NUR1202: Legal issues and concepts

Running Head: ELDERLY HEALTH
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Diabetic Patient

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Table of Contents
Introduction...........................................................................................................................................2
Seven dimensions of patient-centered care........................................................................................2
Models of health in Diabetes care......................................................................................................4
Conclusion.............................................................................................................................................6
References.............................................................................................................................................8

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Introduction
is the life-long illness that impacts the way the patient's body manage glucose, a type of
sugar, in the blood. Most individuals with the situation have type two. According to Nathan et al.
(2009), there are around 27 million individuals in the U.S. with this issue. This health issue is
one of the mutual non-communicable sicknesses of the 21st century. In 2007 the worldwide
burden of this disease was projected to be around 246 million individuals. The World Health
found that projected 7.1 million deaths could be caused due to high blood pressure, nearly 4.4
million expiries due to high cholesterol, and around 2.6 million deaths to increased body
weight (Chen, Magliano, & Zimmet, 2012). In this particular assessment, the seven
dimensions and healthcare model will be discussed.
Seven important dimensions of the patient-centered care approach
1. Respecting the patients’ values, choices, and expressed requirements
As discussed in the case study Mr. John is an old man facing issues related to his
health and failed to maintain his blood sugar. It is the right if the patient to be respected and
receiving a good health care service. Treating persons with admiration and in a way that
upholds their self-respect and establishes an understanding of their ethnic values is the key to
good health care. Keeping them knowledgeable about their disorder and including them in
decision making is another good practice (Kitson, Marshall, Bassett, & Zeitz, 2013). This
might help John to focus on the quality or excellence of life, which is exaggerated by his
sickness and treatment
2. Integration and Coordination of Care

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Managing and incorporating patient and clinical care and facilities to decrease
feelings of anxiety and susceptibility is very essential. This dimension might help John to
regain his belief in the treatment which he thinks not effective in his case. It might help him
to regain the confidence that he can be a cure and his blood sugar level can be controlled
(Hudon, Fortin, Haggerty, Lambert, & Poitras, 2011).
3. Information and Education
Mr. John lost every hope to manage his blood sugar and assumed that his blood sugar
cannot be controlled and it is the natural process (Pelzang, 2010). Providing whole
information to John concerning his clinical status, development, and prognosis; the procedure
of care; and evidence to help make sure his autonomy and his capability to self-maintain, and
to endorse his health may help him to improve his health (Kitson, Marshall, Bassett, & Zeitz,
2013).
4. Physical Comfort
Mr. John is 69 years old patient and therefore it is not possible for him to visit hospital
frequently. Thus his comfort should be the priority of the treatment process. Improving johns’
physical relaxation during care, particularly with respect to management of pain, upkeep with
the actions of everyday living, and keep up a concentrate on the environment of the hospital
such as privacy, hygiene, comforts, convenience for visits (Pelzang, 2010).
5. Emotional upkeep and mitigation of panic and anxiety
Emotional support is particularly essential in the case of Mr. John as he is facing lots
of financial and physical issues. Helping to ease fear and nervousness Mr. John is
experiencing with respect to his health statutes such as treatment, physical position, and
prognosis. The influence of his875353 illness on himself and others like his family and the

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economic influences of his illness are there, therefore emotional support is important to
achieve the health goal (Pelzang, 2010).
6. Involvement of Family and Friends
With emotional support family support is also important for Mr. John. Recognizing
and respecting the part of John’s family in his health-care history by obliging the person who
provides the individual with upkeep during care.
7. Steadiness and Change
Relieving anxiety about John’s capability to self-manage the health issue by given
that information related to treatment, physical boundaries, and nourishment. Organizing
ongoing treatment and facilities and sharing this information with John and his family
(Luxford, Safran, & Delbanco, 2011).
Section B
Models of health in Diabetes care
Diabetes Model of Care
The Diabetes Model of Care delivers an outline for a comprehensive, manageable and
efficient facility of harmonized diabetes anticipation and organization facilities for all the
patients. The important aim of the Diabetes Model of Care is to confirm that diabetes
facilities are optimally arranged to: Prevent or postponed the beginning of diabetes
(American Diabetes Association, 2010). Prevent and dawdling development of diabetic
problems, particularly heart disease, kidney failure, reduced vision, and inferior limb
amputations. It Increases the superiority of life of persons who have issues related to diabetes.
It also decreases inequities in diabetes facility provision, particularly for underprivileged
groups (Hotu et al., 2010).

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The Diabetes Model of Care deal with the following phases of diabetes preclusion and
managing: „
 Community consciousness and stoppage. „
 Prevention and timely analysis in high- risk groups. „
 Best initial and extended management. „
 Early discovery and optimal controlling the complications. „
 Coordinated anticipation and organization of acute episodes (American
Diabetes Association, 2010).
Comprehensive Care Model
Diabetes Comprehensive Care Perception is a model of health care for diabetes-
related issues that are patient-focused, with a multidisciplinary squad approach. It targets at
including the patient, the health care organization and the communal. The provision of DCC
needs reform of existing hospitals into diabetes complete care clinic (Kramer et al., 2009).
The Diabetes Comprehensive Care Concept is based upon the long-lasting care
model. This Chronic Care Model highlights the important part of patients and their
association with an organized exercise team to attain the best health results. It encounters the
notion of particular knowledge resting exclusively with the doctor in favor of a wider process
where every fellow of the care squad, counting the patient, brings knowledge to the desk. The
Chronic Care approach puts the deceased person's long-term health aims, requirements, and
capabilities at the center of the healthcare system (Boult, Green, Boult, Pacala, Snyder, &
Leff, 2009). It comprises six important essentials of a health care organization that when
combined inspire high-quality chronic sickness care:
• Public resources

