INTRODUCTION
The purpose of this essay is to demonstrate knowledge and understanding of both psychological and sociological factors that may impact on the patient/client and also relate to psychological and sociological theories and National Policies. The real name of the client has been changed to protect the patients confidentiality (Nursing and Midwifery Council 2008) NMC.
The patient I will be discussing is Mark, a 42 year old man who has worked for a construction company for the past 20 years. Mark is married and has three children ages 3, 4, and 8. Following an incident at home in which Mark fell 15 feet off a roof, he has had persistent chronic lower back pain. Two surgeries over the past 12 months have failed to alleviate his pain. Mark is currently out of work because of this and his wife has had to take on a second job working evening and weekends to make ends meet. Mark has no previous medical history and he classifies himself as being generally healthy. Prior to his accident, Mark was very active; playing football with his mates on weekends, jogging every morning, going to the pub, holidays with family and having fun with the kids. Presently Mark is unable to stand for long periods of time; this has affected his quality of life as a whole. The reason I have chosen this patient is because he has a condition that I may encounter in my own personal life and I am highly interested to learn about the impact it may have psychologically and sociologically on individuals.
Psychological Aspects
The psychological factors that Mark may encounter because of his physical condition may include depression, anxiety/anger, sleep disturbances and possibly low self-esteem. According to Abramson et al (1989), depression is caused by internal stable and global attributions for bad events and external unstable and specific attribution for good events.
Depression may occur with mark because of the lowered pain tolerance and may