Type 2 Diabetes Leg Ulcer Case Study

Type 2 Diabetes Leg Ulcer shell StudyThis essay impart focus on molly who is an 82-year-old young-bearing(prenominal) who has grammatical case II diabetes and has developed a tholepin ulcer. This essay volition primarily focus on mollys level ulcer. It supply for too controvert how primary health palm (PHC) relates to the patient, how it wad embolden molly with her health problems, providing her sufficient teaching and adequate c are. Two principals leave be discussed from the Wellness Model, these include positivity is empowerment and wellness is an restless process and how it relates to mollys situation. A learning program allow likewise be presented this allow foring discuss two teaching methods in regards to the leg ulcer and new skills and behaviors that deal benefit Molly. It will also discuss what other health professionals put forward be included in her trade and resources that dismiss jump out her learning. The essay will also discuss the expe ct that elicit be given to her husband after on she has passed a mood.The leg ulcer that Molly has developed can impact on her purport 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, call fit to the leg ulcer she will be unable(p) to mobilize independently due to pain, increase the risk of to a greater extent draw ulcers. Primary healthcare (PHC) is all-important(a) care that is made to be accessible to all people. It is based on various factors such as practical, scientifically, applied science 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 Mollys health, it can assist Mollys 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 rattling 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 want 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 bring on 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 change their health and gives an opportunity for them to be able to live to their full capableness (Koutoukidis, Stainton, Hughson, 2013). Well ness is identified to be holistic, and includes 6 dimensions, social, occupational, spiritual, physical, intellectual and unrestrained wellness ( Confederate New Hampshire University, 2015). Using the wellness model, we are able to hold out Molly by functioning her make positive changes that improve her take 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 roughly how to manage her leg ulcer, and learn different ways in use her health concerns, increasing her independence (Southern New Hampshire University, 2015). Another principle that we can promote for Molly is logical positivism is empowerment. This principle takes into consideration ones feelings, importee that having a negative attitude can affect the health outcome, whereas, having a positive attitude can help the patient feel sceptred 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 corking 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). wellness care providers will also be in that respect to support Molly in anything that she will need and reassure her if things dont 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 intake by the tissues and the release of glucose in the liver (Farrell Dempsey, 2011).A factor that may feed ca employ Mollys 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 tricky for the patient to feel tissue damage, inflammation, or injury (Meiner, 2014). Mollys eyesight may be deteriorating due to diabetic retinopathy (DR). This is mainly caused because of little vascular damage that diabetes inflicts in the body. Hyperglycemiadamages the retinal vasculature and the progress 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 liberate any pain that she may be feeling, a dietician will be able to introduce Molly to a new honorable eating diet (Funnel, Koutoukidis, Lawrence, 2009). Eating healthier can promote appall 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 literal 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 cusps with large writing and pictures showing her instructions. By doing this it will help Molly understand on how to keep her ulcer reave 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 i ntroduced 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 anguish healing and the reoccurrence of leg ulcers. This program also helps patients with treatment and helps them take monomania of their leg ulcer and self-care activities (Kapp, Miller, Donohue, 2010). An additional program that can be used to support Mollys learning program is a pamphlet called The attending 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 march Mollys needs such as enlarging that word sizing so that she will be able to read more understandably (AWMA, 2012).Grief is described as feelings experienced by an individual that go along an unexpected or actual loss that may occur in life (Fa rrell Dempsy, 2011).Supporting the spouse in this grieving situation is important. ontogeny a therapeutic relationship between the enrolled fellate and spouse can allow the spouse to feel comfortable and encouraged to communicate their feelings and fly the coop through it. This will allow the spouse to shew their feelings of loss, even provoke (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 nurses role. The nurse requires a caring, volitionness 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 rue for a person the nurse will acknowledge the loss, by facilitating the font of feelings and thoughts and providing appropriate support as they move on the feelings of grieving. The nurse should comply 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 refer Out. Reach out (http//au.reachout.com/working-through-griefstrategies%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. ReferencesAustralian Wound Management tie beam (AWMA). (2012). Care of Venous Leg Ulcers. Retrieved from AWMA http//www.awma.com.au/publications/vlu_patient_info_a4_2012-08-21.pdfAustralian Institute of Health and Welfare. (2015). Diabetes. Retrieved from arbitrary 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 Bares Textbook of Medical-Surgical Nursing, volume 1 2 (2nd Edition). Philadelphia Lippincott Williams WilkinsFunnel, R., Koutoukidis, G., Lawrence. (2009). Tabbners Nursing Care (5th Edition). Australia ElsevierKapp, 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 employment Research, 18(2), 91-99.Koutoukidis, G., Stainton, K., Hughson, J. (2013). Tabbners 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=0CDYQ6AEwBTgKv=onepageqf=falseReach Out Australia. (2014). Working through grief. Retrieved from ReachOut.com (http//au.reachout.com/working-through-griefstrategies%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=GALEA195127190docType=GALErole =Southern New Hampshire Univer sity (2015). Wellness Model. Retrieved from Southern New Hampshire University http//www.snhu.edu/2354.aspThe 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