5 Questions
What questions would a nurse ask to assess the impact that diabetes has on Mr Aboud?
A nurse might ask about Mr. Aboud's symptoms, daily activities, emotional well-being, social interactions, financial status, and any challenges he faces in managing his diabetes.
List the potential impact of this disease socially, emotionally, physically, psychologically, and financially for Mr Aboud.
The potential impacts include isolation, change in friendships, reduced ability to socialize, physical changes affecting sporting ability, depression, loss of desire to socialize, change in relationships, grief, anger, low self-esteem, anxiety, denial, disability, inability to perform ADLs, and financial implications such as loss of income and changes in lifestyle.
Is it possible for people to normalize diabetes in their lives? How?
Yes, people can normalize diabetes in their lives through proper management, adherence to treatment plans, lifestyle modifications, education, support from healthcare professionals, and peer support.
What positive outcomes could Mr Aboud experience as a result of his diabetes?
Positive outcomes may include improved self-care habits, better understanding of personal health, stronger support network, increased resilience, and a greater appreciation for life.
What nursing interventions would help Mr Aboud achieve optimal health?
Nursing interventions may include education on diabetes management, emotional support, lifestyle counseling, facilitating social connections, financial counseling, and coordination of care with other healthcare providers.
Study Notes
Chronic Disease and Nursing Care
- Chronic diseases are long-term conditions lasting more than three months, with no cure, and are the leading cause of death worldwide.
- Examples of chronic diseases include:
- Noncommunicable conditions (e.g., diabetes, hypertension)
- Persistent communicable conditions (e.g., HIV/AIDS)
- Long-term mental disorders (e.g., depression)
- Ongoing physical/structural impairments (e.g., arthritis)
Risk Factors for Chronic Diseases
- Modifiable risk factors:
- Poor nutrition
- Lack of exercise
- Tobacco use
- Unmanaged psychological stress
- Illicit drug use
- Non-modifiable risk factors:
- Age
- Heredity
Leading Causes of Death in Australia (2018)
- Ischaemic heart disease
- Dementia
- Stroke
- Lung cancers
- Chronic obstructive pulmonary disease (COPD)
- Diabetes
- Lymph/blood cancers
- Chronic kidney disease
- Prostate cancer
- Heart failure
- Influenza and pneumonia
- Pancreatic cancer
Common Chronic Conditions in Australia
- Arthritis
- Asthma
- Back problems
- Cancer
- Chronic obstructive pulmonary disease (COPD)
- Diabetes mellitus
- Heart, stroke, and vascular disease
- Kidney disease
- Mental and behavioural conditions
- Osteoporosis
Continuum of Chronic Disease
- No management: suffer full and debilitating effects
- Positive management: optimum level of health/life
Levels of Prevention
- Primary level of prevention: generalized health promotion activities and specific actions to prevent or delay disease occurrence
- Secondary level of prevention: early diagnosis and treatment of an illness to stop the pathological process
- Tertiary level of prevention: stopping the disease process and returning the affected person to a useful place in society
Issues in Managing Chronic Illness
- Fragmented system with providers and services working in isolation
- Uncoordinated care
- Difficulty finding services
- Lack of mobility and transport, plus language, financial, and remoteness barriers
- Feelings of disempowerment, frustration, and disengagement
Chronic Disease Models
- Chronic care model (CCM): advocates for structural change from reactive to proactive care
- Improving chronic illness care (ICIC): integrates medical science with redesigned healthcare delivery systems
- Innovative care for chronic conditions (ICCC): supports a paradigm shift from acute to chronic care
- Stanford model: uses the Chronic Disease Self-Management Program to enhance medical treatment and reduce costs
Phases of Adjustment to Living with a Chronic Disease
- Crisis phase: seeking treatment, feeling fear, anxiety, and blame
- Stabilization phase: awareness of the chronic nature of the condition, friends and family may retreat, feelings of isolation
- Reconstruction phase: learning to live with the consequences of the disease, renewed sense of self
- Integration phase: accepting that the disease has provided positive life experiences, sense of pride in achievement
Stages-of-Change Model
- Pre-contemplation: not thinking seriously about changing and defending current behaviors
- Contemplation: considering the possibility of changing behaviors but feeling ambivalent
- Preparation: sees the 'cons' of continuing behaviors as outweighing the 'pros', taking small steps towards change
- Action: actively involved in taking steps to change behaviors, making great progress towards significant change
- Maintenance: successfully avoiding temptations to return to old behaviors
- Relapse: experiencing a setback, but can learn from it and become stronger in resolve to change
Assessing the Impact of Diabetes on Mr. Aboud Quiz. Test your knowledge on the questions a nurse would ask to evaluate the impact of diabetes on an individual's health. Explore the potential social, emotional, physical, psychological, and financial impacts of diabetes on Mr. Aboud. Learn about the challenges and management strategies for individuals dealing with diabetes.
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