Promoting Molly’s health and wellbeing Essay
The purpose of this dissertation will to be to promote Molly’s health and wellbeing through evidence structured theory and practice (Refer to appendix 1 for Molly scenario). Molly offers various wellness needs that necessitate the advantages of health promo such as the risk of postnatal major depression. However , when it comes to this article, the focus will be her diabetes mellitus type 2 health need. There are several bio-psychosocial factors that contribute to Molly’s health and wellbeing such as genes, stress and low income. The interventions that can promote Molly’s health and wellbeing will include education and empowerment. These types of will addresses Molly’s determinants of health by using suitable models and approaches to present realistic and practical ideas to Molly. The rationale after promoting Molly’s diabetic overall health need is due to the fact that, type 2 diabetes could cause severe difficulties such as retinopathy, kidney failure and cardiovascular disease. What is more, type 2 diabetes continues to increase in the United Kingdom in fact it is estimated to affect a lot more than 5 million people simply by 2015 (NHS choices 2013) Historic summary of health promotion was first highlighted by Florencia Nightingale (1860) who noted the biomedical care given to patients and suggested the necessity to provide healthy patient centred care to patients (Piper 2010). Remarkably, she recognized the importance of environmental elements such as sanitation and nourishment to promote the healthiness of patients (Piper 2009). Health promotion is actually a plethora of contested meanings. Therefore , through the years there have been extensive attempts to define this concept. For (WHO 1986) Ottawa Charter, overall health promotion is defined as a process of teaching and leaving you people to make healthier options (Hubley et al 2013). This definition implies that, well being promotion can be described as holistic strategy that focuses on on the physical, social and mental well being (Piper 2010) The registered nurse is the health professional that will be involved in promoting Molly’s health and wellbeing through evidence centered theory and practice additionally to using various types and methods (Piper 2009). This strategy will certainly enable Molly and the registered nurse to independently and naturally express themselves, develop innovative programs suited to Molly’s health needs and promote effective connection between Molly and the health professional (Bowden and Manning 2006). Communication is a crucial principle in health campaign as besides it underpin the basis of holistic proper care given to individuals but it also forms therapeutic relationships between the nurse and the patient (Bowden 2006). Communication is known as a fundamental concept in medical that is thought as a skill details sharing involving the patient and also other health professionals (Yulli et 's 2011). During these circumstances, the nurse will certainly communicate with Molly through several modes of communication which will include verbal, nonverbal and written conversation. She will consult with Molly on shared ideals and beliefs that is highly relevant to Molly’s health needs. Most significant, communication in Molly’s circumstance will go over and above information writing to concerning Molly in her own care by supporting her to make positive healthier options in her life (Hubley 2013). Drastically, the health professional will abide by ethical rules of autonomy, non-maleficence, beneficence and proper rights (Whitewood 2010). There are several bio bio-psychosocial elements that contribute to the health and wellbeing of Molly. These factors can be well understood by using the bio-psychosocial model. This is holistic model that combines major determinants of overall health such as cultural economic status, biological status and emotional status to provide a holistic look at of an individual mental, physical and social wellbeing (Baxter 2010). The biological elements that play a role in Molly diabetic health will need are her genetic susceptibility due to her family history (NHS choices2013). Her unborn child is also in a risk of inheriting the illness from her mother. Type 2 diabetes tends to manage in families largely because of similar harmful lifestyle (Bowden and Manning 2006). Although Molly may have inherited type 2 diabetes from her parents, the introduction of this illness is also influenced by way of life choices (NHS choices 2013). Psychologically, Molly is at the chance of suffering from postnatal depression and stress due to physical requirements of work and taking care of her family. This could consequently bring about mental health problems (Hobart and Frankel 2009). Psychological health problems can affect Molly’s ability to self-manage her blood glucose. Apart from this, mental instability might cause Molly to get rid of control of her diabetes with fatal consequences (NHS choices 2013). Molly is over a low sociable economic status as she actually is only capable of work part-time. Green and Tones (2010) contends that, low income limitations access to nutritional food and housing which could consequently cause poor physical health and social exclusion. Furthermore, Hill et al 2013 s proposes that, type 2 diabetes disproportionately affects people with limited resources. Probably this is because, low income earners are more likely to take pleasure in unhealthy damaging behaviours just like eating junk food and lack of physical activity (Hubley 2013). If perhaps this had been the case, Molly might not capable buy healthy food choices or accesses those activities that addresses her overall health needs including the gym and other social networks in her community. All these factors might prevent positive wellness outcomes. According to (WHO 1986), health is defined as not only an absence of conditions but also a complete point out of mental and physical wellbeing. In order to promote Molly’s health, an alternative approach is necessary to address the bio-psychosocial the factors that affect her health and