Dimensions and Model of Healthcare

This essay discusses the dimensions and models of health that could be applied for effective outcomes of the diabetic condition, especially to the less informed population. It also explains how the application of the two models of health, social and the biomedical model of healthcare of great advantages towards treating the type 2 diabetic patient.

Dimensions and Model of Healthcare
Student’s Name
Professor’s Name
Institution Affiliation
Date

Introduction
In the 21st century, patient-centred-care plays a major role between patient, nurses and
other health workers. Patient-centred care is a major contemporary healthcare reform that is
designated to build an integrated relationship that provides quality, preferential, respectful and
effective care to the patient. A professional nurse who employs the Patient-centered care
dimensions through the appropriate model of health is able to maintain the patient’s personal
values in the improvement of healthcare organization and foster health outcomes of non-
communicable diseases like diabetes. This essay will demonstrate how a nurse can apply the
patient-centred care technique and be of much benefit to John and his/her family in controlling
diabetes through meaningful and valuable dimensions and proper models of health. The essay
also explains how the patient-centred care technique help nurses to cope with the situation of old
people who have chronic illness.
Section A
Dimensions of patient care
Respect for Patient’s preference
The client is treated with respect and dignity and recognition of the cultural value and
autonomy. In providing care to John, I could listen and respect his family’s decisions. However,
I could warn both John and his son in law of the dangers of smoking and taking wine to heath
especially to a diabetic patient (Kelley et al, 2014).
Coordination and Integration of Care

Well-Integrated and coordinated care is essential for the patient where they express
vulnerable and powerless feelings due to their illness condition. John believed that his blood
glucose is uncontrollable. However, I could encourage him to keep on taking and monitoring his
blood glucose level frequently and also organize on how he could get a specialist to give more
advice and recommend for more advanced diabetic medication (Inzucchi et al, 2014).
Information and Education
The health professionals have to focus on the disease progress information, clinical
status, the caring process and the disease prognosis that could help in relieving the patient’s
worries and fears. As the care provider of John, I could offer much education to John, his family
and his son-in-law on how to take care of John’s health regarding the eating habits and frequent
monitoring of the glucose level (Inzucchi et al, 2015).
Physical comfort
In the hospital environment, Physical comfort is crucial to a client who is in
situations such as personal daily activities and pain management. John requires physical
assistance due to his eyesight problems, knee amputation, and his failing health. I could ensure
physical support to John due to his knee complication by paying more attention when he is
walking and also assist him by driving him to the hospital for doctors’ appointments (Pulvirenti,
McMillan & Lawn, 2014).
Emotional support
Emotional support is a very important intervention to the patient of diabetes, especially in
John’s situation to relieve his fear and anxiety feelings. As the caregiver of John, I could pay
attention to John anxiety over illness’s impact, prognosis, treatment, and financial status (Neal et

al, 2015). John requires emotional support to counter anxiety and fears caused by his family’s
financial status which makes him think of halting medication. John seems anxious over his high
blood glucose level which failed to respond as per the doctors’ medication.
Participation of family and friends
Friends and family contribute in the provision of patient-centred care through
encouraging the patent to strengthen his hopes, offering physical support, socializing and
interactions to give the company, in decision making and creating of a humble environment. To
strengthen the close relationship in John’s family, I could holistically participate in their daily
activities as a community nurse while involving them in a decision that could improve John’s
health for example in food decisions (Evert et al, 2014).
Continuity and Transition
The health practitioner providing care should be understandable concerning the dietary
needs, physical limitations, medication details, and patient’s appointment plans. I could give
clear and appropriate information to John about medication and inform him on the significance
of adhering to doctor’s appointments that could offer a solution to his complaints about the lack
of improvement on his medication.
Access to care
I could organize with John’s family for an easier way to get a specialist who could
understand his diabetic condition to offer more knowledge to him and his family on how to
control such a diabetic situation.
Section B

Comparison of the models of health
Many health professionals when diagnosing a diabetic patient start with the biomedical
model of treatment to enable them to note and monitor the disease progression in their clients
(Chiauzzi, Rodarte & DasMahapatra, 2015). The biomedical model of health focuses on the
physical and biological phases of the disease such as the medication, treatment and diagnosis
while the social model address aspects such as environmental, social and cultural elements of
providing healthcare services. The social model of health recognizes the relationship between the
health determinants, disease status and considerations of vital concepts like ,socio-economic
status, health accessibility and social connectedness to improves the patients’ health. On the
other hand, the biomedical model involves mainly the medications, x-rays and body parts
replacement. The biomedical model is appropriate to improve the quality of lives with chronic
illnesses while the social model improves the overall wellbeing, focusing on vulnerable
populations through campaigns and programs in the community to improve and maintain the
health of Australian.
The benefits of applying the social model of care to John
The social model of care promotes good health, helps in the overall wellbeing and
focuses majorly on vulnerable populations. When the client’s disease condition exceeds the
biomedical model, the doctor now recommends for the social model of health (American
Diabetes Association, 2017). This model would be of much benefit to John considering the drugs
did not respond to his expectations in lowering his blood sugar as well as his background
financial status which influenced his psychological health (Nelson et al, 2014). The programs

that are involved in the social model could help John to change his negative beliefs by interacting
with other people who have experienced such diabetic conditions. The social model of health is
very helpful especially through sharing of the health responsibilities, for instance collaborating
with the family of John in taking care of him by educating them and advising more on the
nutrition for a diabetic patient (Elwyn et al, 2014). Through diet consultation with family
including the son-in-law will assist John to stop taking wine and also cigars which are very
harmful to his health. The social model of health could enable John’s family and other caregivers
to express empathy, trust love and tangible caring services to John which could give him
encouragement and motivation to get well. The model involves suggestions, advice and
information that is helpful for self-evaluation that strengthens a person to cope many
psychosocial issues such as anxiety, depression coping skills like adhering to medication, giving
up to smoking and other social support (Kahn, Cooper & Del Prato, 2014).
Conclusion
In conclusion, the concept of employing knowledge of patient-centred-care practice in the
effective management of type 2 diabetes has to be built by nurses. This essay has clearly shown
how the concept of patient-centred-care can be significance for effective care to a diabetic
patient. The essay has also discussed the dimensions and the models of health that could be
applied for effective outcomes of the diabetic condition, especially to the less informed
population. The essay has explained how lack of proper follows up of the patient-centred-care
dimensions while monitoring a diabetic patient could be ineffective to the patient. Finally, the
essay has discussed how the application of the two models of health, social and the biomedical
model of healthcare of great advantages towards treating the type 2 diabetic patient.

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