According to the World Diabetes Foundation, diabetes mellitus is considered to be the fastest growing chronic condition in the world (Chorbev et al., 2011). The diabetes epidemic afflicted an estimated 285 million people in 2010, equivalent to 6.4% of the adult population of the world. Since diabetes is largely a preventable condition, public health efforts must be directed at primary care centered on awareness and education regarding, causes, risk factors, prevention, and treatment for diabetes. However, there remains a discrepancy between the direction public health should be heading and the current state of health care. The following discussion outlines the necessity for public health change, how it can be implemented, as well as theoretical bases for the projected success of change and progress for public health models involved in diabetes awareness, prevention, and care.
Creative tension is essentially a conflict between different or opposing viewpoints or approaches regarding an issue. This creative tension is viewed as positive and healthy, as it encourages exploration of how efforts regarding an issue can be improved, progress, and ultimately provide more benefit to individuals and organizations involved,...
In regards to public health and diabetes mellitus, creative tension exists between individuals and groups involved in the current public health practices that often times focus more on secondary care, treating symptoms rather than providing preventative care, and those proposing initiatives that are based around primary care, looking to the cause and risk factors associated with diabetes. The current reality encompassing healthcare is a focus on secondary care for diabetes, which is a limited approach that does nothing to remedy the development of the condition and does not recognize the abilities of individuals to prevent or alter diabetes through lifestyle modifications. This tension between proponents of primary and secondary care provides motivation for both approaches to investigate more effective means of preventing, diagnosing, and treating diabetes.
The public health change model proposed for this project focuses primarily on the promotion of primary care initiatives for the identification of individuals most at risk for diabetes as well as programs for prevention of the disease. A major focus will be placed on approaches emphasizing individual self-efficacy in making daily lifestyle changes associated with increased risk and occurrence of diabetes, including health diet and exercise regimens. Ethical concerns regarding this public health model involve ways of effectively engaging individuals in their own primary healthcare process, especially regarding lifestyle modifications.
Research has demonstrated remarkable effectiveness in diabetes prevention and treatment programs that are based in lifestyle intervention, although participation in these sorts of programs tends to be quite low (van Gils et al., 2011). A recent study by van Gils et al. (2011) recognized the low participation and adherence for these lifestyle intervention programs and investigated the effectiveness of financial incentives in encouraging willingness to participate among diabetes patients. Results of the study indicated that financial incentives do in fact positively affect participation in diabetes prevention and treatment programs that involve…
Frequent symptoms of either hypo or hyperglycemia may occur, but if symptoms are unknown to the woman may be associated with normal pregnancy announces and not followed up on. "The severity of the symptoms and the rate at which they develop may differ, depending on the type of diabetes." (Clark, 2004, p. 3) Increased urine production, glucose in the blood and urine, ketones (undigested protein) in the blood or
The high levels of blood glucose lead to the production of insulin therefore patients have excessive production of insulin. There is insulin resistance and hence body cells do not respond in an appropriate way in the presence of insulin (Mealey, 2010). The main difference between diabetes insipidus, and diabetes mellitus, is that in diabetes mellitus insulin resistance is referred to being "post-receptor." This implies that the problem lies with the
Some patients feel helpless, hopeless, depressed, isolated from others, belittled, and do not know how to seek appropriate help from others (Rutter 2004). Socially supportive arrangements were addressed as the attributes of socially legitimate roles which provide for the meeting dependency needs without loss of esteem. Socially supportive environments were presented as pattern interpersonal relationships mediated through shared values and sentiments as well as facilitate the performance of social
Diabetes is a disease in which the body does not generate or properly use insulin. Insulin is a hormone produced in the body that is needed to convert sugar, starches and other food into energy needed for daily life (Wan). Prevalence Diabetes is among the five leading causes of death by diseases in most countries. However, what exactly cause diabetes is still unknown, but both genetics and environmental elements such as overweight
There was therefore no coercion, evasion or unethical procedure in the study. The authors also make it clear that adequate information was provided to all those agreed to participate. There was obviously an open and transparent sharing of informstion about the project. After discussing the homework, the theme of the session was introduced and patients were invited to share their beliefs, emotions and experiences with regard to the theme. Subsequently,
Diabetes, Hypertension and Obesity Diabetes Hypertension and Obesity: Causes and Management Diabetes Hypertension and Obesity: Causes and Management The world as we know it today is a fast world and people are continuously adapting to the fast way in which things are done. In the process of doing this, the lifestyle and habits of many a people have greatly changed. This in turn has seen an upsurge in the occurrence of some specific types