Phenomenological Hermeneutic Study

Question: Discuss about the Critical Analysis-The meaning of learning to live with medically UN explained symptoms as narrated by patients in primary care A phenomenological hermeneutic study. Answer: Introduction Medically unexplained symptoms are those problems for which there cannot be physical cause or any medical justification through appropriate medical test can be explained, it is basically the state of mind that is complaining about by the student. The various symptoms stated by the patient are like Body pain, restlessness and several other symptoms when medically body is completely physically fit. It is nothing like the patient is physically fit but still the patient is complaining is not affected (Brian R. W, Nicki R C, 2012). Due to which the patient problem cannot be understood by several doctors and wrong treatment is given to the patient and only it is the patient who suffers. These Medically unexplained symptoms are causing many problems for patients and it is a big research area. The purpose of a critical analysis of a research paper is to evaluate the worth of information provided in it, to explore the strengths and weakness of the research paper, to determine the applicability in medical service and depending upon the information gained through this paper bringing the change in medical services. Background of study This Research paper elaborates the medically unexplained symptoms as narrated by patients in primary care: A phenomenological hermeneutic study, it is a problem that is faced by the several sections of patients. Medically this is a big challenge, still medical services are unable to address as well provide complete cure for these kind of medical symptoms. This paper not only highlights about the symptoms but also explains how adversely these symptoms put affect in daily life of the patients in managing their life. Not only patients the Doctors also become dissatisfied by their own treatment as a good Doctor always desires that his/her patient is completely cured. This paper attempts to explain the problem faced by the patients as well Doctors and Nurses in providing the medication to them. It narrates the experiences of the patients their problems, how pathetically they are facing their life (Christopher. B, 2012). Significance of Study The significance of studying about these patients is to know more about the patients suffering from the symptoms of unexplained diseases. Most important point is that these patients do complain regularly about their problems but in the medical report it appears every thing is fine , normally the problems of these patients are put in the category of psychological but even though it cannot be ruled out that there are several diseases which are not studied ,there are several symptoms they are unexplained ,medical science has still not found complete cure to several diseases, so putting these symptoms in the category of psychological problem is not a solution. There can be partial psychological problem but not complete. It requires to perform an extensive research study in this area. These patients not only suffer due to their medical problem but also due to experimental, wrong treatment of the Doctors and Nurses . The most critical problem they have to face is no body is understanding a nd believing them , ultimately they learn to live with their medical problem throughout suffering in their life. Overview of Research Design Aim of Research The Research presentation in this paper has been divided into two sections, firstly this paper presents the detail of the information gathered on the medically unexplained symptoms. Further this paper presents the research study according to the patients point of view how a patient has to face problems in managing their life ,how they learn to live in changed life situation and physical condition (Francis .C, Peter .H, Per .F, 2011). Research Design This paper also gives detail about recent researches conducted in this problem area, step by step cure is one of the primary method of treatment given to such patients, another main treatment to such patients given is the Mindfulness treatment, as mainly the root cause of such problems is considered to be mental state of the patient. For this purpose the various physiological factors such as cognitive, behaviour and emotional effect on patients is studied. Along with Psychological study to find the causes of mental state, the biological factors of the patient are also studied such as Endocrine and Immune system problem, amino acid, neurotransmitter and various other biological problems cause these medically unexplained symptoms as the recent researches in this area reveal on the basis of experimental study conducted by these researches. Further this paper also presents the literature review of the Research papers, diagram is also given to present the details of patients suffering fro m these kinds of symptoms. Further this paper presents the brief of interviews conducted with the patients suffering from these kinds of disease. At the end of this report the detail of the Authors contribution, Acknowledgements and conflict of contribution is presented ( Eva .L, Elisabeth .B , Staffan. S, 2015) . Appropriate Recommendation According to my perspective this layout of presenting the report is appropriate as firstly the Authors have presented the detail of the medically unexplained symptoms than the literature review of other reports so that one can get more information and can do self analysis too. The diagram is also appropriate but if more diagrams could be presented than the report can be more informative. Further the presentation of Interviews of patients are giving justification to above discussed issues so they had helped in highlighting the issue in remarkable way. Sampling Study participants and Sampling Technique In order to collect the information the Research team conducted the research on the group of 10 participants suffering from MUS from the age group of 18-64 years