The Importance of the Biopsychosocial Model: Diabetes
Nicolle Steiner
Patient Interview
Mercy College
Professor Cashin
October 6, 2017
Abstract: For many years the biomedical approach has been the golden standard in healthcare, but this approach lacks many important factors. While the biomedical approach takes into consideration the biological aspect of a disease, it fails to address the importance of psychological and social factors when treating a patient. This paper compares the biomedical approach to the biopsychosocial model in healthcare, specifically in regards to diabetes. This article provides information concerning biological, psychological and social factors and their importance when treating a diabetic
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In edition to acute complications of short term elevations of glucose, long term elevations of blood glucose lead to severe complications; microvascular damage resulting in heart attacks, strokes and gangrene, microvascular damage resulting in kidney damage and blindness due to retinopathy (peyrot 1999). For this reason the main goal of diabetes treatment is to maintain blood glucose as close to normal as possible. Medication is the theme of treating disease based on the biomedical outlook that disease is biological. Unfortunately, the biomedical model of medicine fails to take into consideration the social and psychological factors that play a role in the treatment of this illness. The biomedical approach fails to consider the psychologic and behavioral process involved in stress and coping with glucose control, as well as the interaction between biological and psychosocial factors and how this affects patient coherence with treatment. Studies have established that many people diagnosed with diabetes have difficulty in adapting to biomedical therapy; in order to improve health outcomes it is important to address the psychological and physical stresses of diabetes with specific adaptive and coping strategies (awah). Living with diabetes poses many challenges for patients in areas like nutrition, glycemic monitoring and medication adherence. In fact, patients with diabetes
Why do we treat diabetes? There are a number of downstream events associated with abnormal blood glucose levels. If glucose levels are managed properly, the complications associated diabetes can be controlled, and sometimes completely prevented. The main problem with having more than the normal amount of glucose circulating in the blood stream is the effect that excess glucose can have on both large and small blood vessels (DTC, 2004). Micro-vascular and macro-vascular problems associated with diabetes can be seen in the heart, eyes, kidney, legs and feet. Diabetic patients are twice as likely to suffer from a mycocardial infaraction, twenty-five times more likely to suffer blindness, and seventeen times more likely to suffer kidney failure compared to a non-diabetic (DTC, 2004). Because of great number of risks associated with abnormal blood glucose levels, diabetes is aggressively treated to improve the quality of life and prevent complications in patients.
Diabetes is a disease where the body is unable to produce or use insulin effectively. Insulin is needed for proper storage and use of carbohydrates. Without it, blood sugar levels can become too high or too low, resulting in a diabetic emergency. It affects about 7.8% of the population. The incidence of diabetes is known to increase with age. It’s the leading cause of end-stage renal disease in the US, and is the primary cause of blindness and foot and leg amputation. It is known to cause neuropathy in up to 70% of diabetic patients. Individuals with diabetes are twice as likely to develop cardiovascular disease. There are two types of diabetes: Type 1 and Type 2.
Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of
The American Diabetes Association (2004) defines diabetes as a subset of metabolic diseases associated with hyperglycemia secondary to insulin failing to release, act, or both. Complications related to chronic diabetes can be detrimental to one’s health including but not limited to: heart disease, stroke, kidney disease, amputations, blindness, and other optical diseases. Furthermore, the prevalence of diabetes is rising at an astronomical rate within the United States as well as internationally. According to the Center for Disease Control and Prevention (CDC) (2016) an estimated 29 million people suffer with diabetes and 86 million are prediabetic within the United States (US). Without major interventions from the healthcare community,
In this assignment I will discuss the effectiveness of health and social care practitioners and agencies working together to deliver the care pathway for one of the chosen physiological disorders. The disorder I have chosen to evaluate is diabetes type 2 diabetes.
Living with Long Term Conditions can be challenging therefore the people who have been identified for the above mentioned conditions need to have more information, support and confidence in their self which will help them to take control of their condition. Now I would like to focus my writing on one of the Long Term Conditions which is Diabetes. People with long term conditions will often feel the impact on their mental health and well being, but depending on the condition type these psychological effects and its symptoms can be different between person to person. People with the long term conditions are in the first line in developing the mental health problems than the other people. There are many factors which can be considered as triggers for the long term conditions such as depression and anxiety, but most of the people get triggered for mental health problems by knowing that they have to live with that long term condition for their entire life. The most common type of psychological effect is depression which is two, three times more in the people who have been identified as
Diabetes has become an epidemic in today’s society. Diabetes affects almost every system in the body, and with an estimated 346 million people in the world with diabetes, healthcare has been heavily affected by the disease (Ramasamy, Shrivastava, P., & Shrivastava, S., 2013). One of the biggest issues for healthcare workers when it comes to diabetes, is that it is such a complicated disease. With so many different systems being affected, medical professionals have had to learn how the disease process works, what causes diabetes to work through the systems, and the best treatments to address all these issues. Through much research, the healthcare system has grown very knowledgeable on diabetes. One important aspect of treating diabetes has been in the introduction of diabetic education. In the past, nurses and dieticians had been responsible for educating patients on diabetes, but now that role is also extended to other people in the healthcare team, including the patient (Tomky, 2013). In fact, patients taking an active role in the education process, including learning to self-care has now become a priority in diabetes treatment. The following paper will discuss diabetic education, the importance of self-care and how this affects a patient’s compliance.
