NUR1202 Professional Identity

Answer

Introduction

Diabetes is the life-long illness that impacts the way the patient’s body manage glucose, a type of sugar, in the blood. Most individuals with the situation have type two. According to Nathan et al. (2009), there are around 27 million individuals in the U.S. with this issue. This health issue is one of the mutual non-communicable sicknesses of the 21st century. In 2007 the worldwide burden of this disease was projected to be around 246 million individuals. The World Health found that projected 7.1 million deaths could be caused due to high blood pressure, nearly 4.4 million expiries due to high cholesterol, and around 2.6 million deaths to increased body weight (Chen, Magliano, & Zimmet, 2012). In this particular assessment, the seven dimensions and healthcare model will be discussed.

Section A

Seven important dimensions of the patient-centered care approach

1. Respecting the patients’ values, choices, and expressed requirements

As discussed in the case study Mr. John is an old man facing issues related to his health and failed to maintain his blood sugar. It is the right if the patient to be respected and receiving a good health care service. Treating persons with admiration and in a way that upholds their self-respect and establishes an understanding of their ethnic values is the key to good health care. Keeping them knowledgeable about their disorder and including them in decision making is another good practice (Kitson, Marshall, Bassett, & Zeitz, 2013). This might help John to focus on the quality or excellence of life, which is exaggerated by his sickness and treatment

2. Integration and Coordination of Care

Managing and incorporating patient and clinical care and facilities to decrease feelings of anxiety and susceptibility is very essential. This dimension might help John to regain his belief in the treatment which he thinks not effective in his case. It might help him to regain the confidence that he can be a cure and his blood sugar level can be controlled (Hudon, Fortin, Haggerty, Lambert, & Poitras, 2011).

3. Information and Education

Mr. John lost every hope to manage his blood sugar and assumed that his blood sugar cannot be controlled and it is the natural process (Pelzang, 2010). Providing whole information to John concerning his clinical status, development, and prognosis; the procedure of care; and evidence to help make sure his autonomy and his capability to self-maintain, and to endorse his health may help him to improve his health (Kitson, Marshall, Bassett, & Zeitz, 2013).

4. Physical Comfort

Mr. John is 69 years old patient and therefore it is not possible for him to visit hospital frequently. Thus his comfort should be the priority of the treatment process. Improving johns’ physical relaxation during care, particularly with respect to management of pain, upkeep with the actions of everyday living, and keep up a concentrate on the environment of the hospital such as privacy, hygiene, comforts, convenience for visits (Pelzang, 2010).

5. Emotional upkeep and mitigation of panic and anxiety

Emotional support is particularly essential in the case of Mr. John as he is facing lots of financial and physical issues. Helping to ease fear and nervousness Mr. John is experiencing with respect to his health statutes such as treatment, physical position, and prognosis. The influence of his875353 illness on himself and others like his family and the economic influences of his illness are there, therefore emotional support is important to achieve the health goal (Pelzang, 2010). 

6. Involvement of Family and Friends

With emotional support family support is also important for Mr. John. Recognizing and respecting the part of John’s family in his health-care history by obliging the person who provides the individual with upkeep during care.

7. Steadiness and Change

Relieving anxiety about John’s capability to self-manage the health issue by given that information related to treatment, physical boundaries, and nourishment. Organizing ongoing treatment and facilities and sharing this information with John and his family (Luxford, Safran, & Delbanco, 2011).

Section B

Models of health in Diabetes care

Diabetes Model of Care

The Diabetes Model of Care delivers an outline for a comprehensive, manageable and efficient facility of harmonized diabetes anticipation and organization facilities for all the patients. The important aim of the Diabetes Model of Care is to confirm that diabetes facilities are optimally arranged to:  Prevent or postponed the beginning of diabetes (American Diabetes Association, 2010).  Prevent and dawdling development of diabetic problems, particularly heart disease, kidney failure, reduced vision, and inferior limb amputations. It Increases the superiority of life of persons who have issues related to diabetes. It also decreases inequities in diabetes facility provision, particularly for underprivileged groups (Hotu et al., 2010).

The Diabetes Model of Care deal with the following phases of diabetes preclusion and managing: 

• Community consciousness and stoppage. ?
• Prevention and timely analysis in high- risk groups. ?
• Best initial and extended management. ?
• Early discovery and optimal controlling the complications. ?
• Coordinated anticipation and organization of acute episodes (American Diabetes Association, 2010).

Comprehensive Care Model

Diabetes Comprehensive Care Perception is a model of health care for diabetes-related issues that are patient-focused, with a multidisciplinary squad approach. It targets at including the patient, the health care organization and the communal. The provision of DCC needs reform of existing hospitals into diabetes complete care clinic (Kramer et al., 2009).

