The Hospital Experiance = physical and psychological stress?

The level of stress is an essential factor used in process of evaluating hospital environments. Feeling tired, week, and living with pain is the physical condition of many admitted in to the hospital. Self perception of helplessness, feelings of confusion, and coping with a state of unknown health future rises the level of psychological anxiety. General Adaptation Syndrome is used in the profession to account for bodily reactions to both positive and negative stimuli. When human is subjected to too much of negative direct or indirect influence the body feels overwhelmed and a state of fatigue sets in. Continuation of stress usually is recognized in physical symptoms such as, higher blood pressure, migraines, disorientation, dizziness, along with psychological one as depression, irritation, anger, etc. Subjected to too much stress patients body shuts down and no interventions can return it to neutral state. In case that nothing is done to reduce or eliminate the stress sources the recovery process becomes slow and unstable. Listed under are some of the main factors resulting in higher stress level in patient and staff:

(Evidence based Design for Healthcare facilities, 2011)


Hospital floors are busy hectic areas. Nurses and physician discussions, movement of medical equipment, supporting life equipment in the room, the voices of other patients if in multiple bed set, communication alarm system, and fluorescent lights are among some of the main noise producing sources that can directly affect a patient state of mind. “Unnecessary noise, or noise that creates an expectation in the mind, is that which hurts a patient. It is rarely the loudness of the noise, the effect upon the organ of the ear itself, which appears to affect the sick. How well a patient will generally bear the putting up of scaffolding close to the house, when he cannot bear the talking, still less the whispering, especially if it be of a familiar voice, outside his door.” It was the year of 1898 when Florence Nightingale underlined the basics in concerns with patient care: “Of one thing you may be certain, that anything which wakes a patient suddenly out of his sleep will invariably put him into a state of greater excitement, do him more serious, aye, and lasting mischief, than any continuous noise, however loud. If he is roused out of his first sleep, he is almost certain to have no more sleep. It is a curious but quite intelligible fact that, if a patient is waked after a few hours’ instead of a few minutes’ sleep, he is much more likely to sleep again. Because pain, like irritability of brain, perpetuates and intensifies itself. If you have gained a respite of either in sleep you have gained more than the mere respite. Both the probability of recurrence and of the same intensity will be diminished; whereas both will be terribly increased by want of sleep. This is the reason why sleep is so all-important. This is the reason why a patient waked in the early part of his sleep loses not only his sleep, but his power to sleep. A healthy person who allows himself to sleep during the day will lose his sleep at night. But it is exactly the reverse with the sick generally; the more they sleep, the better will they be able to sleep.” 10. Unnecessary noise then becomes the cruel absence of care in any situation provided. (Notes of Nursing, 1898)


“Where there is sun there is thought. All physiology goes to confirm this. Where is the shady side of deep vallies, there is cretinism. Where are cellars and the unsigned sides of narrow streets, there is the degeneracy and weakliness of the human race–mind and body equally degenerating. Put the pale withering plant and human being into the sun, and, if not too far gone, each will recover health and spirit.” (Notes of Nursing, 1898) The main essence of daylight importance can be summarized in four objectives:  enabling performance of visual tasks, controlling the body’s circadian system, affecting mood and perception, and  facilitating direct absorption for critical chemical reactions within the body. There is no doubt that sensitive to light patient should be provided to retrieve behind the shades of the window curtains. It is often that the sick tries to lay with their head turned towards the window and in a way to see the day, and it is well proven by now that the sight of bright day changing the darkness of the light can relief stressful moods, wariness, and nausea. From staff perspective day light can help them orient in space and time; account for external changes in the surroundings; relief the notion of the ayes constantly working under artificial light sources, and help with reduction of medical errors. (The impact of light in outcomes in healthcare settings, 2006)


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