...consultations. But, we are still struggling with numbers. There are not enough doctors and other para medical staffs to meet the growing number of patients. One way of dealing such problem is to educate the patients so that they can self mange their disease or conditions. It can only happen when they have knowledge about the disease they are suffering from.. In this essay, the client or the subject of study is a person suffering from type II diabetes. So what is diabetes education? It is all about assisting the client, their family and their care takers to gain knowledge about the disease, and empower them with skills and motivation power that will help in self management of the disease. This provides them with certain knowledge of what to do, when to do, how to do, and when to seek the help of a professional health practioner? The next question in this field which emerge is who can be an educator? Those persons who are recognized by the medical council of the respective countries are eligible for providing education to the patient. A person must seek diabetes education when he/she being diagnosed with any type of diabetes, need of monitoring blood glucose level at home, difficulty to access the facilities , insulin therapy starting, hospitalization situation comes frequently etc. There are many other...
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...David Zinczenko in his essay “Don’t Blame the Eater” confronts the topic of adolescent obesity and its correlation to the daily consumption of fast-foods. The author reveals that he too, at one point, fell victim to the “golden arches”. The author’s personal narrative revealed that after eating fast-food twice a day he weighed two-hundred and twelve pounds standing at only five foot ten. I sympathize with the author about the ever increasing numbers of childhood obesity, the money in which is donated to childhood obesity research, and the misconception of nutrition labels of prepared foods. The author used valid statistics to acclimate the reader to his point of view. He believes that the problem should not just be assumed by the consumers...
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...Foundation Statistics Website). To put this figure in to perspective this equates to one person every 2 minutes. Mortality is at approximately 30% which is 68,100 deaths in the UK per year. The National Service Framework (NSF) for Coronary Heart disease (CHD) is a 10-year programme published by the Department of Health in 2000 and has set key standards for the prevention and treatment of CHD. Access to the right treatment for those who suffer from an AMI, is essential to reduce morbidity and mortality and improve clinical outcomes. People with diabetes mellitus constitute a group of patients who have a higher risk of having an MI and also a poorer prognosis post infarction. The higher death and complication rates appear to be multifactorial but a significant finding in the Diabetes Mellitus Insulin-Glucose Infusion in Acute Myocardial Infarction (DIGAMI) Trial showed to reduce one year mortality by 30% (Malberg et al., 1995). It’s recommended 1.1 Primary Objective To determine the relationship between HbA1c and prognosis of patients in East Lancashire having a myocardial infarction. 1.2 Secondary Objectives To assess the prognosis of patients below the glucose cut off threshold for DIGAMI treatment and whether or not this borderline category falls in to the highest risk group in terms of mortality and morbidity. To determine if there is both a clinical and analytical case to use fluoride oxalate tubes for plasma glucose and HbA1c collection and analysis in East Lancashire...
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...shifts for seven days a week. Finding the time to incorporate a decent exercise isn’t even considered in the thoughts of a tired human body. With fast food restaurants located at every corner it’s a lot quicker to grab three Burger King combos for the family rather than finding time to go home and make a fresh cooked meal. The various factors of unhealthy living lead to multiple life threatening diseases; such as diabetes. Within this selected article they discuss why so many of us are getting diabetes. This article goes in depth about where diabetes comes from and the factors that we humans fail to follow to prevent such a disease. It shares stories of several individuals of various age groups that have diabetes. Then the article slowly moves into further detail as to what diabetes is and the daunting results from it. Despite the plain structure of the article the informative title and use of Aristotelian Rhetoric allow for Laura Randall to share a message effectively. Let’s begin with the title of the selection. The article is entitled “Why so Many of Us Are Getting Diabetes.” Taking a glance at this article it doesn’t grab the attention of the reader as there is no part of the title that pulls the reader into wanting to read more. Although using a question as the title of an article does have an effective purpose. It is written in straightforward manner that allows for the reader to know specifically what the article will be discussing. Once past the title we are then lead to the...