in the 2011 between Aprils to September 2011. The participants were made to visit the medical staff and Doctor at least eight visits in the specified duration for study. Inclusion and exclusion Criteria The selected Participants were considered or their inclusion was done on the basis of patients ready for participating and given their consent in written, their previous medical record depicting MUS, they visited the doctor and medical staff eight times minimum, their age is between 24 to 61 years, have presented their social security number and other details rest peoples were excluded from study. Selection Criteria The above discussed criteria was made to select the participants as firstly it is unethical to study a patient or any person without his/her consent. No medical norms be violated to do study and regional ethics are somehow too not be violated. Research Design In order to collect the samples and do the study the A phenomenological hermeneutic method was employed on the participants. According to our Perspective the selected method is appropriate for studying as it guides as well helps in performing the study in appropriate way. Sample Size and appropriateness The sample size was determined by using the Nave method, structural analysis and comprehensive understanding. It is appropriate to use these methods as they helped in presenting the samples in appropriate manner. Data Collection Data Collection Method The data was collected through previous medical reports of MUS suffering participates, interviewing them with the help of EL and audio recorded system through digital devices. Then these data are analysed through above discussed methods. Yes the method of collecting the data is appropriate as it is the best way to collect the data in simple way rather than making whole process complicated Appropriateness and Research Design Rigor can be defined as strictness of adhering the standards or methods in action of judgement. The concept of Rigor defines the quality of work in the sense of standards, the quality of data collected, the Research tools applied and how the analysis of data to present the finding or result is implemented. To ensure that the appropriate measures are took to ensure rigor in the research is to apply fixed standards for methodological techniques. Secondly to ensure the specific techniques are applied to specific methods (Kyle B. B, 2016). Data Analysis Method of Analysis The method of Data Analysis selected for analysis are took in three steps firstly the Nave Reading is applied then the structural analysis and at last the comprehensive understanding technique was applied. These are common and best used practices in analysing data in various other fields even in machine learning too. Yes the above discussed methods were appropriate as they help in better understanding of the problem domain and to perform research in this field. Appropriateness and Finding After analysis and research on the MUS , this paper presents its finding. It states that the patients condition can be defined based on two themes , firstly the symptom made belief in the patient that this particular problem is adversely effecting his/her life, life has become dependent and the patient looses the self believe. Secondly the sub theme defines that the patient learns to have insights of symptoms and learns to move on in life with these symptoms and learn to take care of own self, developing the way to manage their life facing these symptoms. Further this paper also claims that the method of cure for these patients are evolving ,even though these treatment techniques are slow and both physiological as well biological factors of patient are considered for treatment (Stevan . B, 2015). Usefulness in other setting Yes this finding can be used in other research setting and will work as comprehensive approach in performing the research ( Todd .E, Antony. S, David .D, 2010).. Evidence Utilization I personally feel that the finding of this research report can be utilized in clinical treatment of MUS patients, this research paper gives good highlight about the patients and will help the doctors to develop their method for doing treatment of these kind of patients. The information presented in the paper are well displayed with the help of diagrams, examples and charts. The language of the research paper is also simple and layout of the paper is also simple. Conclusion Medically unexplained Symptoms and patients learning to deal with these problems is a wide research area , in the limited time and with the student level expertise this report was written still there is more scope of presenting details in it. The purpose of this paper was to learn new types of medical patients whose disease is also not well researched and most importantly these patients require extra care and concentration. This knowledge gained through this assignment will help in my Nursing career. Working on this assignment was no doubt a good learning experience for me and will definitely be helpful in my entire career. References Brian R. W, Nicki R C, (2012), Davidson's Principles and Practice of Medicine, Eli sever Publication Christopher. B, (2012), ABC of Medically Unexplained Symptoms, Wiley Publication Eva .L, Elisabeth .B , Staffan. S, (2015), The meaning of learning to live with medically unexplained symptoms as narrated by patients in primary care: A phenomenological hermeneutic study , CO Action Publishing Francis .C, Peter .H, Per .F, (2011), Medically Unexplained Symptoms, Somatisation and Bodily Distress: Developing better clinical services, Cambridge University Press Kyle B. B, (2016), Neuropsychological Evaluation of Medically Unexplained Symptoms: Assessment Primer, Taylor Francis Publication Stevan . B, (2015), Medically unexplained symptoms, Oxford Academic, Occup Med (Lond) (2015) 65 (2): 92-94. Todd .E, Antony. S, David .D,(2010), The treatment of patients with medically unexplained symptoms in primary care: a review of the literature, Mental Health Journal, vol 7(4), PMC3083260