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Case Study on Emerging Management Techniques - Mr. Jason

   

Added on  2020-02-03

11 Pages4054 Words72 Views
Case study

INTRODUCTIONComorbidity can be determined as a condition in which a person goes through one ormore additional diseases or disorders and it caused due to co-occurring a primary disease ordisorder. Long term condition in health care is a type of situation in which there is no cure for thediseases that the person has and it stays with him/her till death (Yale, Bakris and Menninger,2013). Present essay is based on a case study of a person with diabetes and associatedcomorbidity of kidney diseases.This essay critically appraises the effect of living with diabeteson the patient, his family and carers.Further it explores the ways in which theories related tobehavioural change processes can be used to empower people with diabetes for managing theirlong term condition.Lastly, the essay discusses emerging management techniques that could beused for better management of diabetes. 1. Brief introduction of the person and the context in which I get involved intheir careThe present case depicts the context of a residential home. An 81year old Mr. Jason Johnwas a new client in the residential home, who was needed to be assessed and enrolled in thesurgery. Having read his care plan, it was found that his parents had diabetes and died about57years ago, his wife died at the age of 64years old, due to skin cancer. He has a son who haslearning difficulty and lives in a shelter accommodation, but visits his dad sometimes. Mr Johnhas lived a healthy life until he was 78 years old; he fell off from stairs and got his right legbroken. He used to go daily for a walk and always consumed hygienic food. However, due to thefall he failed to complete his daily routine. When he turned 81, he noticed certain changes in hishealth, and was admitted to the hospital. Later, he was placed in a residential home for his safety.His leg still pains and he makes use of a stick to walk. Mr John has blood pressure and isdiabetic. On assessment it was found that he was constantly losing weight, his vision wasbecoming blurry. He also had some wounds that are taking longer to heal. He was placed in thisresidential home by a social worker. Diabetes is associated with several comorbidities and MrJohn was suffering from one of them (Barnett, Mithal and Broedl, 2014). Diabetes had causedkidney disease to Mr. John and this required proper care and treatment.Due to the serious condition of Mr. John, a care worker was assigned to take care of him.Also, the home manager was reminded to ensure that they administered his medications 4 times1

daily. He was also referred to the hospital consultant for ensuring the provision of appropriatetreatment. 2. Discussion of the pathophysiology of the person’s LTC and the associatedphysical, psychological and educational needs of the personAn issue related to diabetes is caused due to dis-balance between production and demandof hormone insulin. In diabetes, the immune system destroys and attacks insulin producing betacells and that are produced by pancreas. In order to complete insulin it is important to have betacell. This can be termed as autoimmune disease and this causes anti-islet to present in the blood.As a result it causes destruction to pancreas islets and lymphocytic infiltration. Other issueswhich are caused due to diabetes and it includes hypothyroidism and vitiligo. In case of type 1diabetes it is important to provide patient with therapy related to insulin (de Zeeuw, Akizawa andMcMurray, 2013). There are different types of physical activities that can be done in order to reduce theimpact of diabetes. These activities will be helpful for the patients and it enables him toovercome the problem to great extent. However, as Mr. John is 80 Years old, it would niot befeasible for him to undertake rigorous physical activity. The physical needs of Mr. John wouldthus comprise of nutritional diet and light physical activity such as walking (Jha, Garcia-Garciaand Yang, 2013). There are many behavioural changes that taken place due to diabetes. In this context, itcauses anxiety and increases stress. There are different types of studies that are conducted and ithas been found that people with diabetes are most likely to have anxiety disorder or depression(Gansevoort, Correa-Rotter and Wen, 2013). As per the provided case, the psychological needsof Mr. John would be to get relieved from the anxiety. He would also require stress managementstrategies. It would be necessary because due to stress Mr. John would neglect diet, increaseunhealthy habits, stop monitoring glucose levels, etc. Diabetes can be determined as a complex disease that is required to have daily self-management. In this context, it includes making healthy food choices (Fox, Matsushita andTonelli, 2012). This highlights the significance of then educational needs of the patient. Mr. Johnneeds to be educated about his medical condition so as to manage diabetes and its associatedcomplications. In this regard, he needs to be informed about the type of diet that he should2

consume. Further, he also needs to be educated about the ways in which he can avoidcomplications such as regular monitoring of glucose. 3. Effect of living with a long term condition on the person, their family andcarersPeople with long term condition face issues that it may not be cured. However, they canonly take proper meditations or strategies that will enable to reduce its impact. There aredifferent types of impact due to long term conditions (Yale, Bakris and Usiskin, 2014). In thiscontext, it includes effect on family, friends, education, finance, etc. With this respect, there arealso sources that support for such issues that are voluntary organizations, health and socialservices and government. Below are the effects of diabetes on personal life:Health: People who take responsibility and manage their long term condition and doconsult doctors develop confidence to improve their health condition (De Zeeuw, Akizawa andParving, 2013). In the context of the provided case, if Mr. John is informed and educated abouthis disease and he will make sure that all the instruction provide by health care professional isbeing followed. However, diabetes would affect his health as he would feel tired and not be ableto carry out the daily activities of life as before. Further, diabetes also effects his health as hesuffers from kidney disease which is a co-morbidity associated with diabetes. The long termcondition of Mr John would also effect his mental health. His is because he often suffers fromanxiety and stress. This also includes the fear that Mr John has regarding the other complicationsthat may develop due to diabetes. This fear obstructs his normal life thus restricting him fromcarrying out various tasks that he performed earlier. However, it can be critically appraised thatwith proper psychological support, this effect can be minimized (Yale, Bakris and Usiskin,2014).Effects on family: The family members of patients with long term conditions are alsoaffected to a great extent. Mr. John suffers from diabetes and kidney disease. His familymembers are aware about his condition and hence have to ensure that complete care and supportis provided to him. The medications have to be regularly provided to Mr. John and other careneeds are to be fulfilled by the family members. Due to this, one of the family members isalways required to stay with Mr John thus ensuring that he is never left alone. The familymembers are affected as they may not be able to follow their normal routine and would have tomake some sacrifices for the sake of providing support to Mr. John. Also, the effect on family3

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