This assignment is about how to plan and conduct a health promotion advice on an individual patient to improve patient’s quality of healthy life. In this essay, the author will first of all outline how the government policies, which are the National Service Framework (NSF) for Long-term Conditions and the NSF for Diabetes, were developed. The author will outline briefly all benefits are for her particular patient – Mr Smith (pseudonym name) in compliance with the NMC (2008) on confidentiality, is a 48 year-old taxi driver, who is newly diagnosed with type II diabetes mellitus (T2DM), married with two teenage children. He frequently works during unsocial hours and has very unhealthy life style as he relies on fast-food from cafes for his meals. He is overweight with the Body Mass Index (BMI) of 30 and is finding it challenging to maintain a normal blood glucose level. He is also concerned that he may lose his job should he be commenced on insulin. His eldest son is to start university next year and the fees are expensive. The author will then give an analysis of risk factors that may predispose Mr Smith to develop T2DM. Additionally, the author of this essay will briefly overview a health promotion model which is Procheska and Diclemente’s model, follow by a description of the application of this model in facilitating behaviour change with Mr Smith, utilising communication skills and some health promotion interventions to help him improve his health. The author will also acknowledge some barriers which may be encountered to Mr Smith’s lifestyle change and discuss some ethical issues relating to health promotion.
According to Mark et al (2005, p.4), health is defined as: “a state of well-being with physical, cultural, psychosocial, economic and spiritual attributes, not simply the absence of ill ness”. Therefore, putting medical or surgical intervention in saving lives and combating illness is not enough. In 2005, the Department of Health (DOH) updated and published the NSF for Long-term Conditions with the purposes are for the health and social bodies and their local partners to work together closely to plan and deliver services for all people with long-term conditions to make their lives better. This NSF sets eleven quality requirements for the health and social care services to support those with long-term neurological conditions to improve their quality’s lives, to manage their symptoms and live as independently as possible (DOH, 2005). Moreover, much of this NSF guidance can also apply to people with other long-term conditions. This NSF also aims to build on proposed changes in NHS management and commissioning to bring about a structured and systematic approach to delivering treatment and care for people with long-term conditions (DOH, 2005). Similarly, DOH recently updated the NSF for Diabetes with twelve new standard and key interventions which are necessary to raise the standards of diabetes care, in order to ensure that people with diabetes have the care that truly fits their needs, regardless of their age, gender, ethnic backgrounds and their social class (DOH, 2007). According to the NHS Choices, in the UK, diabetes affects approximately 2.3 million people, and it is thought there are at least half a million more people who have the condition but are not aware of it. Subsequently, Mr Smith in this essay is one of them has been recently diagnosed with T2DM. This condition is known formerly as non-insulin-dependent-diabetes, which occurs when the body produces too little insulin, but for some reason the insulin receptors are unable to respond to it, a phenomenon called insulin resistance (Marieb, 2007, p.637). T2DM also have a profound impact on general well-being and lifestyle of the sufferers and their families. Significantly, Dr Hillson – the National Clinical Director for Diabetes declared that: “Every person with diabetes deserves the best possible care, no matter where, when or by whom that care is...
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