Promoting Molly’s health and wellbeing.
The purpose of this essay will to be to promote Molly’s health and wellbeing through evidence based theory and practice (Refer to appendix 1 for Molly scenario). Molly has various health needs that necessitate the need for health promotion such as the risk of postnatal depression. However, for the purpose of this essay, the focus will be her type 2 diabetes 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 are designed to promote Molly’s health and wellbeing will include education and empowerment . These will address Molly’s determinants of health by using appropriate models and approaches to provide realistic and practical suggestions to Molly. The rationale upon promoting Molly’s diabetic health need is due to the fact that, type 2 diabetes can cause severe complications such as retinopathy, kidney failure and cardiovascular disease. What is more, type 2 diabetes continues to increase in the United Kingdom and it is estimated to affect more than 5 million people by 2015 (NHS choices 2013)
Historic overview of health promotion was first highlighted by Florence Nightingale (1860) who noted the biomedical care given to patients and suggested the need to provide holistic patient centred care to patients (Piper 2010). Notably, she recognized the importance of environmental factors such as cleanliness and nutrition to promote the health of patients (Piper 2009). Health promotion is a plethora of contested definitions. Therefore, over the years there have been considerable attempts to define this concept. For (WHO 1986) Ottawa Charter, health promotion is defined as a process of educating and empowering people to make healthier choices (Hubley et al 2013). This definition implies that, health promotion is a holistic concept that emphasizes on the physical, social and mental wellbeing (Piper 2010) The nurse is the health professional that will be involved in promoting Molly’s health and wellbeing through evidence based theory and practice in addition to using various models and approaches (Piper 2009). This strategy will enable Molly and the nurse to individually and holistically express themselves, develop innovative plans suited to Molly’s health needs and promote effective communication between Molly and the nurse (Bowden and Manning 2006).
Communication is an important principle in health promotion as not only does it underpin the basis of holistic care given to patients but it also builds therapeutic relationships between the nurse and the patient (Bowden 2006). Communication is a fundamental concept in nursing that is defined as a skill of information sharing between the patient and other health professionals (Yulli et al 2011). In these circumstances, the nurse will communicate with Molly through various modes of communication which will include verbal, non-verbal and written communication. She will discuss with Molly on shared values and beliefs that is relevant to Molly’s health needs. Most important, communication in Molly’s case will go beyond information sharing to involving Molly in her own care by supporting her to make positive healthier choices in her life (Hubley 2013). Significantly, the nurse will adhere to ethical principles of autonomy, non-maleficence, beneficence and justice (Whitewood 2010). There are several bio bio-psychosocial factors 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 health such as social economic status, biological status and psychological status to give a holistic view of an individual mental, physical and social wellbeing (Baxter 2010). The biological factors that contribute to Molly diabetic health need are her genetic susceptibility due to her family history (NHS choices2013). Her...
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