Chronic Illness: Impact on Individuals and Nursing Assignment

The essay brings about the discussion on the nursing assignment through an analysis of the chronic illness or disease and the impact on the individuals or patients throughout their life. Chronic illness or diseases are the cause behind the deaths of individuals at an early age. The term chronic refers to those diseases or health problems which lasts for more than 3 months.

Running Head: NURSING ASSIGNMENT 0
Nursing Assignment
10/17/2018

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The essay brings about the discussion on the nursing assignment through an analysis
of the chronic illness or disease and the impact on the individuals or patients throughout their
life. Chronic illness or diseases are the cause behind the deaths of individuals at an early age.
The term chronic refers to those diseases or health problems which lasts for more than 3
months. These diseases have severe impacts on the health of an individual, which require
diagnosis and treatment timely. The common chronic illness includes diseases like arthritis,
asthma, diabetes, and some viral disease such as hepatitis C, and acquired immunodeficiency
syndrome. If these diseases last for a longer period, ending into death of the person they are
termed as ‘terminal illnesses. Chronic conditions have used in several dimensions, which
explain about different states of the human body such as impairments, disabilities,
syndromes, and diseases. To discuss about the chronic illness in context to Australia, it has
found that diabetes is one of the biggest health problems in Australia. It has observed that
more than 11 million Australians, face health issues as having 1 out of 8 chronic diseases past
few years. The chronic disease or illness for this essay taken is as ‘diabetes’ and the related
symptoms, and aspects of prevention. Adults aged ‘45-64’ are taken into consideration as the
patient group to study about the chronic disease in Australia, as the most diagnosed age group
includes which both men and women (Agard, Ranjbar & Strang, 2016).
Diabetes mellitus, also known as diabetes is defined as group of metallic disorders, in
which there are high blood sugar levels (blood glucose), over a long period of time. It may
occur due to inadequate production of insulin, or because the cells of the body do not respond
properly to the insulin or both as the cause of illness. Diabetes is considered as a long-term
condition, which leads to the high levels of blood sugar in the body. There are mainly three
types of diabetes or diabetes mellitus, Type1 diabetes, Type 2 diabetes, and Gestational
diabetes. In the cases of Type 1 and Type 2, the body does not produce enough insulin, and
90% of the cases, are found with the Type 2 diabetes around the world. The cause for the
occurrence of the Type 1 DM is currently not known, includes symptoms such as excessive
excretion of urine (polyuria), thirst, constant hunger, weight loss, changes in the vision, and
fatigue or tiredness in the body. Type2 DM previously called as non-insulin dependent or
adult-onset results from the ineffective use of insulin in the body. It is the most commonly
found diabetes in people, as it generally results from the lack of physical exercise and
excessive body weight. Gestational diabetes is another form of diabetes, which occurs in the
cases of pregnant women who develop higher blood sugar levels, without any previous

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history of diabetes. This type of diabetes occurs usually after the birth of the baby, and affects
3-9% of the pregnancies (Chatterjee, Khunti & Davies, 2017).
Diabetes is a chronic illness, as it is a long-developing syndrome, which may lead to
the health issues like asthma, and others. Adults with the diabetes, are at a greater risk of
strokes, and heart attacks, and considered as the leading cause of kidney failure. According to
the research on the subject of chronic health conditions, diabetes mellitus is categorised as
metabolism disorder. Metabolism refers to the way or process human body uses the digested
food for the energy and growth. All types of the diabetes are preventable and must be
diagnosed properly on time. A person with any type of diabetes must ensure proper diagnosis
and treatment to reduce the impact of the chronic illness on their health and wellbeing (Sav et
al., 2015).
Pathophysiology refers to the convergence of pathology into physiology, and it
defines about the functional changes that occur in the body which results from a disease or
injury to the person. Normal pathology of the human body, which discusses about healthy
people, states that the pancreas, an organ situated behind the liver and stomach secretes
digestive enzymes and the hormones, insulin and glucagon into the bloodstream, controlling
the glucose of the body. Release of insulin in the body reduces the level of blood-glucose, by
allowing glucose to enter the cells of the body, where it is metabolized (World Health
Organization, 2018).
To discuss about the pathophysiology of the disease diabetes or diabetes mellitus, it
can be stated that diabetes mellitus is a syndrome with the disordered metabolism and
inappropriate hyperglycaemia which may be due to the deficiency of the insulin secretion. It
may also be a combination of the inadequate insulin secretion and the insulin resistance in the
body of an individual. It has been studied that diabetes can lead to serious complications,
which may result in numerous diseases, and disorders leading to premature death of the
person. Type 1 diabetes mellitus, and Type 2 mellitus, and the insulin resistance. As these
terms have been described in the above description, it has been found that the Type 1 diabetes
is usually diagnosed in children and young adults. It develops in the body when the immune
system destroys the pancreatic beta cells, which are the only cells responsible to hormone
insulin to regulate the blood glucose in the body. According to the statistics, only 5% people
are diagnosed to have the type 1 diabetes, therefore they must be given insulin through the
injection or pump. The pathophysiology also states about the prevalence of the type 2