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...Rachael Burgess ID# 0281953 Eng. 101-F2 Short Essay Obesity in America: Balko vs Zinczenko Obesity is a growing problem in the US. There are many ways to go around trying and fixing it. Whiter they’re right or wrong is the question. How they go about it is another thing entirely. David Zinczenko and Radley Balko are from opposing sides on this issue. Zinczenko takes the sides of those who chose to blame the fast food companies. While Balko states that everyone should have personal responsibility. Which, I agree with. Out of the two of them, Balko is the one I have sided with. In his essay DZ states “Before 1994, only about 5 percent of childhood cases were obesity-related, or Type 2 diabetes. In 2002, "according to the National Institutes of Health, Type 2 diabetes accounts for at least 30 percent of all new childhood cases of diabetes in this country"(Zinczenko) This number has grown according to most health studies. Though, Zinczenko states this fact firmly. He does not provide a strong connection to this and obesity in children. Though he is trying to prove a good point there is not enough information to back it up. If he had the proper facts his argument would have been better. DZ had concluded that "Fast-food companies are marketing to children a product with proven health hazards and no warning labels. They would do well to protect themselves, and their customers, by providing the nutrition information people need to make informed choices about their products"...
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...BIO483 Exam #4 Review Comprehensive and/or early Weeks Know all conditions that cause splenomegaly All associated diseases with EBV Week 1 Mechanisms of Cellular Adaptation Types of necrosis and pathology where most likely found. Apply the definitions of Atrophy, hypertrophy, hyperplasia, hypoplasia, dysplasia, and metaplasia. Week 2 Pain Throughout Organ Systems General anatomy of kidneys, appendix, gallbladder, pancreas, spleen, male and female reproductive organs. Costochondritis vs Angina Pectoris vs Myocardial Infarctions. Rheumatoid arthritis Gout lab findings Week 3 Fluid Balance and Edema Electrolyte imbalances of sodium, potassium, calcium, and magnesium. Intra and Extra cellular concentrations of sodium and potassium as related to osmotic balance. Know the physical signs/symptoms of electrolyte imbalances including hyper and hypo natremia, kalemia, and calcemia. SIADH lab and imaging findings Diabetes insipidus lab and imaging findings Week 4 Topic 4 Acidosis and Alkalosis Know your acid-bases! Week 5 Topic 5 Cardiovascular Causes of Fatigue Cor-pulmonale, cardiomyopathies Week 6 Topic 6 Thyroid, Adrenal, Liver Fatigue Hashimoto’s thyroiditis vs. DeQuervain vs. nodular goiter vs. secondary hypothyroidism Cirrhosis, Addison disease lab tests and hormone responsible. Is it high or low? Week 7 Topic 7 Bleeding as Indicator of Disease Pathophysiology of Disseminated Intravascular Coagulation Pathophysiology of Hemophilia Ulcers ...
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...Is type 2 diabetes a public health emergency? Definition: The term ‘diabetes mellitus’ describes a metabolic disorder of multiple causes characterised by chronic hyperglycaemia with disturbances of carbohydrates , fats and protein metabolism which results in abnormal insulin secretion or/ and insulin action. The effects of diabetes mellitus include long-term damage dysfunction and failure of various organs (WHO). Types of diabetes: There are two main types of Diabetes: * Type 1diabetes (T1B) which usually develops in childhood and adolescence and the patients require lifelong insulin injections for survival. * Type 2 diabetes (T2B) usually occurs in adulthood and it is also related to obesity as well as lack of physical activity and unhealthy diets. This is the more common type of diabetes (representing 90% of diabetes cases worldwide) and treatment may involve lifestyle modifications and weight loss alone or oral medicines or even insulin injections. * Other categories of diabetes: There are other categories of diabetes which includes gestational diabetes (a state of hyperglycaemia which develops during pregnancy) and other rarer causes (genetic syndromes, acquired processes such as pancreatitis, cystic fibrosis or exposure to certain drugs, viruses and unknown causes). Burden of diabetes: * The development of diabetes is projected to reach pandemic proportions over the next 10-20 years. * International diabetes federation data showed in 2025 the number...
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...July 12, 2012 Cheryl Matheis Objective Research Essay Pre-diabetes Are you very hungry? Are you very thirsty? Are you tired or don’t get enough sleep? Are you overweight or lack daily exercise? These are just a few symptoms you may experience if your body is trying to tell you something. You need to know what your body is saying and more importantly listen to it. Unfortunately, our body does not always tell us what we need to know; pre-diabetes is most often a silent condition with no symptoms. Pre-diabetes is when your blood sugar level is between 100 and 125 milligram per deciliter. A simple blood test can tell if you have pre-diabetes and detect if you are at risk of developing the lifelong disease of type 2 diabetes. According to health professionals at revolution health, the process begins when the pancreas can’t make enough insulin and/or when the body’s tissues can’t use insulin properly. Insulin is a hormone that helps the body’s cells use sugar “glucose” for energy. It also helps the body store extra sugar in muscle, fat, and liver cells (Rea, 2008). Most people with pre-diabetes do not have any symptoms but if diagnosed; can delay and in most instances can prevent the onset of type 2 diabetes. Pre-diabetes is a warning sign that you are at risk for getting type 2 diabetes, meaning that your blood sugar is higher than it should be (Rea, 2008). We have a chance...
