Primary Health Care for Diabetes Treatment

Primary wellness thrill for Diabetes TreatmentAshley SuyMolly is a married 82-year-old woman who is diagnosed with Type II Diabetes and has veritable a fork ulcer on her lower left leg. The effects of having leg ulcers impacts Mollys physical, mental and social wellness. Physically, Mollys mobility has declined. She is futile to walk as with every step she takes it causes pain. A lack of physical activity, such as walking has led to weight gain as she has been sensible to sit with her leg up as much as possible to speed up the healing process.Mollys mental well-being would be negatively impacted as she go away be mentally stressed from dealing with the leg ulcer and having no mobility to do day-to-day tasks. This disenables her to have liberty as she relies on Pat, her husband, to do simple tasks for her as she is immobile which may chair to guilt for relying on him to assistant her with daily tasks.The leg ulcer on with immobility will inflict negative effects on Mollys s ocial health. Not being able to go out to visualise her friends and her loved ones or spend time outside of home with Pat will cause an abundant amount of stress which will gradually lead to depression.The issues that will be primarily focused on are, Primary Health Care relating to Mollys forking ulcer, Principles of Wellness, the Wellness Model, Type 2 Diabetes in regards to Mollys condition and how an Enrolled Nurse will support Pat through a time of distress of grieving and bereavement.Primary Health Care (PHC) is the primary contact of accessing health care and it is based on the involve of individuals and the country. It focuses on practical, scientifically sound and socially acceptable methods and resources that are made universal for people and families at an affordable cost that individuals and the country can afford to assist with their individual growth and development to maintain a healthy sustenance (Koutoukidis, Stainton, Hughson, 2013, pp. 85-86).Since PHC is ba sed on providing appropriate resources for individuals, Molly should be educated on the different types of services that will allow her to treat her health problem in effect. or so services include, home carers, residential area service, counsellors and online websites such as Diabetes Australia. As Molly suffers from a Leg ulcer she is evidently unable to participate in her fixity community activities like she once use too. PHC encourages services that are scientifically sound and socially acceptable as well as, relevant to the client. A mode that PHC can be beneficial for her is through a home visiting service or physiologists that is subsidised by Medicare. PHC supports the involvement of a multidisciplinary team integrating of services that will assist Molly in the healing process. Nurses, dieticians, physiologist, podiatrists and GPs are the most appropriate types of multidisciplinary members. This team will educate her, Pat and her family with information of diabetes, leg ulcers, proper nutrition, appropriate exercises and activities to promote her health as well as pr regular(a)ting future hospitalisation or illness exacerbations.Wellness according to Student Health and Counselling Services (SHCS) (https//shcs.ucdavis.edu/wellness/) is an active process of becoming aware of and making choices towards a healthy and fulfilling life. The wellness model is a mannikin that individuals use to become aware of the interconnectedness of each dimension of the wheel and how they play a significant factor to healthy living. The Wellness Model consists of vi dimensions physical, social, intellectual, spiritual, emotional and occupational (Hettler, 1976).A principle of wellness is the self is the only true healer. This refers to the health professionals assisting individuals during the healing process. However, it is primarily up to ones body and musical theme to heal as well as allowing time for full recovery. (Hoppers Institute, n.d). Another principle o f wellness is Prevention eliminates the need for treatment. This simply means that the cake of wellness should predominantly be focused on a solution or an outcome to eliminate the problem so there would not be a need for treatment.These principles apply to Molly as she has health professionals that support facilitate the healing process with dressing the wound three times a week and advising her to recover at home which is allowing time to pass by to allow full recovery. Prevention eliminates the need for treatment principle relates to Molly because she needs to limit the chances of leg ulcers from reoccurring again in the future. So, with a mixture of moderate exercise and a healthy diet it would minimise leg ulcers from occurring again. Another effective way to limit the chances of developing leg ulcers again is by using compression socks or hosiery to allow adequate blood circulation in the leg, therefore preventing leg wounds. (Kenny, 2013)Type 2 Diabetes is insulin that is either, unable to produce what the body needs or the cells in the body are unable to use the existing insulin effectively (also known as, insulin resistance). (Falvo, 2014)According to Diabetes Australia (http//www.diabetesaustralia.com.au/Understanding-Diabetes/Diabetes-in-Australia/) an estimated 280 Australians develop Diabetes every day. It is the most common form of diabetes, affecting 85 90% of all people with diabetes. Although it unremarkably affects adults over the age of 45, it is now affecting younger people even children as young as 3. Research has shown that women over the age of 45 and laborious are more susceptible to getting diabetes. Molly has been diagnosed