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diabetes, which is the most common type of diabetes. The causes of type 2 are multifactorial
which include both genetic and the environmental factors that affect the beta cells (Inzucchi
& Sherwin, 2011).
The occurrence of the type 2 diabetes can be prevented through adopting a healthy
lifestyle, which includes healthy eating habits, regular physical exercise, avoiding smoking,
or alcohol, and maintaining a healthy body-weight. These are some of the ways a person can
prevent or delay the onset of the diabetes over a period of time. In context to the country
Australia, it has found that the diabetes is the chronic condition, which is increasing at a
higher rate than other diseases, cancer, and the heart diseases. Therefore, it shows that the
prevalence of the diabetes in Australia has increased many folds, that is found higher in the
men than the women (Zaccardi et al., 2016).
Some of the facts, which relate to the prevailing condition of the health of people in
Australia describes that around 280 Australians develop diabetes every day, in every 5
minutes. All the types of diabetes are prevalent in the country at different rates, i.e. Type 1
diabetes accounts for 10 % of all the diabetes, and are increasing continuously. In addition,
Type 2 diabetes is found to be the 85% of all the diabetes and increasing constantly and
similarly, gestational diabetes is prevalent amongst women in Australia. It has been stated by
the researchers that if the diabetes continue to increase at the current rate, then the Australians
over the age of 40 will develop severe health issues in the coming years. The federal
government has declared diabetes as the National health priority back in the year 1997. The
policy aimed to initiate programs to monitor and improve the diagnosis, prevention,
treatment, and management of diabetes in Australia (O’Reilly et al., 2016). .
Chronic conditions or illness has complex and multiple causes, which are generally
long-term and persistent with the lives of people. Diabetes leads to the impairment, ill
functioning, and disabilities in people, thereby affecting the quality of life. Diabetes has a
considerable influence on the health and the functional status of Australia affecting the life
expectancy and quality of life as well. It is a chronic condition, which leads to a major impact
on the health and the status of wellbeing of individuals. According to the research, the
relationship between the components of disability and diabetes in Australia has been found
largely in the recent years. Complications due to diabetes lead to the conditions of
disabilities, which include foot complications, eye disease, kidney related disease, and cardio-
vascular diseases. It has been analysed that as per the population of Australia, disabilities are