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• Health system
• Self-management upkeep
• Delivery system strategy
• Decision upkeep
• Clinical information systems (Boult, Green, Boult, Pacala, Snyder, & Leff, 2009).
Bio-Psycho-Social model
The bio-psycho-social model is basically the blueprint for investigation, an outline for
training, and a policy for the act in actual life wellbeing care. The present hyperglycemia
managing recommendations, too, hope to attain these goals (Adler, 2009). The position
declaration of ADA-EASD goals to inspire research, support diabetes care physicians
comprehend currently obtainable strategies and contemporary glycemic goals and hope to
trigger development in glycemic regulation. Better understanding of this idea, nurtured by
comprehensive debate, should inspire dynamic use of this word in diabetology debate and
praxis (Adler, 2009). This may contribute to the aims for better research, training, and patient
care (Adler, 2009).
The ADA-EASD declaration has recognized the significant role of patient
contribution to diabetes care by applying the guiding expression 'patient-centered approach
(Adler, 2009). This model can provide a complete support to Mr. John in by using the
biological, psychological and social approach as he highly needs psychological support to
deal with the health issue.
Conclusion
Diabetes is considered as the chronic health condition that impacts the glucose
management conduct by the body in blood. The epidemiological studies show that it caused

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nearly 7.1 million deaths in 2002. The seven important dimensions of patient-centered care
comprise respecting patients’ values, choices, and expressed requirements; integration and
coordination of care, information and training, physical wellbeing, emotional care and
mitigation of panic and anxiety, participation of family and friends, continuity and transition.
Some models that can be effective to achieve the health goals in the case of Mr. John include
diabetes model of comprehensive care model and bio-psycho-social model. These approaches
can help Mr. john to solve his health issues. These models can help him to get psychological,
social and emotional and medicinal support in relation to his diabetic problem.

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References
Adler, R. H. (2009). Engel's biopsychosocial model is still relevant today. Journal of
psychosomatic research, 67(6), 607-611.
American Diabetes Association. (2010). Standards of medical care in diabetes—
2010. Diabetes Care, 33(1), S11.
Boult, C., Green, A. F., Boult, L. B., Pacala, J. T., Snyder, C., & Leff, B. (2009). Successful
Models of Comprehensive Care for Older Adults with Chronic Conditions: Evidence
for the Institute of Medicine's “Retooling for an Aging America” Report: [see
editorial comments by Dr. David B. Reuben, pp. 2348–2349]. Journal of the
American Geriatrics Society, 57(12), 2328-2337.
Chen, L., Magliano, D. J., & Zimmet, P. Z. (2012). The worldwide epidemiology of type 2
diabetes mellitus—present and future perspectives. Nature reviews
endocrinology, 8(4), 228.
Hotu, C., Bagg, W., Collins, J., Harwood, L., Whalley, G., Doughty, R., & DEFEND
investigators. (2010). A community-based model of care improves blood pressure
control and delays progression of proteinuria, left ventricular hypertrophy and
diastolic dysfunction in Māori and Pacific patients with type 2 diabetes and chronic
kidney disease: a randomized controlled trial. Nephrology Dialysis
Transplantation, 25(10), 3260-3266.
Hudon, C., Fortin, M., Haggerty, J. L., Lambert, M., & Poitras, M. E. (2011). Measuring
patients’ perceptions of patient-centered care: a systematic review of tools for family
medicine. The Annals of Family Medicine, 9(2), 155-164.

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Kitson, A., Marshall, A., Bassett, K., & Zeitz, K. (2013). What are the core elements of
patient-centered care? A narrative review and synthesis of the literature from health
policy, medicine, and nursing. Journal of advanced nursing, 69(1), 4-15.
Kramer, M. K., Kriska, A. M., Venditti, E. M., Miller, R. G., Brooks, M. M., Burke, L. E., &
Orchard, T. J. (2009). Translating the Diabetes Prevention Program: a comprehensive
model for prevention training and program delivery. American journal of preventive
medicine, 37(6), 505-511.
Luxford, K., Safran, D. G., & Delbanco, T. (2011). Promoting patient-centered care: a
qualitative study of facilitators and barriers in healthcare organizations with a
reputation for improving the patient experience. International Journal for Quality in
Health Care, 23(5), 510-515.
Nathan, D. M., Buse, J. B., Davidson, M. B., Ferrannini, E., Holman, R. R., Sherwin, R., &
Zinman, B. (2009). Medical management of hyperglycemia in type 2 diabetes: a
consensus algorithm for the initiation and adjustment of therapy: a consensus
statement of the American Diabetes Association and the European Association for the
Study of Diabetes. Diabetes Care, 32(1), 193-203.
Pelzang, R. (2010). Time to learn: understanding patient-centered care. British journal of
nursing, 19(14), 912-917.