Assumptions and potential ramifications of having proxy subjective health status

A few fundamental presumptions of having proxy subjective health state are related to the nursing middle age theories. Primarily, it is thought that proxy subjective health status is temporal, suggesting that patients can comprehend what they think is healthy or a good life, or change that impression. Since children and people who cannot speak cannot give their views of their health status, it is important to have a framework so that their caregivers and health practitioners know what is affecting them. “Evaluation measures or proxy subjective health status refers to those measures done for the patient by the family or the healthcare professional,” claim Rand and Kesselheim (Rand and Kesselheim, 2021). The fact that QUALY (a quality- adjusted-life-year) can evaluate measures for children or the degree of change in children and adults who cannot speak for themselves is another noteworthy underlying assumption to evaluation measures of proxy subjective health status. The health practitioners bank on the proxy subjective health status measures improvement amongst children and people who cannot speak. They use this to measure emotional and social progress among children by relying on the proxy to give accurate results.

Another potential assumption is that the HRQOL (Health-related quality of life) instrument can offer self-assessment for people who are unable to speak. HRQOL is used to determine the patient’s health status and proxy subject for children and people who cannot speak for themselves. According to a study by Germain et al. (Germain et al., 2019), patient self- assessment may be replaced by or supplemented by proxy assessments of health-related quality of life. This instrument helps evaluate the patient and children and gives a proxy-patient perspective crucial in diagnosing and treating the patient. They aid healthcare personnel grasp ideas affecting the children to facilitate achieving quality of life (Aas et al., 2020). Despite lacking the ability to speak, everybody requires a quality life free from stress, depression, and bad experiences. Hence, having evaluation measures or proxy subjective health status aids in assessing the patient’s subjective experiences and behaviors. For example, emotional or social problems amongst children in school, fatigue, depression, and quality of life.

Nonetheless, there is a potential ramification of having these evaluation measures and proxy subjective health status for people who cannot speak and children. These proxies and evaluation measures are complex; hence, they can be challenging to interpret. Also, in some instances, the proxies and evaluation measures can give inaccurate findings when the variable measured are identical. For example, Batool-Anwar et al. (2020) state that HRQOL cannot distinguish between continuous positive airway pressure (CPAP) and sham CPAP. Hence, when solely relied on, it can lead to incorrect assessments of the patients, leading to wrong findings.

References

Aas, E., Silwal, S., Cyr, P. R., Holt, T., Ormhaug, S. M., & Jensen, T. K. (2020). Health-related quality of life (HRQoL) in children and adolescent with post-traumatic stress symptom: A comparison of 16D and condition-specific instruments. Nordic Journal of Health Economics, 8(1), 46-71.

Batool-Anwar, S., Omobomi, O., & Quan, S. F. (2020). The effect of CPAP on HRQOL as measured by the Quality of Well-Being Self Administered Questionaire (QWB- SA). Southwest Journal of pulmonary & critical care, 20(1), 29.

Germain, N., Aballéa, S., & Toumi, M. (2019). Measuring health-related quality of life in young children: how far have we come?. Journal of Market Access & Health Policy, 7(1), 1618661.

Rand, L. Z., & Kesselheim, A. S. (2021). Controversy Over Using Quality-Adjusted Life-Years In Cost-Effectiveness Analyses: A Systematic Literature Review: Systematic literature review examines the controversy over the use of quality-adjusted life-year in cost- effectiveness analyses. Health Affairs, 40(9), 1402-1410.

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Discuss the underlying assumptions and potential ramifications of having proxy subjective health status or evaluation measures for children or those unable to speak for themselves.

400 words and TWO scholarly references

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