Obsessive Compulsive Disorder and Family Health Care Practices

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Chapter 1
INTRODUCTION
Background of the Study
Worries, doubts, superstitious beliefs, all are common in everyday life. However, when they become so excessive, such as hours of hand washing, or make no sense at all, such as driving around and around the block to check that an accident did not occur, then a diagnosis of OCD is made. In OCD, it is as though the brain gets stuck on a particular thought or urge and just cannot let go. People with OCD often say the symptoms feel like a case of mental hiccups that would not go away (Anthony, et.al 1998). People with obsessive-compulsive disorder have either obsessions, or compulsions, or both. The obsessions and/or compulsions are great enough to cause significant distress in their employment, schoolwork, or personal and social relationships. People with obsessions are bothered by thoughts or images that continue to repeat themselves and are almost impossible to ignore. These thoughts, which are annoying, distracting, and inappropriate, tend to cause the person to have moderate to severe anxiety and other emotional discomfort. Common obsessive thoughts include themes of violence, fear of germs and/or infection, and doubts about one’s character and/or behavior. People who suffer from OCD worry excessively and often attempt to avoid or to get rid of the bothersome thoughts by trying to replace them with more pleasant thoughts or actions (Aronson 2l004). It has been observed that obsessive-compulsive disorder today involves senior citizens particularly in Iloilo although they do not represent any illness. Normal worries, such as contamination fears, may increase during times of stress, such as when someone in the family is sick or dying. Only when symptoms persist, make no sense, cause much distress, or interfere with functioning do they need clinical attention. This aforementioned scenario has motivated the researcher to determine the relationship between the levels of obsessive- compulsive behavior and the levels of family health care practices among selected senior citizens at the Municipality of Iloilo specifically in Lapaz Calendar Year 2011.

Theoretical Framework
The present study is anchored upon the Humanistic Nursing Theory: Humanistic Nursing Theory, formulated by Josephine Paterson and Loretta Zderad, aims at the development of nursing theory through the study of the existence and reality of nursing. Humanistic Nursing Theory is based on the idea that nursing is an inter-subjective transactional relationship between a nurse and a patient who are human beings existing in the world. The conceptual framework of the theory is existentialism and it presents a phenomenological method of inquiry that can be used by nurses to examine and understand their everyday practice. The theory serves as a vehicle to describe the essences of everyday nursing experiences. It is an inductive approach to theory building through exploration and description. Within the theory, humanistic nursing, viewed as a lived dialogue, offers a frame of orientation that places the center of the nurse’s universe at the nurse-patient inter-subjective transaction. Insightful recognition of the lived nursing act as the point, around which all nursing functions revolve, requires a paradigm shift in orientation for some nurses (O’Kearney et.al. 2006).

Conceptual Framework
The conceptual framework of the study is illustrated in the paradigm below: The independent variable in this study will be the level of obsessive-compulsive disorder which includes the activity positively correlated to severity and activity negatively correlated to severity and personal profile of the respondents in terms of age, sex, and average monthly income. The dependent variable is the subject-respondents’ level, of physical health condition among selected senior citizens at the Municipality of Iloilo specifically in Lapaz Calendar Year 2011. This includes coping, educating, and getting patient into treatment.

Independent...
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