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It's Not About The Biceps.

Job N Doornberg1,2,3,2,4, Jetske Viveen1,2,3,2,4, David Ring1,2,3,2,4

  • 1Research performed at Amphia Hospital, Breda, The Netherlands.

The Archives of Bone and Joint Surgery
|January 15, 2019
PubMed
Summary
This summary is machine-generated.

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The biomedical model, focusing solely on pathophysiology, falls short in explaining illness. A biopsychosocial model, considering mindset and circumstances, offers a more comprehensive approach to patient care and addresses issues like opioid misuse.

Area of Science:

  • Medical Sociology
  • Health Psychology
  • Clinical Medicine

Background:

  • The biomedical model dominates healthcare, attributing illness solely to biological factors.
  • This paradigm often overlooks the significant impact of psychological and social elements on health outcomes.
  • An overreliance on tests and treatments is a noted limitation.

Observation:

  • A case study highlights the failure of a purely biomedical approach in managing a patient with distal biceps rupture.
  • The patient's psychosocial factors were underappreciated, leading to inadequate pain management.
  • Opioid-centric pain control resulted in adverse events, including threats to staff and forcible removal from the hospital.

Findings:

  • The biomedical model's limitations are evident in the opioid misuse epidemic and overdose deaths.
Keywords:
Elective surgical proceduresMisuseOpioidPostoperative painUpper extremity

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  • A narrow focus on pathophysiology fails to capture the complexity of illness.
  • Underappreciated psychosocial aspects can lead to treatment failures and negative patient behaviors.

    • Implications:

    • Adopting a biopsychosocial health model is crucial for a more holistic understanding of illness.
    • Integrating psychological and social factors into patient care can improve outcomes.
    • Learning from the limitations of the biomedical model is essential to prevent future public health crises.