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found to be more prevalent in the older age groups, i.e. people aged 40 and above. The signs
and symptoms of diabetes affect an individual’s life by hampering their health and state of
wellbeing. An individual with multiple health issues or diseases will automatically have
negative impact on the quality of his or her life. People with diabetes in Australia, especially
men are found suffering with the problems of high blood pressure, stroke, depression, kidney
failure, heart diseases, loss of vision, and several others (Mustapha, Hossain & O’Loughlin,
2014).
In addition, as per the survey conducted by some of the researchers in Australia,
diabetes is considered as the 6th leading cause for deaths in the country, and also responsible
for the personal and economic burden on the person significantly. The symptoms or effects of
diabetes, such as fatigue or tiredness in individuals, this leads to an economic burden on the
country, as the people, both men and women retire and stop working at an early age. This
leads to the higher rates of absenteeism and lower employment in the country thus, low levels
of income that ultimately affects the living standards of people in Australia (Fenwick et al.,
2018).
After discussing the symptoms, causes, and the impacts of the chronic conditions of
people in Australia it has been analysed that there are some of the needs of the individuals or
patients dealing with such health problems. A nurse in a healthcare plays an integral role in
identifying and responding to the changing needs of the diabetic patients. The tool used to
determine the needs of such patients is referred to as Outcome and Assessment Information
Set (OASIS) (Bodenheimer & Bauer, 2016). Needs of such patients may include living
arrangement, support systems, and the potential therapy needs of the patients. They require
proper medication management by their health professionals or carer in the hospitals as well
as their homes. There are some age-related changes, which must be responded by the nurses
in the healthcare, dealing with the patients who are 40 or above in age. Home care nurses
have the opportunity to review the patient’s home settings and thereby make a record of all
the medications the patient might be taking at that time, and which are required to be added.
Here, as the patient group is taken, ‘adults’ in Australia, primary care is considered to be
essential as the first level of medical care. It refers to the care that patients receive for their
minor health issues, illness, or injuries along-with their preventive medical procedures
(Smolowitz et al., 2015).

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The patient needs in such illness, includes changes in the lifestyle, and the medications to
improve their status of wellbeing. Nurse’s role is effective in treating the patients with
diabetes, and other chronic conditions (Coventry et al., 2015).
The occurrence of diabetes can be prevented by maintaining a normal body weight,
engaging in physical activity and consuming healthy diet. Physical activity for around 60
minutes a day reduces the risk of diabetes by 28%. In addition, changes in the dietary habits
can be effective in prevention of diabetes at ease. Prevention of the diabetes is aimed at
stopping the development of the diabetes, type 2 diabetes by adopting an adequate diet,
healthy lifestyle, and proper medications (Henson et al., 2016). It is observed in the
Australian population that by focusing on early interventions through intensive lifestyle,
changes in the people with the pre-diabetes at the rate of nearly 60%, over a period of three or
more years. At present, there is no prevention for the diabetes Type 1. For an instance, it has
been analysed through the research that tight glycaemic control in diabetes type 1 may reduce
the occurrence of the cardiovascular health problems, up-to 42%, and 50% reduction in the
development of impaired kidney function (Dunbar et al., 2015).
In terms of clinical practices, the quality of care to be improved in the healthcare to
prevent and treat diabetes in people. All the people with the high-risk score should be
provided reference to the evidence based lifestyle behaviour change prevention services.
Ensuring healthy food environments in Australia will also serve the purpose of prevention of
the chronic health condition of people (Efraimsson et al., 2015). The primary prevention
methods include maintaining improved food labelling which will enable the people in
Australia to make healthier food choices. Reducing the promotion of the unhealthy food or
food products in the country, so that people may emphasize adopting healthy eating habits,
thus reducing the occurrence o such chronic diseases. In Victoria, there is a program called,
the life!, focuses on the prevention of occurrence of the diabetes, stroke, and the heart
diseases. The program has received until the time over 30,000 referrals and delivered
intervention courses, in the groups that stated about an estimate rate of 30% reduction of
diseases (Sapkota et al., 2015).
To discuss about the personal recovery or self-management of the chronic condition,
diabetes in adults it has been found that the diabetes specialist nurses (DSNs), play a key role
in providing effective patient care and self- management to such patients. Type 1 diabetes
self-management for a longer period, requires an on-going support from an expert multi-

