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Essay / Research Paper Abstract
This 6 page report discusses the concepts associated with “uncertainty in illness” theory and the ways in which it relates to nursing. According to Merle Helaine Mishel’s “Uncertainty in Illness Theory,” individual patient uncertainty must be understood as a problematic characteristic of the experience of illness regardless of the acute or chronic nature of various diseases.
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Page Count:
6 pages (~225 words per page)
File: D0_BWmishel.rtf
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illness regardless of the acute or chronic nature of various diseases. The work done over the past two decades by Mishel, who is currently a professor at the University of
North Carolina at Chapel Hills School of Nursing, has focused on determining the nature of uncertainty in illness, as well as establishing parameters through which it is possible to actually
describe levels and types of uncertainty and what they mean to the individual. That uncertainty measure may then be held up against whether or not the likely outcomes of the
disease process are predictable or not and if care and treatment of the patient seems pointless or its purposes are misunderstood by the patient or their loved ones. Stress
and Coping According to Brashers, Neidig, Reynolds, and Haas (1998), Mishels theory was originally established within a framework of stress and coping (pp. 66). That framework allowed for a greater
understanding of the role uncertainty played in a patients ability to deal with his or her illness. Brashers, et al, explain that: "uncertainty is increased in illnesses having
ambiguous symptom patterns, in new illness experiences (like initial diagnosis) with which individuals lack event familiarity, and at times when ones expectations of the illness events (formed by prior experiences)
are violated" (pp. 66). Mishel also found that other factors such as the patients education and his or her confidence in their medical providers, the amount of personal support they
had from family and other social structures, and their own ability to think through the various aspects of their disease and its impact on their physical being all contributed to
the degree of uncertainty they experienced and how they were able to deal with it. Since that time, Mishel has examined deeper issues involved with an appraisal or estimation of
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