Patient in the Community: Living with Chronic Conditions and Limited Finances
VerifiedAdded on 2023/06/07
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AI Summary
This presentation discusses the life of a male retired IT worker living in the community with hypertension, T2DM, TIA's, arthritis, and psoriasis. It explores the impacts of chronic diseases on his daily life, access to healthcare, and limited finances. The presentation also highlights the political and social impacts on health and provides insights into the lifestyle changes he has made to manage his conditions.
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Patient in the
Community
Georgia and Sumana
Community
Georgia and Sumana
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Who is our
patient?
Male
Retired IT worker (highly stressful job)
Mid 70’s
Conditions
Hypertension
T2DM
2 TIA’s (Transient Ischaemic Attack)
Arthritis
Psoriassis
In 2015 the National Health Survey data reflected that 3
out of 5 Australians over 65 had two or chronic conditions.1
patient?
Male
Retired IT worker (highly stressful job)
Mid 70’s
Conditions
Hypertension
T2DM
2 TIA’s (Transient Ischaemic Attack)
Arthritis
Psoriassis
In 2015 the National Health Survey data reflected that 3
out of 5 Australians over 65 had two or chronic conditions.1
Impacts of
chronic
disease:
Interaction
with the
Health
Care
System
Due to living with an array of conditions, our patient
has close relationships with the health care providers in
his community.
GP: Monthly visits and is able to contact his doctor at
any time he feels it is necessary.
Colorectal Specialist: Annual check-up
Pathology: Regular blood tests
Pharmacy: Has been filling his prescriptions at the
same pharmacy for over 20 years and is known as a
familiar face in the vicinity and knows the staff by
first name basis.
chronic
disease:
Interaction
with the
Health
Care
System
Due to living with an array of conditions, our patient
has close relationships with the health care providers in
his community.
GP: Monthly visits and is able to contact his doctor at
any time he feels it is necessary.
Colorectal Specialist: Annual check-up
Pathology: Regular blood tests
Pharmacy: Has been filling his prescriptions at the
same pharmacy for over 20 years and is known as a
familiar face in the vicinity and knows the staff by
first name basis.
Impact of
chronic
disease:
Access to
Health Care
Health care is highly
accessible for the patient
General Practitioner sees
his promptly
Lives in close vicinity to his
GP
Drives himself to distal
appointments
Medicare
National Diabetes Services
Scheme (NDDS)
Pharmaceutical Benefits
Scheme (PBS)
2
3
4
chronic
disease:
Access to
Health Care
Health care is highly
accessible for the patient
General Practitioner sees
his promptly
Lives in close vicinity to his
GP
Drives himself to distal
appointments
Medicare
National Diabetes Services
Scheme (NDDS)
Pharmaceutical Benefits
Scheme (PBS)
2
3
4
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Daily Life
Constantly aware of his medication timing
Fear of hypoglycemic state (previous episodes)
Daily insulin injections
Restricted diet and mindful eating
Daily skin care routine
Tiredness towards early afternoon.
Arthritic pain flare ups regularly, unable to use his
hands properly, relies on his wife for assistance
Usually at home
Constantly aware of his medication timing
Fear of hypoglycemic state (previous episodes)
Daily insulin injections
Restricted diet and mindful eating
Daily skin care routine
Tiredness towards early afternoon.
