Okamoto Medical Journal
Online ISSN : 2758-5395
Print ISSN : 2758-528X
Review of the acceptance of a disability and the process of behavioral change in a patient with paralysis: Through involvement in the patient as a primary nurse
Yuina Kurata
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2025 Volume 3 Article ID: 2024-011

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Abstract

As a primary nurse, the author treated a patient with a right thalamic hemorrhage and fracture of the distal shaft of the left femur in the recovery rehabilitation ward. The patient could not accept the severe hemiplegia in the left upper and lower extremities, thus causing permanent damage and made pessimistic statements about the damage. In the process of disability acceptance, the author attentively listened to the thoughts of the patient and made efforts so that the medical staff and the patient could achieve the goal at the same pace to enable the patient to carry out her activities of daily living after hospital discharge. As a result, the patient could resume daily life after discharge from the hospital to home. In the process of accepting one’s disability, patients repeatedly accept and do not accept their disability. Thus, it is important to select an appropriate intervention, depending on the individual stages of disability acceptance. It was concluded that repeated behaviors and communication of nurses with patients would have a large impact on the acceptance of a disability and behavioral change in patients.

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