Wednesday, April 3, 2019
Primary Health Care for Diabetes Treatment
Primary wellness Cargon for Diabetes TreatmentAshley Suy molly is a married 82-year-old woman who is diagnosed with fictitious character II Diabetes and has developed a rowlock ulcer on her depress left oarlock. The effects of having leg ulcers impacts mollys physical, intellectual and complaisant health. Physic in ally, mollies mobility has declined. She is unable to walk as with any blackguard she takes it ca spends pain. A lack of physical activity, such as walking has guide to weight gain as she has been advised to sit with her leg up as much as possible to speed up the heal process.mollies mental well-being would be negatively wedge as she pull up stakes be mentally stressed from dealing with the leg ulcer and having no mobility to do day-to-day tasks. This disenables her to have independence as she relies on Pat, her husband, to do simple tasks for her as she is immobile which may tame to guilt for relying on him to promote her with daily tasks.The leg ulcer on with immobility result inflict negative effects on mollies social health. Not being able to go bring out to see her friends and her loved ones or spend time outside of ingleside with Pat get out cause an abundant amount of stress which will gradually lead to depression.The issues that will be primarily foc employ on are, Primary Health Care relating to mollies Leg ulcer, Principles of health, the Wellness get, Type 2 Diabetes in regards to mollies condition and how an Enrolled prevail will support Pat through a time of excruciation of grieving and bereavement.Primary Health Care (PHC) is the primary contact of accessing health treat and it is ground on the ask of idiosyncratics and the country. It focuses on practical, scientifically fleshy and socially acceptable methods and elections that are made universal for people and families at an affordable cost that individuals and the country can afford to assist with their individual growth and development to maintain a healthy action (Koutoukidis, Stainton, Hughson, 2013, pp. 85-86).Since PHC is based on providing appropriate resources for individuals, Molly should be educated on the distinguishable types of services that will allow her to treat her health problem effectively. virtually services include, kinfolk carers, community service, counsellors and online websites such as Diabetes Australia. As Molly suffers from a Leg ulcer she is evidently unable to participate in her regular community activities like she once use too. PHC encourages services that are scientifically sound and socially acceptable as well as, applicable to the client. A mood that PHC can be beneficial for her is through a home visiting service or physiologists that is subsidised by Medicare. PHC supports the enfolding of a multidisciplinary team integration of services that will assist Molly in the healing process. Nurses, dieticians, physiologist, podiatrists and GPs are the most appropriate types of multidisci plinary members. This team will educate her, Pat and her family with information of diabetes, leg ulcers, proper nutrition, appropriate exercises and activities to labor her health as well as pr scourting future hospitalisation or illness exacerbations.Wellness according to Student Health and Counselling function (SHCS) (https//shcs.ucdavis.edu/wellness/) is an active process of becoming aware of and making choices towards a healthy and fulfilling life. The wellness model is a framework that individuals use to become aware of the interconnectedness of each dimension of the wheel and how they symbolize a significant factor to healthy living. The Wellness Model consists of sixer dimensions physical, social, intellectual, spiritual, emotional and occupational (Hettler, 1976).A principle of wellness is the self is the save true healer. This refers to the health professionals assisting individuals during the healing process. However, it is primarily up to ones organic structure and mind to heal as well as allowing time for full moon recoery. (Hoppers Institute, n.d). An early(a)wise principle of wellness is cake eliminates the need for treatment. This only if means that the prevention of wellness should predominantly be focused on a solution or an outcome to eliminate the problem so there would not be a need for treatment.These principles apply to Molly as she has health professionals that admirer facilitate the healing process with training the wound three times a week and advising her to recover at home which is allowing time to pass by to allow full recovery. Prevention eliminates the need for treatment principle relates to Molly because she needs to limit the chances of leg ulcers from reoccurring again in the future. So, with a mixture of moderate exercise and a healthy diet it would minimise leg ulcers from occurring again. Another effective way to limit the chances of developing leg ulcers again is by using crush socks or hosiery to allow adequa te crease circulation in the leg, thence preventing leg wounds. (Kenny, 2013)Type 2 Diabetes is insulin that is either, unable to produce what the dead body needs or the cells in the body are unable to use the live insulin effectively (also known as, insulin resistance). (Falvo, 2014)According to Diabetes Australia (http//www.diabetesaustralia.com.au/Understanding-Diabetes/Diabetes-in-Australia/) an estimated 280 Australians develop Diabetes every day. It is the most common form of diabetes, affecting 85 90% of all people with diabetes. Although it usually affects adults over the age of 45, it is now affecting junior people even children as young as 3. Research has shown that women over the age of 45 and overweight are more susceptible to acquire diabetes. Molly has been diagnosed with