What to do in the face of bad news ...

The World Health Organization notes that about 36 million people died in 2010 due to conditions such as chronic diseases cancer.

These are largely due to four risk factors: tobacco use, inadequate diets, physical inactivity and the harmful use of alcohol.

The doctor Jesús Antonio Orueta Álvarez, deputy director of Hospitalization and Clinical Projects of Youth Integration Centers , points out that often people do not know how to handle a negative diagnosis, so you have to ask the treating doctor to be clear, direct to explain to the patient the process of their disease, its evolution and its prognosis.

It should also guide and inform the family so that it supports and does not stigmatize the condition. Most of the time, those who receive a bad diagnosis usually suffer from sadness or anguish, which leads to depression and, in turn, this is a risk factor for the consumption of addictive substances, he warned.

The unfavorable medical diagnoses represent one of the factors that most derive in depression problems. For example, 33% of patients diagnosed with diabetes have depressive symptoms; who suffer from cancer the percentage is between 15 and 25%; while those who are detected HIV, the statistic rises up to 85%.

The reports published in the magazine Mental Health 2012 They reveal that 9.2% of the population has suffered an episode of depression, that one in five people will suffer one before reaching 75 years of age and that among younger people there are higher rates. This disorder is associated with other problems, such as the use of substances, suicide and violence, mainly in young people.

As some experts mention, "getting sick" is equivalent to "losing your health", that is, the most frequent is the experimentation of a duel.

In accordance with Elizabeth Küebler Ross, This process consists of five stages: denial, I feel good, this can not be happening to me !; anger, why me ?; negotiation, I would do anything to live a little longer! depression, I'm going to die, what's the point of going to treatment !; acceptance, I want to live in the best possible way, I must prepare myself for this!

In the presence of an unfavorable medical diagnosis, Dr. Orueta Álvarez recommends following these steps:

Adhere to the treatment . Take the medications as indicated, go to all consultations, perform the necessary clinical studies and not self-medicate.

Avoid consuming alcohol and tobacco . In a chronic disease treatment it is very important to ask the doctor how the combination of medications with alcoholic beverages can affect the use of tobacco. To reduce stress or anxiety it is advisable to do recreational and sports activities.

Avoid the use of drugs. There are myths about the medicinal use of drugs such as marijuana, however it is not known exactly what the therapeutic benefit is; In cases of chronic pain it is suggested to consult the doctor.

Inform . Clarify with the specialist all the doubts about the disease, ask about therapeutic and secondary effects of the drugs, consult other experts and look for information in books, magazines and other materials.

Modify habits Eat properly, get enough sleep and exercise according to age and physical condition.

Remember that each person is responsible for caring for and maintaining their health; Even with a chronic illness, it is your right to have a good quality of life. "Self-knowledge suppresses pride "Bojorge@teleton.org.

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