Question

CASE 1 A 64-year old man who was recently told by his physician that he needed to begin taking insulin for his diabetes is afraid of needles. He has had diabetes for 20 years and doesn’t think this new plan is necessary. He is very concerned about administering his own injections. The provider responds by instructing the patient on the physiology, because she believes the foundation for diabetes education is to understand how the illness works.

Question1: What is your suggestion for improvement?

Question2: Now stop for a moment and think about someone you think is healthy and someone else who you would consider to be not healthy. Look at the definition of health again. Is it similar to the things you thought about when you thought of a healthy and an unhealthy person?

Question3: About two months ago Serena lost her six month old twins. She is grief stricken. She was always slender but now she looks very thin. She cannot sleep, she cannot eat and she doesn’t want to talk to anyone. Do you think the view of health you have just read about applies to Serena?

Question4: Think back to Serena. Describe her state of health.

Question5: Think about someone with physical damage, perhaps due to a car accident. Also think about someone in your community who you would consider to be physically disabled. According to the WHO definition do you see them as healthy?

Answer 1

Question 1: according to the scenario a 64 year old man who was recently told by his physician he needed to start taking insulin is afraid of needles. The appropriate explanation according to the scenario is to alleviate the patient’s fears regarding self-injecting insulin medication.

a. The care provider plans to explain the importance of insulin injection, the body when produces less insulin than required quantity it would be required to given supplement as injectable under subcutaneous tissue of the skin

b. The needles used in insulin therapy on an average are 12.7 millimetres (mm) in length and some are around 8 mm, 6 mm, and 4 mm in thickness, this small diameter and length concludes that insulin injections are less painful in nature.

c. Making the patient understand the procedure

i. Select the sight which is comfortable for the patient like, stomach lateral layers near belly button, thighs lateral layers, posterior parts of biceps areas.

ii. Load the prescribed amount of insulin into the syringe, without any air or air bubble

iii. Place the insulin syringe at 90⁰ and insert at right angles, the needle so small and designed that it enters only into subcutaneous tissue.

iv. It is very important to understand that the needle size is so small that it would not hurt much unless sensitivity

d. It is very important to understand the fact that until and unless the patient faces his or her fears it would be difficult to make the patients fears alleviate, Hence face the fears

e. The care provider plans to reframe patients thinking towards pain thinking.

f. Teach the patient not to worry and control emotions; get your doctor or nurse involved.

g. Ask the patient to practically get the shot this would alleviate much needed fear towards insulin injection.

Question2: Now stop for a moment and think about someone you think is healthy and someone else who you would consider to be not healthy. Look at the definition of health again. Is it similar to the things you thought about when you thought of a healthy and an unhealthy person?

Yes the health definition speaks about physical, mental, social and spiritual well being and it is very much essential to understand the facts, any humans who are having deviated health status anything when seen through the definition of health is absolutely considered as being ill-health

Question3: About two months ago Serena lost her six month old twins. She is grief stricken. She was always slender but now she looks very thin. She cannot sleep, she cannot eat and she doesn’t want to talk to anyone. Do you think the view of health you have just read about applies to Serena?

According to the given scenario, Ms Serena is going through depression and she would be needing depression assessment and care