wellbeing. Therefore , various actions need to be performed by using suitable theoretical methods and types. Initially, the nurse will need to ensure that, Molly’s basic requires are satisfy first before upgrading to the larger needs. Maslow (1943) recommended that, human beings have hierarchies of needs. He thought that, requirements such as food and normal water are meet up with first before achieving the level of self-actualisation (Hubley2013). Having previously discovered that Molly is on the low income which can influence her capacity to access healthy food. The health campaign priority will be then to deal with this want before moving forward to the different higher demands. The registered nurse should tips Molly for the help which can be found for her to increase her profits. For example , Molly would benefit from extended university that offer childcare and family members support providers (Larkin 2009). The importance of childcare would be that, Molly will be able to work more hours getting some extra profits for her friends and family. Consequently, she could be able to get healthy food and engage in actions such as swimming or visiting the gym. Substantially, this would lessen her risk of social exemption and diabetes related problems (NHS selections 2013). Nevertheless , it is important that Molly believes that, her great health behaviours will prevent complications and help get good quality of life. This will influence Molly’s willingness to take action (Yulli 2010). In accordance to Overall health belief version by Rosenstock (1966), Molly will only consider positive actions if the girl believes that, she is susceptible to serious illnesses, believes that her type 2 diabetes is serious and is convinced that her positive actions will prevent the negative effects of diabetes ( Yulli 2010). For example, by doing activities it reduces her chance of her being obese and consequently lowering her risk the of cardiovascular diseases or even death (Coyle 2013). The Health belief model is useful to promote Molly’s diabetic health want. This is because it organises the patients health status, opinions and remarks the factors that that determines perhaps the patient changes their actions. Furthermore it provides useful tips that remarks the issues that really must be addressed and the patient’s inspiration to change their particular health ( Yuill ain al 2010). Nevertheless, the belief version has not steered clear of criticism due to the individualistic way and neglects social influences (Hubley 2013). For example , Molly low cash flow status may well influence her decision of whether or not she feeds on healthy food. Furthermore, it does not talk about psychological factors such as dread and denial that greatly influences individual ability to take positive action towards their particular health (Hubley 2013). For example, Molly’s ability to engage in physical exercises may be influenced her being pregnant, emotions and social impact on such as family and friends. Another activity that to get undertaken to advertise Molly’s overall health is stimulating Molly to find out from positive role models that will motivate her to positively control her actions and think about her actions (Green 2010). This can be learning from her friends and family, friends or perhaps other people who possess type 2diabetes but have successfully managed their very own diabetes through positive attitudes, behaviours and treatments. Relating Social learning theory by simply Bandura (1986), people activities are influenced by watching the actions of others. He contended that, this promotes people self-esteem that in turn hard drives them to generate positive adjustments (Green 2010). In these conditions, the sociable learning theory is equally important in promoting Molly’s diabetic wellness need since it addresses the idea of self-esteem. This can be a key component to resisting negative influences and promotes self-efficacy and locus of control to do precisely what is right simply by her health (Amdam 2012). Social learning theory importance should not be underestimated as it identifies that, persons do not exist in solitude (Amdam 2012). Despite this, it really is criticised by simply biological theorists for its being rejected of biological factors such as genes. In addition, the biologist model difficulties the cultural learning problematic assumption that, behaviours are learnt simply by contending that, behaviours are inherited although not learnt (Gyenscuico 2011). Education is another activity that needs to be performed in order to encourage Molly’s diabetic health need. The aim of education will be to train Molly on self-management expertise and to boost Molly’s understanding on diabetic care (Bowden and Manning 2006). The nurse uses health educational model to change Molly’s actions and activities through featuring value-laden details and information about type 2 diabetes. This may be done by providing Molly booklets about type 2 diabetes, teaching Molly on how to control and screen her blood sugar levels (Bowden and Manning 2006). According to education strategy, if Molly have the required knowledge on diabetes, she's more likely to produce positive decisions (Lawrence et al 2009). For Instance, by simply teaching Molly how her blood glucose is usually affected by food and physical exercise, she is very likely to eat even more healthier food and be active in order to keep her blood glucose steady (NHS 2012). One are unable to ignore that education version is proof based and not only does it teach the patient just about all gives abilities to the individual. However , the[desktop] fails to consider environmental, emotional and economical constraints which usually affect individual’s ability to generate choices (Lawrence et ing 2009). One other limitation with this model is its simplified view of cost-benefit examination. It presumes that, if Molly has the knowledge she could accept this unconditionally, weigh up the cost and then make a positive wellness choices for her best interest (Bowden and Manning 2006). Furthermore, its deterministic view stage that, education is a