1. From the perspective of the biomedical model, what might you say are some of the factors that affect Mrs Chatsworth’s recovery?

• Post-operative complications: Chronic inflammation in her knee and thigh region following the hip arthroplasty
• Muscle atrophy: Reduced muscle mass and definition in her quadriceps and gluteal muscle groups, leading to decreased balance and mobility.
• Osteoarthritis: Chronic osteoarthritis in her knees, hips, and shoulders, which affects her overall joint function and mobility.
• Partial weight-bearing status: Limited weight-bearing capacity due to pain and stiffness in her right hip.
• Chronic pain: Persistent pain due to both osteoarthritis and the recent surgery.

2. What could the treatment plan for Mrs Chatsworth be from a biomedical perspective?

A treatment plan from a biomedical perspective would likely focus on:

• • Pharmacological management: Adjusting her pain medication to better control post-operative pain and inflammation, possibly introducing anti-inflammatory medications.
  • Physical therapy: A structured rehabilitation program targeting muscle strengthening, especially in the quads and glutes, to improve her mobility and balance.
  • Orthopaedic evaluation: Ongoing assessment by an orthopaedic surgeon to monitor the healing of the hip replacement and manage any complications.
  • Assistive devices: Continued use of elbow crutches or a walker to aid in mobility while she regains strength. Could also use a wheelchair
  • Pain management interventions: Possible consideration of injections, drips, or other interventions to manage chronic osteoarthritis pain.

3. From the perspective of the biopsychosocial model, what might you say are some of the factors that affect Mrs Chatsworth’s recovery?

From a biopsychosocial perspective, factors affecting her recovery include:

• • Psychological factors: Grief and emotional stress following the recent loss of her husband, which may contribute to a sense of isolation and decreased motivation to engage in her recovery.
  • Social factors: Limited social interaction and support outside of her daughter and grandchildren, potentially leading to loneliness and decreased well-being.
  • Environmental factors: Living in an apartment without a lift, making daily activities such as climbing stairs more difficult.
  • Physical health factors: Chronic conditions such as osteoarthritis and hypertension, complicating her physical recovery.
  • Economic factors: Financial stress due to medical expenses not fully covered by insurance, leading to anxiety about future healthcare costs.

4. What could the treatment plan for Mrs Chatsworth be from a biopsychosocial perspective?

A biopsychosocial treatment plan would be more holistic and might include:

• • Psychological support: Grief counseling or therapy to address her emotional well-being and help her cope with the loss of her husband.
  • Social support: Encouragement to engage in community activities or social groups, particularly those aligned with her interests, like her religious community, to reduce isolation. Join a support group where people suffer from similar health issues limiting her Isolation and loneliness.
  • Home modifications: Assessing her living environment and possibly relocating to a more accessible home, or installing aids to make her current apartment safer and easier to navigate.
  • Chronic disease management: Regular follow-ups with a primary care physician to manage her osteoarthritis and hypertension.
  • Financial counselling: Assistance with managing her finances, potentially exploring options for financial support or more cost effective healthcare solutions.
  • Physical therapy: A rehabilitation program incorporating a more flexible, patient-centred approach that accounts for her psychological and social circumstances.

5. What would be the limitations of each of these models be when coming up with a treatment plan for Mrs Chatsworth?

Biomedical Model Limitations:

• • o Focuses on physical symptoms and medical treatment, potentially overlooking important psychological and social factors that affect her overall well-being and recovery.
  • o May lead to over-reliance on medication and surgery without addressing underlying emotional or social issues.

Biopsychosocial Model Limitations:

• • Can be complex and resource-intensive, requiring coordination across multiple disciplines, which might not be feasible for all patients.
  • May be less effective in addressing acute medical conditions or when a specific biomedical intervention is urgently needed.
  • Psychological and social interventions may take time to show effects, potentially delaying immediate physical recovery.