Coping With a New Diagnosis
In the present day, the number of individuals being diagnosed with chronic illness continue to increase due to the changes in lifestyle that increase the risk of illness among individuals in the society (Megari, 2013). In the interview, I had an opportunity to discuss the coping strategies that individuals undertake upon diagnosis of a chronic illness through highlighting the social, psychological and emotional consequences on the individual. The participant of the interview, Mr. X that has been recently diagnosed of having diabetes at the hospital by the general physician. The participant was very cooperative during the interview and also was willing to share his experiences in coping with the new diagnosis that has resulted in a total change of this lifestyle through the assistance of the multidisciplinary team at the hospital as well as his family. Prior to conducting the interview, I had sought out the consent of the participant as well as providing the topic of discussion and the reflective question that I was going to ask him during the interview. Based on the preparation of the interview, the participant shared his experiences before and after the diagnosis was established while at the same time highlighting some of the challenges that he experienced in terms of his lifestyle so that he could effectively cope with the new diagnosis. The purpose of the interview was to draw upon the experiences of the participant regarding coping with a new diagnosis in order to understand the various challenges as well as triumph attained so that I can get insight into supporting patients with new diagnosis during my practice.
During the interview and also while listening to the audio record of the interview, listening the participant share their life experiences in regard to coping with a new diagnosis of diabetes is a little nostalgic. This is because through listening to the person, one gets the insight regarding the personal and individualized experience of chronic illness that provides a totally new dimension in regards to the management of patient at the healthcare facility. This is evident because as a nurse working in at a health facility that serves chronically ill patients; often the relationship is defined by the role of a nurse toward the patient therefore resulting into a nurse-patient relationship that is usually professional. Through the interview rather, the participant shares his experiences regarding coping with the new diagnosis on a personal basis therefore making the interview mood filled with empathy due to the emotional and psychological impact of the response provided. Also, through maintaining eye contact with the participant without staring during the interview, it was very emotional listening to the participant share his experiences prior to the illness as well as after the illness.
The response of the participant during the interview can be considered to be a representative of the experiences of new diagnosis of chronic illness. One of the significant responses of the participant during the interview is the adverse emotional and psychological significance of the new diagnosis that was characterized by denial, depression and anxiety. Mr. X responded that upon the establishment of the diagnosis, he had anxiety and depression due to the severity of his condition and he went into a state of denial because he viewed himself as relatively healthy. The adverse psychological and emotional reaction to the new diagnosis by the participant is an important indication of the challenges individuals experience upon disclosure of a diagnosis of a chronic illness. In undertaking a further analysis of the interview, some of the responses that are considered to be a representative of the experiences of the patient’s coping with the new diagnosis of diabetes include the health seeking behavior of the participant. The interview addressed the health seeking behaviors of the respondent through questions seeking to establish the frequency of health checkups or the lessons that the participant learn through the experience. In responding to his health seeking behavior prior to the new diagnosis, the participant hardly went for health checkup unless he was ill or it was mandatory to go for health checkups due to the requirement of his job. Therefore from the response of the participant it was evident that health seeking behavior among individuals is important in promoting timely interventions in the management of health problems. Furthermore, apart from the health seeking behavior of the patient, another response that is considered to be a representative of the experiences of the patient’s coping with the new diagnosis of diabetes include the history of the presenting illness that is, prior to the establishment of the diagnosis.
The new insights that I have gained regarding coping with a new diagnosis of chronic illness is that for the patients, a new diagnosis comes with adverse social, emotional and psychological impact on an individual. According to Livneh (2015), new diagnosis of chronic illness such as diabetes or cancer predisposes an individual to adverse psychosocial situation due to the impact of illness on the quality of life. Therefore, due to the significance of new diagnosis on the quality of life and wellbeing of an individuals and the family, nurses should assist the patients towards coping in the community. The new insights into the management of patients experiencing adverse psychosocial conditions due to new diagnosis involves the promotion of an individual’s copping mechanism through providing social support through establishing and maintaining an effective working relationship with the patients. In the management of the patient, establishing an effective working relationship is important because it provides an opportunity for building trust that enables an individual to open up or seeking support within the care environment (Livneh, 2015). Also in regard to the psychosocial conditions caused by new diagnosis, the interview has enabled me to have a new insight towards providing a conducive environment that will enable individuals that are diagnosed with new illness to express themselves. This insight is important in promoting effective coping amongst individuals because through the expression of oneself, an individual communicates his/her own fears, concerns as well as expectations regarding the outcome of the illness (Engevold & Heggdal, 2016). In the nursing management of patients, effective coping can be promoted through understanding the fears and concerns of the patient so that the nurse can work alongside the patient to set realistic goals towards coping that are based on the knowledge and health condition of the patient.