must will and its top down procedure does not give Molly much free will certainly to make her own alternatives which the self-empowerment does (Bowden and Manning). The personal strength model gives the patient the free will through this advocacy individuals concept of positionnement of control and self-efficacy to take charge of their own overall health (Lawrence et al 2013). This model links to the activity of empowerment which is another activity that needs to be undertaken in to be able to promote Molly’s health and well being. This will be through Molly participating and taking part in all areas of decision making (Piper 2009). This model shifts the balance of power from the health professionals for the patient (Piper 2010). The empowerment version bottom up approach is a vital aspect in empowering the sufferer (Bowden and Manning 2006). The personal strength will mean that, Molly can be acknowledged as as being a part of her health campaign and she will work alongside the registered nurse and other multi-agency teams involved in her individual care (Yulli et al 2010). Perhaps this might increase her confidence and affect her capability to make much healthier choices by taking responsibilities onto her type 2 diabetes managing (Hanlon et al 2012). The advantage of making use of the self-empowerment version in Molly’s scenario will be that, Molly will gain more power over her lifestyle and self-confidence to move towards healthier lifestyle (Hanlon 2012). However , this fails to consider influences of power that may prevent Molly via making much healthier choices (Hanlon 2012). For instance , Molly’s husband might effect her ability to make alternatives. Moreover, will not address social economic factors such as low income that may mean that, Molly’s primacies could possibly be at unusual with the focal points of the well being promoting specialists (Bowden and manning 2006). Finally, their acknowledgment of the self-determination implies that, Molly might exercise her free is going to and select unhealthy ingesting behaviours which may place her at risk or perhaps death (Dean and Irvine 2010) 1 cannot ignore the benefits of wellness promotion in Molly’s situation is a useful gizmo to educate, motivate and empower Molly to generate positive changes towards her health. Nevertheless , health promo can be troublesome at times. This is due to the dangerous assumptions of the well being promoters focus on health issues neglecting that, individuals have various causes to change their particular behaviours and health is probably not one of them (Scrive 2010). For example, for Molly diabetic well being need may not be her prime motivator to alter her life-style. Another criticism of wellness promotion is a ever changing wellness advice to get patients as a result of research that is always getting new data (Amdam 2011). In these instances, patients include barely plenty of time try one treatment or advice ahead of they can adjust to another. This affects the efficacy of health promotion (Scriven 2010). Evidently, the media contradicts the health promo advice which is based on specifics due to its concentrate on controversy instead of facts which is often confusing to get the people (Amdam 2011). Furthermore, the health promotion in Molly’s scenario raises this question. If Molly decides not to change, does it mean that the promotion in her case has failed? The challenges of effective health promotion need actions whatsoever levels beginning at an individual, community including a government level (Scriven 2011). Consequently , to effectively, promote the fitness of an individual, you need to have an strategy that combines all these levels together as they all affect the effectiveness of overall health promotion ( Amdam 2011). To conclude, health promotion is described as a process of educating and empowering people to make healthier choices. Molly’s well being is affected by various determinants of health which might be linked to her social, neurological and environmental conditions. The health promotion emphasis is to take on such determinants of health through evidence based practices that combines various hypotheses and approaches. These hypotheses and strategies are tied up with practical activities that are directed at changing Molly’s lifestyle and behaviour to market her overall health. The importance of health promo should not be glossed over at it educates and empowers the patients to create positive actions towards their particular health. Even so, health promotion is plagued with issues such as contradicting health tips that influences the effectiveness of overall health promotion. These challenges affect the most weak people including Molly. It is therefore important that the health promoters recognizes these troubles and addresses them appropriately. Finally, it is recommended that, future health advertising professionals talk about the shortage of the deficiency of an approach that tackles well being promotion in a individual, community, government level to ensure the success of well being promotion. Referring to Amdam, Ur. (2011) Organizing in health promotion work. Oxfordshire: Routledge. Baxter, Meters. Health (2010). 2nd ed. Cornwall: Polity press. Bowden, J. and Manning, Versus. (2006) Overall health promotion in Midwifery. subsequent ed. London: Edward Arnold Ltd. Green, J. and Tones, K. (2010) Overall health promotion preparing and approaches. 2nd male impotence. London: Sage Publication Ltd. Hanlon, L. Carlisle, S. Hannah, M. and Lyon, A. ((2012) The future public welfare London: Open University Press. Hobart, C., Frankel. T. (2009) Protecting children. 3 rd ed. Cheltenham: Thornes Ltd. Hubley, L. Copeman, L. and Woodall, J. (2013) Practical health promotion. 2nd ed. Cambridge: Polity Press. Larkin, M. (2009) Vulnerable groups in health and social care. Dawsonera [Online]. Available at: http://dawsonera.com [Accessed: 30 03 2014] Needle, JJ. Petchey, RP. Benson, L. Scriven, A. Lawrenson, J. and Hilari, K. (2011) The germane health careers and health promotion: [Systematic review] Cochrane
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