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...HE0930A CASE STUDY | 1104964 | Jane Smith aged 16 years, was diagnosed with diabetes aged 7. Last month, whilst attending the practice nurse’s diabetes review clinic Jane expresses concerns that over the past few weeks her blood sugar readings have been elevated. She does not want to increase the dosage of her twice daily insulin regime as she is worried that this will cause her to gain weight. 1. What is meant by the terms anticipatory care, self care and self management? (15%) 2. Critically discuss why current Scottish health policy is actively promoting the self care and self management of long-term conditions. (25%) 3. Critically discuss the practice nurse’s role in supporting Jane to self- manage her long term condition (60%). A long term condition (LTC) can be defined as a prolonged health issue that never goes away and is very rarely cured (Magerson and Trenoweth 2010). These conditions require different degrees of on-going care and support tailored to the individual (Scottish Executive 2009). The government has realised that effective management of these LTC’s is one of the biggest challenges that healthcare faces (McVeigh 2009). This essay will focus on the above case study, defining anticipatory care, self-care and self-management, and analyse and explore current Scottish health policy in relation to self-management and self-care. A fundamental part of this essay will discuss the nurses’ role in supporting Jane to self-manage her diabetes. Anticipatory...
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...accidents. This essay views sleep and sleep deprivation from five different motivational perspectives in order to gain a holistic understanding of the phenomena. From evolutionary, psychodynamic, behaviourist, cognitive, and hierarchy of needs perspectives, it is inferred that the cognitive and behaviourist perspectives uphold the most merit for gaining understanding into sleep and sleep deprivation. However, it is concluded that in order to obtain the greatest comprehension of the phenomena, the implementation of all motivational perspectives is required. Sleep is one of the most fundamental components of a healthy existence. The phenomenon of sleep deprivation, resulting either from lifestyle choices or the undertreatment of sleep related illnesses, could be a factor for a multitude of health disorders prevalent in today’s society (Nature, 2005). It is suggested that people of industrialized countries obtain about 20% less sleep today than they did a century ago. Sleep deprivation has been linked to Type 2 diabetes, obesity, and has also been found to significantly increase the chance of a motor-vehicle accident (Wilson, 2005). In order to address the problem of sleep deprivation, it is imperative that the motivation behind sleep and sleep deprivation is understood. This essay will look at sleep and sleep deprivation through five different perspectives of motivation: evolutionary, psychodynamic, behaviourist, cognitive, and hierarchy of needs. This essay will then argue that...
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...Introduction The case study for this essay is Mr. Douglas Murray 66 year old man who was admitted to the community hospital due to symptoms of wound infection. He lives on a farm in a rural setting with his son, daughter in law and three grandchildren. 12 years ago he was diagnosed with Type 2 Diabetes and was commenced on oral medication for hyperglycaemia 6 years ago. However, Mr. Murray did not accept his diagnosis of diabetes well, although he has managed his condition through eating a healthy diet, he struggles sometimes because of his sweet tooth. He keeps regular appointments with the podiatrist. Mr. Murray is well built with weather-beaten appearance but slightly limps while walking. His weight increased when he had to stop farming...
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...Sleep Deprivation Abstract Sleep is one of our basic needs to survive, however in the modern days sleep deprivation in increasing more and more each day, causing accidents and medical problems for the people and the community. This essay will look at the meaning of sleep and sleep deprivation and the basic perspectives on what motivates sleep and sleep deprivation with the five perspectives; evolutionary, psychodynamic, behaviourist, cognitive and the hierarchy of needs. This essay will also evaluate the best perspective to eliminate sleep deprivation with the cases studies discussing the general hypothesis of sleep and sleep deprivation. Basic Perspectives on Motivation: Evaluating Five Accounts for Sleep and Sleep Deprivation Sleep is one of our basic needs to survive and to function in day to day operations, but not everyone needs the same amount of sleep. Some people can survive on very little sleep, i.e. five hours a night, and some people need a lot of sleep, to the extend that they are sleeping up to 10 to sometimes 15 hours a night (Nature, 2005). According to Wilson (2005) the general rule states that most people need from seven to eight hours of sleep. The deprivation of sleep in our society in continually increasing with the demands in society increasing work loads, the myth that a few hours of sleep is only necessary to function properly and that sleep is sometimes considered as killing time (Nature, 2005). Sometimes sleep deprivation is also caused by other...
