Type 2 Diabetes Leg Ulcer Case Study

Type 2 Diabetes Leg Ulcer Case Study This essay will focus on Molly who is an 82-year-old female who has type II diabetes and has developed a leg ulcer. This essay will primarily focus on Molly’s leg ulcer. It will also discuss how primary health care (PHC) relates to the patient, how it can assist Molly with her health problems, providing her sufficient information and adequate care. Two principals will be discussed from the Wellness Model, these include ‘positivity is empowerment’ and ‘wellness is an active process’ and how it relates to Molly’s situation. A learning program will also be presented; this will discuss two teaching methods in regards to the leg ulcer and new skills and behaviors that can benefit Molly. It will also discuss what other health professionals can be included in her care and resources that can support her learning. The essay will also discuss the support that can be given to her husband after she has passed away. The leg ulcer that Molly has developed can impact on her life dramatically, it may cause Molly to feel self-conscious, it can force Molly to socially isolate herself from the community and spend her time indoors. It may also affect her health, due to the leg ulcer; she will be unable to mobilize independently due to pain, increasing the risk of more pressure ulcers. Primary healthcare (PHC) is essential care that is made to be accessible to all people. It is based on various factors such as practical, scientifically, technology and socially acceptable methods. It requires the full participation of individuals and it is important that primary healthcare is affordable to maintain self-reliance and self-determination (Koutoukidis, Stainton, Hughson, 2013). Primary health care has an important aspect to Molly’s health, it can assist Molly’s developed leg ulcer. PHC will provide her with the sufficient information and adequate care that she will need to manage the leg ulcer . It is very important for Molly to receive the appropriate care that she requires as it will allow her to understand her condition (Koutoukidis, Stainton, Hughson, 2013). Molly is financially stable, as she has been seeking medical treatment, where she has to treatment for her leg ulcer. The local GP has also recommended for Molly that she should sit with her leg up to promote healing. PHC will also allow Molly to contribute in decision-making, this will permit her to have a say in the care she will receive, and make her feel in control of the situation and to maintain her independence (Koutoukidis, Stainton, Hughson, 2013). Wellness is defined as having maximum health, it relates to an individual making a decision that contributes in improving their health and gives an opportunity for them to be able to live to their full potential (Koutoukidis, Stainton, Hughson, 2013). Wellness is identified to be ‘holistic’, and includes 6 dimensions, social, occupational, spiritual, physical, intellectual and emotional wellness (Southern New Hampshire University, 2015). Using the wellness model, we are able to support Molly by helping her make positive changes that improve her level of health. By promoting one of the principles ‘Wellness is an active process,’ Molly will be provided with assistance and education that will expand her knowledge, permitting her to learn more about how to manage her leg ulcer, and learn different ways in handling her health concerns, increasing her independence (Southern New Hampshire University, 2015). Another principle that we can promote for Molly is Ã¢â‚¬Ë œPositivity is empowerment’. This principle takes into consideration ones feelings, meaning that having a negative attitude can affect the health outcome, whereas, having a positive attitude can help the patient feel empowered and in control of a situation (Southern New Hampshire University, 2015). Promoting the principle ‘Positivity is empowerment’ for Molly will motivate her into making significant changes in her health without having the need to doubt herself in her decisions. Positivity has a great effect to how Molly perceives her situation whereas; having a negative effect can bring her down and impact on her healing (Southern New Hampshire University, 2015). Health care providers will also be there to support Molly in anything that she will need and reassure her if things don’t go to plan. Within Australia, the incidence of diabetes amongst the adults is 4%, this rate has risen from 1.5% since 1989 (Australian Institute of Health and Welfare, 2015). There are two main issues that are related to insulin in type 2 diabetes, the inability of the body to secrete insulin and insulin resistance. Normally, insulin would bind to receptors on cell surfaces and initiates a reaction that is involved in glucose metabolism. However, in type 2 diabetes, this process is impeded, which leads insulin less effective at stimulating glucose uptake by the tissues and the release of glucose in the liver (Farrell Dempsey, 2011).A factor that may have caused Molly’s leg ulcer is the loss of sensory due to neuropathy. Pain and temperature are the first sensations that are affected by neuropathy, this makes it difficult for the patient to feel tissue damage, inflammation, or injury (Meiner, 2014). Molly’s eyesight may be deteriorating due to diabetic retinopathy (DR). This is mai nly caused because of micro vascular damage that diabetes inflicts in the body. Hyperglycemia  damages the retinal vasculature and the progression of retinopathy is caused by the severity and duration of high blood sugars (Shah, 2008). Both a physiotherapist and a dietician would be recommended to assist Molly on her health issue. The physiotherapist would be involved in renewing her mobility and relieve any pain that she may be feeling, a dietician will be able to introduce Molly to a new healthy eating diet (Funnel, Koutoukidis, Lawrence, 2009). Eating healthier can promote wound healing, as her blood sugar levels will be manageable increasing the blood supply to her feet (Diabetes Australia, 2015). Molly can be taught how to look after her leg ulcer by demonstrating how to treat and prevent infections. A way we can teach her is by using very simple verbal discussion and demonstrations so that she is able to understand. If she is unable to understand what is discussed, she can be provided with information sheets or pamphlets with large writing and pictures showing her instructions. By doing this it will help Molly understand on how to keep her ulcer clean and prevent further infections. This is a very important skill to have if she is unable to access a clinical facility, Molly will be able to change her dressing on her own or with the help of her husband (The State of Queensland, 2012). A community program that Molly can be introduced to is The Leg Ulcer Prevention Program, which is available for people who are receiving care for leg ulcers. This program assists people to better care for their ulcer, by helping them manage chronic disease risk factors, promote wound healing and the reoccurrence of leg ulcers. This program also helps patients with treatment and helps them take ownership of their leg ulcer and self-care activities (Kapp, Miller, Donohue, 2010). An additional program that can be used to support Molly’s learning program is a pamphlet called ‘The Care of Venous Leg Ulcers’ this pamphlet is able to explain how essential it is to manage a leg ulcer and it clarifies how to care for it on a daily basis. This pamphlet must also be altered to meet Molly’s needs such as enlarging that word size so that she will be able to read more clearly (AWMA, 2012). Grief is described as feelings experienced by an individual that accompany an unexpected or actual loss that may occur in life (Farrell Dempsy, 2011). Supporting the spouse in this grieving situation is important. Developing a therapeutic relationship between the enrolled nurse and spouse can allow the spouse to feel comfortable and encouraged to communicate their feelings and work through it. This will allow the spouse to express their feelings of loss, even anger (Funnel, Koutoukidis, Lawrence, 2009). The nurse has to remember that if anger is shown, it is not towards them or anyone but a way of responding to the situation occurring. By encouraging the spouse to communicate and express their feelings of loss are important components of a nurse’s role. The nurse requires a caring, willingness to listen and an understanding empathic approach. If the nurse shows this, the person is more likely to feel comfortable to express their feelings if they feel the nurse is willing to listen to their concerns (Funnel, Koutoukidis, Lawrence, 2009). In a grieving situation the nurse cannot grieve for a person; the nurse will acknowledg e the loss, by facilitating the expression of feelings and thoughts and providing appropriate support as they move on the feelings of grieving. The nurse should respect the spouse if he is not willing to express his feelings of grief, although the nurse can make it clear that if he decides to do at a later opportunity it can be possible (Funnel, Koutoukidis, Lawrence, 2009). A service that would be recommended for Pat is Reach Out. Reach out (http://au.reachout.com/working-through-grief#strategies%20) is a service providing strategies and support to individuals who are going through grief, it will give Pat the reassurance that there are people out there, including his family who will be there to support him in this very difficult time. In conclusion Molly was able to receive all the appropriate care the she needed to address her health issue but unfortunately has passed away. Pat is currently under care with the support of family members and health care providers. References: Australian Wound Management Association (AWMA). (2012). Care of Venous Leg Ulcers. Retrieved from AWMA: http://www.awma.com.au/publications/vlu_patient_info_a4_2012-08-21.pdf Australian Institute of Health and Welfare. (2015). Diabetes. Retrieved from Authoritative information and statistics to promote better health and wellbeing: http://www.aihw.gov.au/diabetes/ Diabetes Australia. (2015). Diabetes and Your Feet. Retrieved from Diabetes Australia: https://www.diabetesaustralia.com.au/Living-with-Diabetes/MindBody/DiabetesYour-Feet/ Farrell, M., Dempsey, J. (2011). Smeltzer and Bare’s Textbook of Medical-Surgical Nursing, volume 1 2 (2nd Edition). Philadelphia: Lippincott Williams Wilkins Funnel, R., Koutoukidis, G., Lawrence. (2009). Tabbner’s Nursing Care (5th Edition). Australia: Elsevier Kapp, S., Miller, C., Donohue, L. (2010). The Leg Ulcer Prevention Program: nurse perspectives on a multimedia client education package for people with venous leg ulcers. Wound Practice Research, 18(2), 91-99. Koutoukidis, G., Stainton, K., Hughson, J. (2013). Tabbner’s Nursing Care: Theory and Practice (6th Edition). Australia: Elsevier. Meiner, E. S. (2014). Gerontologic Nursing (5th Edition). Retrieved from https://books.google.com.au/books?id=V-4TBQAAQBAJpg=PA620dq=the+relationship+between+leg+ulcers+and+diabeteshl=ensa=Xei=TnMOVbq-MYKB8gW5r4HwAQved=0CDYQ6AEwBTgK#v=onepageqf=false Reach Out Australia. (2014). Working through grief. Retrieved from ReachOut.com: (http://au.reachout.com/working-through-grief#strategies%20) Shah, C. (2008). Diabetic retinopathy: A comprehensive review. Indian Journal Of Medical Sciences, 62(12), 500-519. Retrieved from http://go.galegroup.com.ezproxy.lib.monash.edu.au/ps/retrieve.do?sgHitCountType=Nonesort=RELEVANCEinPS=trueprodId=AONEuserGroupName=monashtabID=T002searchId=R1resultListType=RESULT_LISTcontentSegment=searchType=AdvancedSearchFormcurrentPosition=1contentSet=GALE%7CA195127190docId=GALE|A195127190docType=GALErole = Southern New Hampshire University (2015). Wellness Model. Retrieved from Southern New Hampshire University: http://www.snhu.edu/2354.asp The State of Queensland. (2012). A way with words: A guideline for the portrayal of people with disability. Retrieved from https://www.qld.gov.au/disability/documents/community/way-with-words.pdf