It also shows that not having someone to help these patients manage their diabetes as an obstacle to good diabetes management. This study created a plan and this plan was able to be tested to show its effectiveness in diabetes
Diabetes is a chronic illness that requires continuous medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications[ ].
This overview will cover the history, depth and breadth of diabetes along with its impact on the population and determinant data related to the condition. Discussion will be made regarding improvements for this initiative, the impact of health policy, educational programs and recommendations for the future. Finally, the overview will conclude with a discussion on the influence of a Christian worldview.
In summation, diabetes is a constant battle with no end. In this current time, diabetes can only be treated but cannot be cured. Diabetes is not a simple disease as there are two types. The two type of diabetes are type 1 and type 2. They both affect two different age groups in the population. Type 1 affects the adolescence and type 2 affects adults in their late years. As with many diseases, the understanding of diabetes is continuous but many factors are known as how diabetes occurs in the body. With such understanding, diagnosis of diabetes is able to be done properly and the right type of diabetes is also established. By way of diagnosis, the right treatment can be
This is a diabetes case study of Mr. Charles D., a 45-year old male who is experiencing classic symptoms of hyperglycaemia. Recently divorced and living alone in a new home, Charles has complained of recent weight loss, excessive thirst, and frequent urination. He is a busy CEO for a major technological company. This case study for Charles will educate him as to what are the causes of diabetes: explain the presenting signs and symptoms emphasize the psycho-social impact to his amended life, and instruct him in the economic impact that he and millions share.
Diabetes is associated with wide range of complications such as chronic renal failure, blindness, amputations, heart disease, high blood pressure, stroke, and neuropathy (Alotabi, A., et al., 2016). There is no known cure for diabetes, but the disease can be controlled through health management that includes multiple perspectives of care such as medications, blood glucose monitoring, diet, nutrition, screening for long-term complications and regular physical activity (Alotabi, A., et al., 2016). Managing diabetes may be complicated and requires the knowledge and skills of both healthcare providers and the clients. Studies have shown that to prevent or delay diabetic complications due to diabetes, counseling and other lifestyle interventions are the effective therapy. Even with many policies set up for diabetes, 8.1 million Americans are undiagnosed with diabetes mellitus, and approximately 86 million Americans ages 20 and older have blood glucose levels that considerably increase their risk of developing Diabetes Mellitus in the next several years (CDC, 2015). For diabetes care to be successful there needs to be a good understanding of the disease and management by both patients and healthcare providers,
Diabetes is a major problem in our society today. Many people have heard about the disease; however, they do not know too much about its complications. Diabetes is a chronic, progressive and lifelong condition that affects the body’s ability to use the energy found in food (WebMD, 2016). Many new cases are confirmed every year and unfortunately, many go undiagnosed for years. Diabetes is a serious disease and need to be taking seriously. The disease can lead to many other health problems such as blindness, nerve damage and kidney diseases. The more the community understand and made aware of the seriousness of the disease, the better it can be control and or prevented.
En este estudio vinculado directamente con efectos que pueden ser causados por el diagnóstico y afrontamiento de la enfermedad Diabetes Mellitus (DM) tipo 1 es esencial hacer notar que por su magnitud y trascendencia es considerada un problema de salud público a nivel mundial. Según Moreno, 2001 ̈En 1955 existían 135 millones de pacientes diabéticos, se esperan alrededor de 300 millones para el año 2025 ̈ (p.35). Es importante considerar que por esta gran población que padece de esta condición, es relevante tomar medidas que prometan brindar calidad de vida a estos seres humanos, lo cual incluye un balance psico emocional y físico. Estas consideraciones son validadas por Martinez, Lastra & Luzuriaga (2002), donde revelan que ̈La aproximación terapéutica debe incluir la comprensión de las ramificaciones sociales, psicológicas y psiquiátricas de la diabetes mellitus tipo 1 si se desea alcanzar la meta de lograr el bienestar del paciente a la vez que la prevención de las complicaciones ̈(p.114).