with type 2 diabetic for 17 years. What happens in the body of a diabetic person is that the pancreas which controls glucose in the body makes less insulin (a hormone). However, if the existing cells in the body are unable to effectively use insulin, it makes it difficult to keep blood glucose levels (BGL) in an optimum range. The pancreatic cells cannot use existing insulin effectively gum olibanum, why she has been prescribed oral medication to control her blood glucose level.Diabetes contribute to leg ulcers as fatty substances called atheroma develops on the at bottom lining of the arteries reducing blood flow to various parts of the body. The most commonly affected area is the arteries in the legs causing a decrease in blood supply to the feet (Kenny, 2014). Diabetic retinopathy is the most common diabetic eye disease. It is caused by changes in the blood vessels of the retina. Blood vessels in the eye may swell, or leak fluid. In some people, abnormal new blood vessels grow on the surface of the retina.A learning program for Mollys Leg ulcer is a crucial factor in educating her on the prevention of reoccurring leg ulcers. Some teaching methods that would be used are verbal discussions roughly Diabetes, her eating habits, exercising routine and lifestyle. Since she has put on w eight, she feels tired and unwell.A dietician and a local GP will work together to check into current blood and other tests that will be mixed together to come up with a suitable diet plan. The dietician will consequently provide Molly with written information that she will be able to take home to follow, thus achieving her physical health. (Dieticians Associated of Australia, 2014)Another method of teaching is through a physiologist who can demonstrate various low to mild exercise routines where the activities are suitable and safe to follow as well as assist with Mollys current immobility (Allied Health Profession Australia AHPA, 2010). As mental health for Molly is a risk factor, beyond blue encourages that maintaining connections with friends, family and the community can prevent feelings of loneliness and isolation and help to stay mentally healthy (Beyond Blue, 2013).This first link is a publication regarding leg ulcers and how to care for them, thus educating Molly on Leg u lcers. Molly will need to read this publication to understand it or have a relative or health professional explain it to her.http//www.awma.com.au/publications/vlu_patient_info_a4_2012-08-21.pdfThe second resource that Molly can learn from is the Leg Ulcer Prevention Program (LUPP) which is an electronic multimedia client statement package for people receiving care regarding leg ulcers. The program is delivered at home via a nurses personal computer, so Molly will not have to move too much. Also, she can listen and watch the multimedia. (Kapp, S Miller, C and Donohue, L, 2010)Grief and loss are two major feelings that Pat has encountered as Molly passed. Grief is a response to loss. People experience grief differently some may go through sadness, anger, anxiety, disbelief, panic, relief or even numbness. (Healey, 2010)To relieve Pats grief, an Enrolled Nurse would offer basic reassurance that he is not alone, an opportunity for him to talk about the loss of his wife, encourage him to seek help from other resources if he needs, such as psychologists, counsellors, or mental health services.The Australian Centre for Grief and Bereavement (ACGB) offers support groups that will help participants in many ways. Some of the groups that they offer are Bereaved Partners, Death of a Parent, For Men, Pet Loss and many more. ACGB also shares stories of other people that have gone(p) through loss (Australian Centre for Grief Bereavement, n.d). Another service available is the Compassionate Friends Victoria, a group that offers mens space where divest men go along and discuss issues together. (Compassionate Friends Victoria, 2014)Primary Health care along with the Wellness Model play a major role in the quality of life that Molly has experienced. Type 2 Diabetes has a major affect on Mollys health, thus contributed to leg ulcers. Pat will gradually move on from grieving over the loss of his wife with the help of support groups.Word Count 1591ReferencesDonna R. Falvo.(201 4). Medical and Psychosocial Aspects of Chronic Illness and constipation (Ed. 5) (p.377)Beyond Blue (2013). Older People and Depression. Retrieved from http//www.beyondblue.org.au/resources/for-me/older-peoplehopperinstitue.com. (n.d.).Principles of wellness. Retrieved from http//www.hopperinstitute.com/wellness.htmlDiabetes Australia (2013). Type II Diabetes. Retrieved from http//www.diabetesaustralia.com.au/Understanding-Diabetes/Diabetes-in-Australia/Bill Hettler, MD. (1976). The Six Dimensions of Wellness Model. Retrieved from http//c.ymcdn.com/sites/www.nationalwellness.org/resource/resmgr/docs/sixdimensionsfactsheet.pdfGabrielle Koutoukidis., Kate Stainton., Jodie Hughson. (2013). Health promotion, education and wellness. In Elizabetch Coady Jane Coulcher (Ed.6), Tabbners breast feeding Care (pp. 85-86).Tim Kenny. (2013).Venous Leg Ulcers. Retrieved from http//www.patient.co.uk/health/venous-leg-ulcers-leafletshcs.ucdavis.edu (n.d) Wellness. Retrieved from https//shcs.ucdavis .edu/wellness/compassionatefriendsvictoria.org.au.(2014). Retrieved from Compassionate Friends Victoria http//www.compassionatefriendsvictoria.org.au/grief.org.au. (n.d.).Grief.Retrieved from Australia Centre for Grief Bereavement http//www.grief.org.au/grief_and_bereavement_support/understanding_grief/about_griefJustin Healey. (2010). 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