Adjustment Essay – Social Anxiety Disorder and Returning to Work

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In this essay I will discuss the adjustment to health change and explain the effects on an individual’s well-being, including their own perceptions. To accomplish this I have used a service user who has had a number of physical and psychological changes to adjust too, resulting from a work related accident. I have specifically looked at theories behind disability coping strategies and how personal adjustment is achieved. Whilst also including the nursing interventions used to help facilitate this process and how the holistic approach was effective in achieving a positive outcome. I will finish by looking at my own professional development, including the personal recommendations I would make for the future.
For the purpose of this essay I will refer to the service user as Gary in order to retain confidentiality and protect his identity, in accordance with the Nursing and Midwifery Code (NMC, 2010). Whilst also gaining consent from Gary to use his thoughts and experiences within this document. (NMC, 2010)
Gary is a thirty two year qualified carpenter’s joiner who lives alone and has no dependants. His physical injuries occurred in an accident over eight months ago, whilst using an electric band saw. This resulted in Gary having to have three fingers removed surgically from his right hand down to his knuckles. According to the Health Safety Executive (HSE), cuts from sharp/coarse material or trapped fingers accounted for 12% of all handling injuries during 2010/11 (HSE, 2011).
Although, Gary’s physical injuries had responded well to treatment and the soft-tissue coverage’s over the stumps had been infection free throughout his physical recovery, he has experienced an episode of psychological distress.
Up until the accident Gary had enjoyed socialising, playing golf and using the gym with friends as well as spending time with close family over the weekends, all of

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