Arthritic pain flare ups regularly, unable to use his
hands properly, relies on his wife for assistance
Usually at home
Lifestyle
changes
due to
diagnosis
Quit smoking
Gave up alcohol
Lost 30kg
Gave up fast food for home cooked meals
Walks daily
changes
due to
diagnosis
Quit smoking
Gave up alcohol
Lost 30kg
Gave up fast food for home cooked meals
Walks daily
Limited by
Fear
T2DM
Previous hypoglycemic episodes
Headaches, sweats, ringing in the ears, difficulty
speaking
Common colds and infections worry him because of
their detrimental effects upon his condition
Due to stress hormones increasing in a state of
sickness, blood glucose levels can rise without the
patient realizing.5
Overall, a constant feeling of anxiety
TRANSIENT ISCAHEMIC ATTACK
Fearful for recurrence
Fear for his wife having to call the ambulance for him
Fear
T2DM
Previous hypoglycemic episodes
Headaches, sweats, ringing in the ears, difficulty
speaking
Common colds and infections worry him because of
their detrimental effects upon his condition
Due to stress hormones increasing in a state of
sickness, blood glucose levels can rise without the
patient realizing.5
Overall, a constant feeling of anxiety
TRANSIENT ISCAHEMIC ATTACK
Fearful for recurrence
Fear for his wife having to call the ambulance for him
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Main Issue
for our
patient:
Limited by
finances
additional
to his health
conditions
According to our patient, the biggest thing that stops
him from doing what he desires are his finances.
Dreams of travelling around Australia
Would like to visit his adult children more often
- Unable to afford the costs
- Diabetes medication is required to be kept
refrigerated. Not convenient in a long durations of
travel
How can somebody on a pension live a lifestyle
of comfort? Does the pension really allow for a
modest lifestyle?
for our
patient:
Limited by
finances
additional
to his health
conditions
According to our patient, the biggest thing that stops
him from doing what he desires are his finances.
Dreams of travelling around Australia
Would like to visit his adult children more often
- Unable to afford the costs
- Diabetes medication is required to be kept
refrigerated. Not convenient in a long durations of
travel
How can somebody on a pension live a lifestyle
of comfort? Does the pension really allow for a
modest lifestyle?
Money
Worries for
a Nation of
Pensioners
The main concern for our patient are his finances
His medications have to come first
Everything else in his life comes second
Can’t afford extra health cover to enable him travel
Relevant Australia Wide….
A recent article in the Sydney Morning Herald discussed these issues. “A single retiree who
qualifies for a full government pension can expect to receive $22,700 a year, including a so-
called pension supplement and an energy supplement. A couple can expect to receive
$34,300 a year.”6
Association of Superannuation Funds of Australia (ASFA) claim that the pension provides a
“modest” lifestyle.6
“ASFA estimates that a single person between the age of 65 and 85 would need an
income of $23,800 to achieve a modest lifestyle. The catch is that this requires
spending nothing on items such as gifts, music, home improvements or overseas
holidays.”6
A pension incomes allows for (guidelines by ASFA)
-$980 a year for domestic holidays
$23 month for entertainment
$7.40 a month at chemists ( keep in mind one script costs $6.40)
$77 a week on food6
Is this really sufficient for our pensioners in Greater Western Sydney who may be
living with chronic illness?
Worries for
a Nation of
Pensioners
The main concern for our patient are his finances
His medications have to come first
Everything else in his life comes second
Can’t afford extra health cover to enable him travel
Relevant Australia Wide….
A recent article in the Sydney Morning Herald discussed these issues. “A single retiree who
qualifies for a full government pension can expect to receive $22,700 a year, including a so-
called pension supplement and an energy supplement. A couple can expect to receive
$34,300 a year.”6
Association of Superannuation Funds of Australia (ASFA) claim that the pension provides a
“modest” lifestyle.6
“ASFA estimates that a single person between the age of 65 and 85 would need an
income of $23,800 to achieve a modest lifestyle. The catch is that this requires
spending nothing on items such as gifts, music, home improvements or overseas
holidays.”6
A pension incomes allows for (guidelines by ASFA)
-$980 a year for domestic holidays
$23 month for entertainment
$7.40 a month at chemists ( keep in mind one script costs $6.40)
$77 a week on food6
Is this really sufficient for our pensioners in Greater Western Sydney who may be
living with chronic illness?
SOCIAL IMPACTS ON
HEALTH
Teenage life
Smoking was very popular
amongst his friends
Drinking alcohol also
popular among his friends.
