Question

Situation

Levels of children and young people diagnosed with type 1, type 2, and other variants of diabetes are increasing and this has become a priority issue for commissioners in the area where Na’ema works as a diabetic nurse. As one part of a local strategic response to this issue, Na’ema has been asked to come up with some interventions that could help improve health and well-being outcomes for young people with a diagnosis of diabetes. Na’ema is aware that improved diabetes control in young people can reduce the incidence of microvascular complications and delay their progression. She also understands that a diagnosis can affect a young person's mental health, emotional well-being, and even attendance at school and engagement in extra-curricular and social activities.                                                                           

Address the following questions in no more than A4, 4 pages plus references.

1. Different perspectives of health exist, within which Na’ema might consider this issue. How would adopting different perspectives/approach influence Na’ema thinking? (Think physical, social, socio-environmental perspective (structural issues)).                     

1. Preventative- perspective

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2. Behavioral perspective

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3. socio-environmental perspective ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Refer to the role of community Health nurses and suggest six possible interventions that Na’ema might come up with to promote the health and well-being of young people diagnosed with diabetes?                                                                                                 

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3. What is the level of intervention possible in this case?                                           

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4. Based on the above scenario, Prioritize two appropriate interventions Na’ema will be able to implement at the primary level.                                                                                      

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2. ________________________________________________________________________________________________________________________________________________

5. If case fatality for diabetes type 1 in the area under study was found to be 1 in 500 cases. How do you interpret this? What is the difference between mortality and morbidity rate of diabetes in this scenario?                                                                                                      

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6. If a surveillance survey was used in the community where Na’ema works. Explain six purposes of carrying out this comprehensive survey.                                                

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7. Na’ema wants to make sure that equality is a consideration in diabetic care available to all.                                                                                                                            

1. Discuss four approaches to establish equality for diabetic patients in the community                                                                                                                               .                                                                                                                                      

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2. How equality is linked to vulnerable groups?                                                            

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Answer 1

1. Preventative - perspective : -

- Participating in health comprimising behaviour and gender are two of the many factors that affect diabetes management and metabolic control.

- Assessment of health-comprimising behaviour and diabetes mismanagement should be considered in nurses assessment of adolescents and young adults with diabetes.

- It is important to maintain open communication to determine if health-comprimising behaviours are being practiced and to discuss these behaviours in a nonjudgemental way to decrease the risk for diabetes mismanagement.

- Preventive measures includes foot care, eye care, general hygiene, and risk factor management for the control of blood glucose level ,blood lipid levels, and control of blood pressure.