through
usual mechanisms.
*They find difficult to adopt role of patient
*Consequences--
** Self -prescription,
**Working through illness
[
UNLESS YOU are UNABLE TO GET OUT OF BED YOU'LL CRAWL IN AND WORK !],
**Self -referral,
**
Late presentation with serious
problems
INAPPROPRIATE SELF-CARE leads to HIGH LEVEL OF STRESS /PSYCHOLOGICAL STRESS
-high level of anxiety and depression/ HIGH SUICIDE RATE......
*SUPERHUMAN CONCEPT
*FEAR OF LOSING MEDICAL COMPETANCE
THIS RECENT STUDY REPORTS:
* THE PERCEIVED NEED TO PORTRAY AN UNREALISTICALLY HEALTHY IMAGE IS
STRESSFUL AND BARRIER TO SELF CARE
*THE EMOTIONAL RESPONSE TO PERSONAL ILLNESS CAN PRODUCE AN
OSCILLATION BETWEEN PANIC AND DENIAL
GENESIS OF STRESS PROBLEM
1 PSYCHIC
2 PSYC
hO-SOMATIC
3 SOMATIC
4 ORGANIC
*THE WORKING ARRANGEMENTS OF GENERAL PRACTIONERS REENFORCE A
CULTURE IN WHICH THEIR OWN AND COLLEAGUE'S DISTRESS IN OVERLOOKED
HOW TO HELP SICK DOCTORS
- Practicing medicine can seriously damage your health . This fact
is well known but help for sick doctors remains inadequate and patchy
worldwide
-Canada was first to look into the matter in 1987. 1997 Norway
invested $1.3 million in programmes to improve physician's health
-Programmes to identify specific stress inducing factors in
doctor's workload
-We should remember-seeds of pathological behavior are sown during
the vulnerable period of being a medical students...[Maladaptive
coping mechanisms.
*BMA starts 24 hr telephone councelling for sick doctors
*Educational activities /Stimulate activities /Independent regional
bodies