Furthermore, other new insights developed through the interview include the significance of including the patient in the management of their own care so that the patient can be in control through contributing in setting goals and planning interventions alongside other members of the multidisciplinary team such as the nutritionists and the physicians (Gafvels, Hagerstrom, Rane, Wajngot & Wandell, 2016). This is important because to promote the quality of life and wellbeing of the patient so that the patient can effectively cope with the new diagnosis, a feeling of control on the part of the patient is important in building upon the self-esteem of the patient. Therefore, including the patient in the management of his/her own care is an important step towards promoting effective coping mechanisms in the management of chronic illness. Also in the management of patient, the community nurse alongside others involved in the care of the patient should be involved in the provision of information to the patient so as to empower the patient towards developing knowledge and skills that are essential in making decisions regarding their own care (Engevold & Heggdal, 2016). The provision of information regarding the course of the illness as well as the effective interventions towards the management of the chronic illness promotes coping because the patient can effectively contribute in setting realistic goals. The insights developed towards promoting coping among patients with new diagnosis of chronic illnesses such as diabetes or even cancer builds upon the development of new nursing approaches in the community.
In nursing practice, interviews is one of the most common and important methods that nurses use to collect valuable data regarding patients. Nursing interviews are an important part of nursing research because it provides new evidence regarding the various aspects of providing care to patients. Through the interview process, I have learnt that the development of a new diagnosis of chronic illness sets an individual into adverse emotional, social and psychological situation due to the impact of illness on the holistic aspects of an individual. This is because throughout the interview process, adverse emotional reaction to the various aspects of the new diagnosis such as experiences of the participant prior and after the diagnosis resulting in adverse emotional reactions on the part or the respondent. Due to the significance of emotions in the interview process, I have learnt that emotional intelligence is important in conducting nursing interviews because the response touches on sensitive matters regarding the respondent. Furthermore, during the process of conducting the interview, the questions to be put across to the respondent should be designed in such a way that the questions are culturally sensitive to the participants. This is an important consideration in the process of the interview because cultural sensitivity is important because it allows the interviewer to effectively participate in the interview process as well as respond effectively to the question. Also, other important aspects learnt through the interview process is based on the significance of providing support to individuals in the community in regard to the management of chronic illnesses such as diabetes.
In conclusion, the interview process was undertaken to establish the coping strategies of individuals that are newly diagnosed with a chronic illness such as diabetes in the community due to the changes in lifestyle that increase the risk of illness among individuals in the society. In discuss the coping strategies that individuals undertake upon diagnosis of a chronic illness through highlighted the social, psychological and emotional consequences on new diagnosis through the experiences of the participant. The interview process provided valuable information that was effective in developing new insights regarding the management of patients with new diagnosis. Among the new insights developed include the need for addressing the adverse social, emotional and psychological issues associated with new diagnosis, providing information to the patient to develop the knowledge and skills that are essential in making decisions regarding care and supporting the patient.
1. Engevold, M., & Heggdal, K. (2016). Patients’ experiences with changes in perceived control in chronic illness: A pilot study of the outcomes of a new health promotion program in community health care. Scandinavian Psychologist, 3. http://dx.doi.org/10.15714/scandpsychol.3.e5
2. Gafvels, C., Hagerstrom, M., Rane, K., Wajngot, A., & Wandell, P. (2016). Coping strategies among patients newly diagnosed with diabetes or rheumatoid arthritis at baseline and after 24 months. Journal of Health Psychology, 135910531664875. http://dx.doi.org/10.1177/1359105316648759
3. Livneh, H. (2015). Quality of Life and Coping With Chronic Illness and Disability. Rehabilitation Counseling Bulletin, 59(2), 67-83. http://dx.doi.org/10.1177/0034355215575180
4. Megari, K. (2013). Quality of life in chronic disease patients. Health Psychology Research, 1(3), 27. http://dx.doi.org/10.4081/hpr.2013.e27