Health and Social Care

Summary of ‘Being a Hospital Patient’

In this assignment, I’m going to show how the hospital environment shapes the role of the patient. I will be using the case study of Anwar Malik (Block 1, learning Guide 2, section 4.2) A 54-year-old man from Pakistan, who has been diagnosed with Type 2 Diabetes. He has been managing his own illness up until now but has developed a black and swollen foot. He was immediately taken to hospital by ambulance and later diagnosed with having Gangrene in his foot. As a result of this Anwar will have to have his leg amputated from the knee down as the gangrene is spreading up his leg.
From the moment a person is taken from that of expert patient role, by which the service user has been treating themselves to that of a hospital patient (an extreme version of the ‘Sick Role’)(Block 1, learning guide 2,Unit 4.2) things will change dramatically for that person.  
Anwar’s expert patient role changed as soon as he was taken to hospital by ambulance. He was placed on a stretcher, dealt with by lots of strangers and admitted to the hospital ward. He was asked to remove his clothes straight away and given a hospital gown, this would have made him feel very self-conscious, along with being very worried and anxious about what was going to happen to him. By the removal of his clothes he would have lost any sense of his own identity. He was completely taken out of everyday life from this point.
Responsibilities of the previously expert patient have now changed. The primary carers would have been encouraging Anwar to play an active role in managing his own illness, checking his own sugar levels for his Diabetes and following a good diet with some exercise. Anwar had been doing this for some time. Now however, in the biomedical environment where the doctors and nurses all do their own recordings and observations this would all change. Medical professionals have now got full responsibility of Anwar’s condition. This would be extremely...