type 2 diabetic for 17 years. What happens in the body of a diabetic person is that the pancreas which controls glucose in the body makes less insulin (a hormone). However, if the alert cells i n the body are unable to effectively use insulin, it makes it herculean to keep pedigree glucose levels (BGL) in an optimum range. The pancreatic cells cannot use existent insulin effectively thus, why she has been prescribed oral medication to control her blood glucose level.Diabetes contribute to leg ulcers as fatty substances called atheroma develops on the inside line of the arteries reducing blood flow to various parts of the body. The most usually affected area is the arteries in the legs causing a decrease in blood supply to the feet (Kenny, 2014). Diabetic retinopathy is the most common diabetic shopping center disease. It is caused by changes in the blood vessels of the retina. Blood vessels in the eye may swell, or leak fluid. In some people, abnormal new blood vessels grow on the surface of the retina.A learning program for Mollys Leg ulcer is a crucial factor in educating her on the prevention of reoccurring leg ulcers. Some teaching methods that would be used are verbal discussions about Diabetes, her eating habits, exercising routine and lifestyle. Since she has point on weight, she feels tired and unwell.A dietician and a local GP will work together to review current blood and other tests that will be mixed together to come up with a suitable diet plan. The dietician will then provide Molly with written information that she will be able to take home to follow, thus achieving her physical health. (Dieticians Associated of Australia, 2014)Another method of teaching is through a physiologist who can demonstrate various low to mild exercise routines where the activities are suitable and safe to follow as well as assist with Mollys current immobility (Allied Health Profession Australia AHPA, 2010). As mental health for Molly is a risk factor, beyond fat encourages that maintaining connections with friends, family and the community can prevent feelings of loneliness and isolation and help to keep on mentally healthy (Beyond Blue, 2013).This f irst link is a publication regarding leg ulcers and how to care for them, thus educating Molly on Leg ulcers. Molly will need to read this publication to understand it or have a relative or health professional explain it to her.http//www.awma.com.au/publications/vlu_patient_info_a4_2012-08-21.pdfThe second resource that Molly can learn from is the Leg Ulcer Prevention broadcast (LUPP) which is an electronic multimedia client education package for people receiving care regarding leg ulcers. The program is delivered at home via a nurses personal computer, so Molly will not have to social movement too much. Also, she can listen and watch the multimedia. (Kapp, S Miller, C and Donohue, L, 2010) sorrowfulness and loss are two major feelings that Pat has encountered as Molly passed. melancholy is a response to loss. People experience grief differently some may go through sadness, anger, anxiety, disbelief, panic, relief or even numbness. (Healey, 2010)To relieve Pats grief, an Enrolled Nurse would offer basic reassurance that he is not alone, an opportunity for him to talk about the loss of his wife, encourage him to attempt help from other resources if he needs, such as psychologists, counsellors, or mental health services.The Australian Centre for affliction and Bereavement (ACGB) offers support sort outs that will help participants in many ways. Some of the groups that they offer are bereaved Partners, Death of a Parent, For Men, Pet Loss and many more. ACGB also shares stories of other people that have gone through loss (Australian Centre for Grief Bereavement, n.d). Another service available is the Compassionate Friends capital of Seychelles, a group that offers mens space where bereaved men go along and discuss issues together. (Compassionate Friends Victoria, 2014)Primary Health care along with the Wellness Model play a major role in the quality of life that Molly has experienced. Type 2 Diabetes has a major affect on Mollys health, thus contributed to leg ulcers. Pat will gradually move on from grieving over the loss of his wife with the help of support groups.Word Count 1591ReferencesDonna R. Falvo.(2014). Medical and Psychosocial Aspects of Chronic Illness and baulk (Ed. 5) (p.377)Beyond Blue (2013). Older People and Depression. Retrieved from http//www.beyondblue.org.au/resources/for-me/older-peoplehopperinstitue.com. (n.d.).Principles of wellness. Retrieved from http//www.hopperinstitute.com/wellness.htmlDiabetes Australia (2013). Type II Diabetes. Retrieved from http//www.diabetesaustralia.com.au/Understanding-Diabetes/Diabetes-in-Australia/ aeronaut Hettler, MD. (1976). The Six Dimensions of Wellness Model. Retrieved from http//c.ymcdn.com/sites/www.nationalwellness.org/resource/resmgr/docs/sixdimensionsfactsheet.pdfGabrielle Koutoukidis., Kate Stainton., Jodie Hughson. (2013). Health promotion, education and wellness. In Elizabetch Coady Jane Coulcher (Ed.6), Tabbners Nursing Care (pp. 85-86).Tim Kenny. (2013).Venous Leg Ulcers. Retrieved from http//www.patient.co.uk/health/venous-leg-ulcers-leafletshcs.ucdavis.edu (n.d) Wellness. Retrieved from https//shcs.ucdavis.edu/wellness/compassionatefriendsvictoria.org.au.(2014). Retrieved from Compassionate Friends Victoria http//www.compassionatefriendsvictoria.org.au/grief.org.au. (n.d.).Grief.Retrieved from Australia Centre for Grief Bereavement http//www.grief.org.au/grief_and_bereavement_support/understanding_grief/about_griefJustin Healey. (2010). Coping with Grief and Loss Vol. 319.Coping with Grief and Loss. Australia The Spinny Press.
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