Was a social drinker then
progressed to solitary
drinking.
Retirement village
- Patient is now more aware
of the health of others and
looks out for his neighbors
POLITICAL IMPACTS
ON HEALTH
Education – patient was not
educated about healthy food
options, consequences of
stress and the real dangers of
smoking in his teenage years.
Processed “fast-food” in
abundance in Greater Western
Sydney is a contributing factor
Patient has fine access to
health care. He is able to
manage his conditions and
seek medical treatment and
services.
HEALTH
Teenage life
Smoking was very popular
amongst his friends
Drinking alcohol also
popular among his friends.
Was a social drinker then
progressed to solitary
drinking.
Retirement village
- Patient is now more aware
of the health of others and
looks out for his neighbors
POLITICAL IMPACTS
ON HEALTH
Education – patient was not
educated about healthy food
options, consequences of
stress and the real dangers of
smoking in his teenage years.
Processed “fast-food” in
abundance in Greater Western
Sydney is a contributing factor
Patient has fine access to
health care. He is able to
manage his conditions and
seek medical treatment and
services.
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What now
for our
patient?
Continue to live a quiet lifestyle in his retirement
Volunteering at local Rotary events
Healthy lifestyle habits
Long distance relationship with his children
Maintaining his health as best he can
for our
patient?
Continue to live a quiet lifestyle in his retirement
Volunteering at local Rotary events
Healthy lifestyle habits
Long distance relationship with his children
Maintaining his health as best he can
Reference List:
1. Chronic Conditions [Internet]. The department of Health. 2017 [cited 5 September 2018]. Available from:
http://www.health.gov.au/internet/main/publishing.nsf/content/chronic-disease
2. Medicare [Internet]. Australian Government Department of Human Services. 2018 [cited 5 September 2018].
Available from: https://www.humanservices.gov.au/individuals/medicare
3. Eyes on diabetes [Internet]. Diabetes Australia. 2015 [cited 5 September 2018]. Available from:
https://www.diabetesaustralia.com.au/
4. Pharmaceutical Benefits Scheme [Internet]. PBS. 2018 [cited 5 September 2018]. Available from:
http://pbs.gov.au/pbs/home;jsessionid=ctrkoo2wovzwpunwwvieq
5. Illness and complementary medicine [Internet]. Diabetes in Australia. 2015 [cited 5 September 2018]. Available
from: https://www.diabetesaustralia.com.au/illness-and-complementary-medicine
6. Patten S. What life is really like on the age pension [Internet]. The Sydney Morning Herald. 2016 [cited 7
September 2018]. Available from: https://www.smh.com.au/money/what-life-is-really-like-on-the-age-pension-
20160426-gofbs8.html
1. Chronic Conditions [Internet]. The department of Health. 2017 [cited 5 September 2018]. Available from:
http://www.health.gov.au/internet/main/publishing.nsf/content/chronic-disease
2. Medicare [Internet]. Australian Government Department of Human Services. 2018 [cited 5 September 2018].
Available from: https://www.humanservices.gov.au/individuals/medicare
3. Eyes on diabetes [Internet]. Diabetes Australia. 2015 [cited 5 September 2018]. Available from:
https://www.diabetesaustralia.com.au/
4. Pharmaceutical Benefits Scheme [Internet]. PBS. 2018 [cited 5 September 2018]. Available from:
http://pbs.gov.au/pbs/home;jsessionid=ctrkoo2wovzwpunwwvieq
5. Illness and complementary medicine [Internet]. Diabetes in Australia. 2015 [cited 5 September 2018]. Available
from: https://www.diabetesaustralia.com.au/illness-and-complementary-medicine
6. Patten S. What life is really like on the age pension [Internet]. The Sydney Morning Herald. 2016 [cited 7
September 2018]. Available from: https://www.smh.com.au/money/what-life-is-really-like-on-the-age-pension-
20160426-gofbs8.html
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