Us 101 Week 8 Assignment

Associate Level Material Appendix J Reliable Sources Worksheet Locate two sources in the University Library on a topic of your choice. Provide the required information for both sources. Source 1 * Author: Reisch, Michael and Jani, Jayshree S. Date: September 2012 Title: The New Politics of Social Work Practice: Understanding Context to Promote Change. Publication: British Journal of Social Work * Write a 100- to 150-word response to each of the following questions: * Is the source reliable? How do you know?Yes I feel as if this source was reliable simply because it gave facts as well as the truth. This article tells of what type of social work has been done as well as how affective each method was with people. It tells of all the types that they did to fit people’s needs and what it was that happened with each. This being said, it gives us the clear knowledge that we need to see all the different ways it was handled over the past several decades. The authors not only gave thei r opinions on the subject but they also gave us the facts that they had received.Is the information relevant to the topic? Yes the information is relevant to the topic because it did talk about the different types of social work practices that have taken place over the past few decades as well as what the people could do to change what was being done to perform it better as a whole. The article gives you a clear picture of what it is that social work deals with as well as what you need to do to conduct the proper work for the job. I do not think that the article could have been any more relevant to the topic than it was.Does the information reflect a bias on the author’s part? If so, what is the bias? Yes and no. I do not feel as if the authors were too biased on their writing. However they did tell us a little on how they felt about what was being done. The article was more about the practices of social work over the years and how they can be improved with time. It showed us the bad and the good things that social work brings to the table so I feel that all social work topics should and will have peoples personal opinions somehow tied into the mix.The information that the authors gave us was a great amount that really showed us what it was that needed to be done and how things should work. Source 2 * Author: Blomquist, Brooke A. and Giuliano, Traci A. Date: June 2012 Title: Do You Love Me, Too? Perceptions of Responses to I Love You. Publication: North American Journal of Psychology. * Write a 100- to 150-word response to each of the following questions: * Is the source reliable? How do you know? Yes, I feel that the source is reliable with what they said.I know this because the article is all about a study that was taken between men and women to see what they had to say on the matter of one saying I love you and their response if they do not feel the same. The article not only describes in full what the study was about but also there are pictures of t he responses to what was said that corresponds to it. This article was in a Journal of works so it would seem to be more reliable than just a letter from someone or a little paper that was made about it. Is the information relevant to the topic?Yes the information that was given is relevant to the topic because it tells just how people perceive how one feels when being told I love you when they do not feel lit as well. It shows of what people said in the survey as well as why they said what they said. To me, the answers that were given do seem to be reasonable as to what I would expect to be said. Normally when one says I love you it is taken by surprise by the person hearing it and if they are not ready to say it back they are normally more apt to tell them the truth about how they feel; Which is what this article is telling us.Does the information reflect a bias on the author’s part? If so, what is the bias? No, I do not feel that the authors showed bias in the article. I d o not feel as if they did simply because it was more about the survey that was taken rather than their personal thoughts on the matter. They may have put a few points in there on how they felt about the subject but there was not enough to say that they gave too much or that they gave more on how they felt about the I love you, Im not ready scenario that happens to most people. The authors showed the true facts on the cases as well as the majority of truth from both sexes.