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disciplinary team. There are three fundamental aspects of chronic illness, which includes
choices (Richardson et al., 2014). Control and consequences that is equally applicable to an
individual. Accordingly, it has been understood that the choices an individual makes each
day, affects the outcomes largely, in comparison to the prescribed care by the health
providers. The necessary interventions suggest that an individual’s attitude and beliefs
towards the management and cure of the disease is essential besides the control of the
external factors, i.e. care by professionals. Self-management refers to the process through
which an individual involves with diabetes, working in the partnership with their carer, and
other health professionals (Chrvala, Sherr & Lipman, 2016).
The chronic conditions like diabetes, personal recovery and self-empowerment
implies an integral approach which enables the diabetic patients to recognise and influence
the status of health and ensure sustained living. The patients must be informed properly about
their health condition, due to which they will become knowledgeable enough to take effective
decisions regarding diet, exercises, weight-control, blood-glucose monitoring, and the
effective intake of the medications on time, which will control the other macro-vascular risk
factors. Therefore, the role of self-management by patients dealing with the chronic
conditions is essential along with the medications and healthcare services (Lawless et al.,
2016).
Discussing the prevalence, symptoms, and the impact of the chronic illness, diabetes
on the Australians it has been realised that there is a great influence of the primary nurse in
the healthcare in prevention and treatment of the disease. The role of primary nurse care is to
care for the patients with chronic illness and educating them about the disease self-
management. Nursing staff in any healthcare have to perform a number of varied roles and
responsibilities to treat patients with the diabetes (Griffey et al., 2015).
Nurses play an important role in early detection and diagnosis of the disease in the
patients to ensure effective treatment and care to them. In addition, they must ensure
checking the intake of proper nutrition, and identifying the food and drinks with the high
sugar content. Reporting and informing them to follow a proper plan, if they are taking
insulin and blood glucose lowering therapies. Thus, a nurse or RN in a healthcare perform
duties of monitoring the intake of diet, urine monitoring, examining the level of blood
glucose of the patient (Smolowitz et al., 2015).

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Understanding and taking the normal readings of glycaemia and reporting to the
person and the health professionals or doctors outside the normal range. Concerning the
chronic illness, nurses, as a diabetes educator must follow patient-centred care and ensure
effective and open communication with their patients and family members (Dowell et al.,
2018). It will enable them in identifying and responding to the needs of the patients suffering
chronic health condition, and identifying the patient stress and helping them to recover
through using problem-solving strategies so that they can emphasize taking effective
decisions towards the treatment of their illness (Burke, Sherr & Lipman, 2014).
Nurse practitioners in the healthcare are primarily involved in delivering effective
care, health promotion, and prevention of the disease through patient education and
counselling. More specifically clinical nurse specialists act as the leaders, managers, and
collaborators, and their major contributions as providing psychological support to the patient
and their family members along with the medications and therapies (Dunphy et al., 2015).
The nursing interventions in respect to the diagnosis and treatment of the patients with
diabetes include number of aspects along-with their rationale. The interventions in nursing
include ensuring the availability of the proper information to the patient. The rationale behind
this is to prevent the negative consequences due to lack of knowledge and to clarify the
concerns and clarifications regarding the symptoms, their consequences on their health
(Butcher et al., 2018). Therefore, these interventions mainly include improving nutrition,
teaching patients about insulin, improving the activity tolerance and informing them about
the usage of oral ant diabetic agents, helping them to maintain the integrity of their skin as
well as coping strategies. In this way, the primary care nurse role is significant to treat the
patients with diabetes ensuring them effective and sustained health and wellbeing throughout
their life (Evert et al., 2014).
To conclude the above discussion it has been analysed that diabetes is considered as
the global health challenge in Australia, and Type 2 diabetes is known to be as life
threatening. The essay described about the number of different causes, effects, and the
treatment of the disease with respect to the chronic condition or illness. A number of serious
impacts of the chronic diseases are found on the health condition of the individuals. It has
been analysed through the National strategic framework that Australians encounter the
maximum rates of the diabetes, especially in men. It causes a high burden on the personal and
economic life of the people in the country, and leads to the severe impacts including

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disability, reduced life expectancy, increased cost of resulting into deaths in every country.
Thus, the role of primary care nurse is significant and contributes to improve and enhance the
quality of care provided in Australia to the people suffering with the chronic conditions such
as diabetes. Hence, an individual and the nurse/healthcare professionals must ensure proper
care and prevention of their health from such diseases.

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