The Diabetes Comprehensive Care Concept is based upon the long-lasting care model. This Chronic Care Model highlights the important part of patients and their association with an organized exercise team to attain the best health results. It encounters the notion of particular knowledge resting exclusively with the doctor in favor of a wider process where every fellow of the care squad, counting the patient, brings knowledge to the desk. The Chronic Care approach puts the deceased person’s long-term health aims, requirements, and capabilities at the center of the healthcare system (Boult, Green, Boult, Pacala, Snyder, & Leff, 2009). It comprises six important essentials of a health care organization that when combined inspire high-quality chronic sickness care:

• Public resources
• Health system
• Self-management upkeep
• Delivery system strategy
• Decision upkeep
• Clinical information systems (Boult, Green, Boult, Pacala, Snyder, & Leff, 2009).

Bio-Psycho-Social model

The bio-psycho-social model is basically the blueprint for investigation, an outline for training, and a policy for the act in actual life wellbeing care. The present hyperglycemia managing recommendations, too, hope to attain these goals (Adler, 2009). The position declaration of ADA-EASD goals to inspire research, support diabetes care physicians comprehend currently obtainable strategies and contemporary glycemic goals and hope to trigger development in glycemic regulation. Better understanding of this idea, nurtured by comprehensive debate, should inspire dynamic use of this word in diabetology debate and praxis (Adler, 2009). This may contribute to the aims for better research, training, and patient care (Adler, 2009).

The ADA-EASD declaration has recognized the significant role of patient contribution to diabetes care by applying the guiding expression ‘patient-centered approach (Adler, 2009). This model can provide a complete support to Mr. John in by using the biological, psychological and social approach as he highly needs psychological support to deal with the health issue.

Conclusion

Diabetes is considered as the chronic health condition that impacts the glucose management conduct by the body in blood. The epidemiological studies show that it caused nearly 7.1 million deaths in 2002. The seven important dimensions of patient-centered care comprise respecting patients’ values, choices, and expressed requirements; integration and coordination of care, information and training, physical wellbeing, emotional care and mitigation of panic and anxiety, participation of family and friends, continuity and transition. Some models that can be effective to achieve the health goals in the case of Mr. John include diabetes model of comprehensive care model and bio-psycho-social model. These approaches can help Mr. john to solve his health issues. These models can help him to get psychological, social and emotional and medicinal support in relation to his diabetic problem.

References

Adler, R. H. (2009). Engel’s biopsychosocial model is still relevant today. Journal of psychosomatic research, 67(6), 607-611.

American Diabetes Association. (2010). Standards of medical care in diabetes—2010. Diabetes Care, 33(1), S11.

Boult, C., Green, A. F., Boult, L. B., Pacala, J. T., Snyder, C., & Leff, B. (2009). Successful Models of Comprehensive Care for Older Adults with Chronic Conditions: Evidence for the Institute of Medicine’s “Retooling for an Aging America” Report: [see editorial comments by Dr. David B. Reuben, pp. 2348–2349]. Journal of the American Geriatrics Society, 57(12), 2328-2337.

Chen, L., Magliano, D. J., & Zimmet, P. Z. (2012). The worldwide epidemiology of type 2 diabetes mellitus—present and future perspectives. Nature reviews endocrinology, 8(4), 228.

Hotu, C., Bagg, W., Collins, J., Harwood, L., Whalley, G., Doughty, R., & DEFEND investigators. (2010). A community-based model of care improves blood pressure control and delays progression of proteinuria, left ventricular hypertrophy and diastolic dysfunction in M?ori and Pacific patients with type 2 diabetes and chronic kidney disease: a randomized controlled trial. Nephrology Dialysis Transplantation, 25(10), 3260-3266.

Hudon, C., Fortin, M., Haggerty, J. L., Lambert, M., & Poitras, M. E. (2011). Measuring patients’ perceptions of patient-centered care: a systematic review of tools for family medicine. The Annals of Family Medicine, 9(2), 155-164.

Kitson, A., Marshall, A., Bassett, K., & Zeitz, K. (2013). What are the core elements of patient-centered care? A narrative review and synthesis of the literature from health policy, medicine, and nursing. Journal of advanced nursing, 69(1), 4-15.

Kramer, M. K., Kriska, A. M., Venditti, E. M., Miller, R. G., Brooks, M. M., Burke, L. E., & Orchard, T. J. (2009). Translating the Diabetes Prevention Program: a comprehensive model for prevention training and program delivery. American journal of preventive medicine, 37(6), 505-511.

Luxford, K., Safran, D. G., & Delbanco, T. (2011). Promoting patient-centered care: a qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience. International Journal for Quality in Health Care, 23(5), 510-515.

Nathan, D. M., Buse, J. B., Davidson, M. B., Ferrannini, E., Holman, R. R., Sherwin, R., & Zinman, B. (2009). Medical management of hyperglycemia in type 2 diabetes: a consensus algorithm for the initiation and adjustment of therapy: a consensus statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care, 32(1), 193-203.

Pelzang, R. (2010). Time to learn: understanding patient-centered care. British journal of nursing, 19(14), 912-917.