The Most Popular Topics for a Descriptive Essay

The Most Popular Topics for a Descriptive Essay Examine the source in which you have discovered the sample. A descriptive essay may have many purposes, but the fundamental structure stays the same irrespective of the subject. If you are in need of a trustworthy source with academic samples, you're at the appropriate spot! A stack reminder is that each discussion ought to be supporting thesis statement. The very first paragraph can concentrate on an in depth description of the topic itself. As a rule you're totally free to pick any topic you want. First and foremost you need to opt for an intriguing topic. For instance, you can pick a topic for elementary, middle, or higher school. Topics for a Descriptive Essay Secrets Morality has a collection of unsolved problems, the solution on which usually presents a decision. Each point ought to be in its own paragraph and needs to be mentioned in the very first sentence or what's often referred to as the topic sentence. The opt ion of compare and contrast essay topics isn't a simple task because you should clearly show your analytical skills. Actually, you can describe a subject of any size and nature, but it's almost not possible to prepare a decent descriptive essay in case you do not really like it. The vocabulary of each person has been broken up into passive and active. It is not difficult to forget to spell out the sensation of being because people mainly concentrate on what they are in reality touching, like a brick wall or a sweater. Whether or not you require descriptive writing examples of an individual, place, or emotion you will need a great example to follow. Someone becomes essential wisdom and experience there. What Topics for a Descriptive Essay Is - and What it Is Not Descriptive writing is easy and tough at the exact time, especially if you're a freshman. When you have to consider many peculiarities, it's tricky to consider all of them while writing especially once you have tight deadlines and much work to do. Therefore, to compose a great essay you need to brainstorm all thoughts concerning your life experiences. So, it's a remarkable foundation for assorted epic stories! What You Should Do About Topics for a Descriptive Essay Starting in the Next Nine Minutes To write a great essay of that type it's essential to study the works on the similar topics to have a better comprehension of how such research is completed. College application essay topics are a vital portion of an entertaining and compelling bit of writing. When you're working on your essay, you should select your topic carefully. There are 10 basic kinds of essay that are widespread in the sphere of academic writing. Our mastery and knowledge of descriptive essay topics differ, and that is the reason we also become various grades. The structure of such essay is dependent upon the topic. Though, there are specific patterns that you are supposed to follow when you compose a descriptive essay. A DESCRIPTIVE ESSAY THAT COMMUNICATES A descriptive essay produces a picture of events that are relevant to a specific incident. Don't panic if you are not able to receive your descriptive essay right. Like every assignment, a descriptive essay has a particular intent. It can seem boring at first glance, but they're the essays that you can really be creative with. It is an essay that is bound to provide some sort of detailed information on a certain subject. Descriptive essay topics could be either easier or tougher. A descriptive essay format shouldn't be an issue because it's nothing from the ordinary and many writers have encountered it. It always includes creative writing, even if the topic seems to be dull and boring at first glance. Descriptive essays might be difficult if you don't have any clue what to write about.

lagundi lemon candy - 4583 Words

LAGUNDI LEMON CANDY A Thesis Proposal presented to the Faculty of the College of Hospitality Management Eulogio â€Å"Amang† Rodriguez Institute of Science and Technology In Partial fulfillment Of the requirements for the Subject CA 105 Leading to the Degree of Bachelor of Science in Hospitality Management Major in Culinary Arts CHAPTER 1 The Problem and Its Background Introduction Candy came to America in the early eighteenth century from Britain and France. Only a few of the early colonists were proficient in sugar work and were able to provide the sugary treats for the very wealthy. Rock candy, made from crystallized sugar, was the simplest form of candy, but even this basic form of sugar was considered a luxury and was only attainable†¦show more content†¦The Output (O) reflects the result of the study which is highly acceptable Lagundi lemon candy. Input Process Output Statement of the Problem This study will be conducted to determine the acceptability of Lagundi Lemon Candy. Specifically, is sought to answer the following sub-problem. 1. What are the ingredients and materials needed for Lagundi Lemon Candy? 2. How do the respondents assess the quality characteristics of Lagundi Lemon Candy in terms? a. Texture; b. Color; c. Appearance; and d. Taste 3. Is there a significant difference on the assessment of the three groups of respondents on the quality characteristics of the Lagundi Lemon Candy? 4. What is the level of acceptability of Lagundi Lemon Candy? Hypothesis The researchers hypothesizes that there is no significant difference on the assessment of the three groups of respondents in terms of appearance and other quality characteristics of Lagundi Lemon Candy. Scope and Limitation of the Study This study is limited to the following scope and limitations. This study focuses on the preparation of Lagundi Lemon Candy; determine the significant difference and quality characteristics in the assessment of the three groups of respondents and its level of acceptability. There are three (3) groups of respondents consisting of tenShow MoreRelatedPhilippine Cuisine13920 Words   |  56 Pages(pork rinds) and steamed rice and tuber cakes like puto. It is a center for panghimagas or desserts, like brown rice cake or kutsinta, sapin-sapin, suman, cassava cake, halaya ube and the king of sweets, in San Miguel, Bulacan, the famous carabao milk candy pastillas de leche, with its pabalat wrapper.[4] Cainta in Rizal province east of Manila is known for its Filipino rice cakes and puddings. These are usually topped with latik, a mixture of coconut milk and brown sugar, reduced to a dry crumbly texture