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... Course Title: Patient Pathways of Care in Adult Nursing 1 NURS 1442 Cohort: 9/13 PGT Leader: Debbie Dorsett Submission Date: 25th August 2015 Word Count: 3250 This essay will be exploring a patient pathway in a clinical environment. The pathway to be investigated is the national diabetes pathway from the National Institution for Health and Care Excellence (NICE), which was published in February 2015 (NICE, 2015). I will also exploring local agendas and guidelines that are available from a local trust. I will be exploring one patient in particular, who cannot be named for confidentiality reasons, in accordance with the Nursing and Midwifery Councils (NMC, 2008) the code of conduct governing patient confidentiality, (NMC, 2008). Diabetes is growing in the United Kingdom (UK) at an alarming rate, (Diabetes UK, 2012). In 2010, evidence showed that approximately 3.1 million people in the UK aged over 16 years old have diabetes. By 2030, this figure is estimated to rise to 4.6 million, (National Health Service [NHS], 2014). It is important as an adult nurse, that I understand the pathway of diabetes as individuals with the condition are at risk of developing further health complications (Diabetes UK, 2012). This includes conditions such as heart disease, stroke and blindness (Diabetes UK, 2012a). A pathway is a “foreseen care placed in an appropriate time frame, written and agreed by a multidisciplinary team. It has locally agreed standards based on evidence where...
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...The term “couch potato” is also known as a sedentary lifestyle. In my essay, I will discuss the negative impacts of having a sedentary lifestyle has on our society. A sedentary lifestyle is a way of living in which a person, an adult or child, has a significant lack of physical exercise for what is generally considered to have a healthy lifestyle. The term is normally used by doctors or professionals within the medical field to explain a lifestyle among many people in highly developed countries that does not afford them opportunities for physical activity. Technology such as television, video games, and computer use is partly to blame for this way of life. Other reasons surrounding this lifestyle can be contributed to inactive living with such high demands for the work force and just being lazy. As much as technology has developed and contributed to the further advancement of the world, it has also been a curse when it comes to a sedentary lifestyle. Emotional factors such as depression can have a lot to do with sedentary lifestyle. “A study of physical activity in more than 7,000 teenagers found that inactivity is associated with emotional and behavioral problems. Teens with less than one hour of moderate to vigorous physical activity a week had more symptoms of anxiety, withdrawal, depression, sleep problems, rule-breaking behaviors, attention problems, and somatic complaints (body pain). Study author Marko T. Kantomaa stated in an American College of Sports Medicine...
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...has to be somebody else a spot other than my own because I can’t blame myself look at me it’s got to be someone else. At the end of the day health has always been a crapshoot one person could live their lives one way and die at an early age while another person can do whatever they want and live to be 105 years old. In this essay, I will discuss some of the reasons why I believe that people are responsible for everything that they put in their bodies and I will do my best to show that health is more of a crapshoot and nothing is set in stone. According to David Zinczenko a writer for the New York Times his whole opinion piece is don’t blame the eater and tends to blame McDonald’s over the consumer stating “Before 1994, diabetes in children was generally caused by a genetic disorder -- only about 5 percent of childhood cases were obesity-related, or Type 2, diabetes. Today, according to the National Institutes of Health, Type 2 diabetes accounts for at least 30 percent of all new childhood cases of diabetes in this country. Not surprisingly, money spent to treat diabetes has skyrocketed, too. The Centers for Disease Control and Prevention estimate that diabetes accounted for $2.6 billion in health care costs in 1969. Today's number is an unbelievable $100 billion a year. Shouldn't we know better than to eat two meals a day in fast-food restaurants? That's one argument. But where, exactly, are consumers -- particularly teenagers -- supposed to find alternatives? Drive down any thoroughfare...
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