A social worker is not supposed to be bias when assisting the client in making decisions. The client may have a personal reasoning for declining a particular treatment; even if the social worker knows what that the treatment is best he/she has to respect the client’s right. Additionally, confidentiality can be an ethical dilemma faced with the illness. The social worker must receive the client’s permission in disclosing any information about the client. Since HS is a difficult, sensitive topic for the client to discuss, the social worker needs to ensure to get proper consent when working with the