Nursing 1060A/B Chapter Notes - Chapter week 6: Biomedical Model, Assertiveness, Health Promotion

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Brief historical overview of emergence of deficit perspective. During the 19th century and the first half of the 20th century, each family had its own family doctor, who was intimately involved with and knew them well. Part of community and accompanied them through major life events. Knew their strengths, weaknesses, risks of disease, compliance. Primary responsibility for health maintenance, disease prevention, care for sick/dying rested in the family, extended family and friends. Beginning of wwi hospitals took care away from families and transformed illness experience. Hospitals made little provision for family members (nuisance) Not treated as partners in care (interfere with treatment) Patients were to ask few questions, cooperate with the treatment (left in the dark) Lengthy stays, discharged only when all symptoms gone 5-14 days (50s-60s) Nurse only looked after one or two ill and others in recovery. Expected to give patient care, body care, find time to listen to patients.

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