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.

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?                                                                                                               

1. ________________________________________________________________________________________________________________________________________________
2. ________________________________________________________________________________________________________________________________________________
3. ________________________________________________________________________________________________________________________________________________
4. ________________________________________________________________________________________________________________________________________________
5. ________________________________________________________________________________________________________________________________________________
6. ________________________________________________________________________________________________________________________________________________

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.                                                                                      

1. ________________________________________________________________________________________________________________________________________________
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?                                                                                                      

1. ________________________________________________________________________________________________________________________________________________
2. ________________________________________________________________________________________________________________________________________________

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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6. ________________________________________________________________________________________________________________________________________________________________________________________________________________________

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. _______________________________________________________________________________________________________________________________________________________________________________________________________________________
3. _______________________________________________________________________________________________________________________________________________________________________________________________________________________
4. _______________________________________________________________________________________________________________________________________________________________________________________________________________________

2. How equality is linked to vulnerable groups?                                                             

1. _______________________________________________________________________________________________________________________________________________________________________________________________________________________

2. _____________________________________________________________________________________________________________________________________________________________________________________________________________________

  

Answer 1

1. Preventive perspective

In children mainly diagnosed diabetes is type 1 diabetes. Here there will be decreased amounts of insulin production fron beta cella of islets of pancreas. There is actually less we can do about preventive aspects as this is an idiopathic condition. Genetic counseling can also be adviced as it is seen running in families. Explaining everything about the disease to the family will prevent much complications.

In type 2 diabetes, regular exercise and diet plan can reduce risk of complications as it is a modifiable risk factor

2. Behavioural perspective

In terms of behavioural perspective constant support to the child is necessary. The child knows he or she is different from others and can easily fell dizzy. So she should monitored regularly. Always a small toffee should be with the child in case she falls into hypoglycemia. Assistance to the child can be given in regular administration of insulin. Diet and exercise should be looked carefully for the child. There is a myth that childen with type 1 DM can not enjoy normal lifestyle as others. This is a hoax. They could enjoy their life as much as others if the above measures are strictly taken care of.

3. Socioecnomic perspective

In socioecnomic perspective the strata and financial background of the child is taken into account. To support the child government should implement specific action plans as the cost of insulin to be taken lifetime would be a hectic amount. Fundraisers can be organised of possible. Community participation in helping the child would make a good idea.