...Health Status of Aboriginal people in Ontario By: Taylor Veran Health Careers and Informatics Lorrie Lough November 1st, 2012 The majority of health issues that the Aboriginal community faces are related directly and indirectly to social, economic, cultural and political areas. Infrastructure, housing, employment, income, environmental and education are connected to the individual and community based effects of health. The health status of aboriginals in Ontario is very poor. There are a lot of health care needs for aboriginals that live in Northwest Ontario, also because the population is so high. The first nations population is the largest (958,000) Followed by the Metis (266,000) and the Inuit (51,000). Every year the population of aboriginals increases. The health status, diseases and life style of these people should be monitored and taken care of to an extent. Aboriginal population is relatively young in Ontario. The birth rate is two times the rate of the Canadian population, which is very high. Aboriginals seem to rank lower education, have higher rates of unemployment, along with higher rates of smoking, alcohol and drug abuse, which can lead to needing a lot of health care. (Dr. Chandrakant P. Shah. 2005, page. 3) Some may argue that the health issues are genetic, but health means more than the absence of disease. A look at the history of colonization and the creation of the reservation system that forced removal of children to far away communities...
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...NHPA | Summary | Why selected (all selected for similar reasons; finical impact on health care system) | Determinants as risk factors | Health promotion Program | CardiovascularHealth | Refers to maintaining healthy functioning of the heart and blood vessels. CVD encompasses all diseases and conditions of the heart and blood vessels (including coronary heart disease, stroke and peripheral vascular disease) caused mainly by blood supply to the heart, brain and legs. | -To improve cardiovascular health by reducing CVD.-CVD is leading cause of premature death and second leading cause of burden of disease.- CVD is also largely preventable and places a large economic burden on the health care system. | 1. biological: cholesterol levels, age, sex and genetics. high blood pressure-indicates that the heart is already working harder and under pressure, which can lead to stroke and kidney disease.Body weight- excess body weight places greater strain on heart and increases hypertension and cholesterol levels.2. Behavioural: physical activity, tobacco smoking poor nutrition-diets high in saturated fat such as cholesterol can contribute to overweight and obesity. Low intake of fruit and vegetables can contribute to increased snacking on high fat and high sugar foods, increasing obesity, which heightens risk of CVD.Physical enviro: air quality (tobacco smoke) Access to recreational facilities-if lacking access, they might not exercise as much as otherwise might. Heightens risk of CVD...
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...Analysis of the Health Care Systems Offered in the United States and Mexico Comparative Analysis of the Health Care Systems Offered in the United States and Mexico Healthcare Comparison of United States and Mexico The objective of this report is to give a comparative analysis between the United States healthcare system and Mexico's. Its key focal point will be centered on the countries policies, how their various systems are financed, who provides healthcare, the costs of the programs and availability of access. While some factors of these two countries are similar there are varying differences among them, especially cost and access. All of the components of the two countries healthcare systems will be discussed in depth in a non-biased manner, it is our goal to simply establish how they are similar and what differences there are among them. For starters a comparison of the overall health of the people of the two countries will form a baseline as to the quality of care being provided in each of the countries and give us an insight into the effectiveness of its preventative services. The mortality rate of citizens of Mexico is 4.86 per 1,000, whereas the U.S. has 8.38 per 1,000(CIA, 2001) This is due in large part to the number of citizens the U.S. has over 65 years of age, 13.1% of the U.S. population is over 65, Mexico's is half that with 6.6%. While the baby boomer generation is a large reason why this number is high, a correlation between the quality of care given to...
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...Diabetes Edith Stanfield Capella University Assessment, Communication and Collaboration BSN 4002 Dr, Marzilli March 9, 2014 Diabetes Introduction The word “diabetes” means “siphon”. The term diabetes probably originated by Apollonius of Memphis around 250BC. It was published in English, in the first medical text in 1425. (Mandal, n.d., p.1). Every hour of every day, another person is diagnosed with Diabetes. More than 471 million people live with Diabetes every day, and there are about 13,000 newly diagnosed everyday (Diabetic Care Services, 2013, p. 1). Some of these people will not only be insulin dependent for life but they must change their entire family’s lifestyle. Not only does Diabetes effect the person who was diagnosed, but it affects friends and family, they must learn to live and adjust to have a diabetic in the family. Psychosocial issues are one of the biggest obstacles to overcome when being diagnosed with Diabetes. Family and friend support and encouragement will make this disease easier to manage. The purpose of this paper is to examine the lifestyles, demographics of my community and what, we as nurses, can do to help with managing this disease. Demographics Yuma, Arizona is a county located in the southwest corner of the State of Arizona. Yuma is part of the Metropolitan Statistical area. Yuma County’s southwestern Colorado River border forms a four-state division between...
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...Diabetes Mellitus Christa Hackett SOC 313 Sabrina Geoffrion June 17, 2013 Diabetes Mellitus is a chronic, incurable condition of carbohydrate metabolism that involves an imbalance of the supply and demand for insulin; it is the most common of all endocrine conditions (Laffel & Wood, 2007; Olefsky, 2001). Diabetes is a common health condition that affects millions throughout the universe. Diabetes affects millions of people in different and diverse ethnic groups. In the United States diabetes is the sixth leading cause of death. Diabetes is a growing problem in the US and it is becoming an epidemic. There are 3 types of diabetes mellitus, Type-1, Type-2, and Gestational Diabetes. Type 1 diabetes is insulin dependent and accounts for at least 10% of diagnosed cases. In Type 1 diabetes the immune system makes it hard for the body to produce insulin. With no insulin the body cannot transform sugar from food into nutrients for cells. When excess sugar collects in the blood stream, it may eventually cause premature death and heavy damage to organs. Type-1 diabetes can affect adults and children suddenly and require supplemental insulin, a carefully planned diet and exercise regimen. Type 1 diabetes is usually diagnosed in young adults, teenagers, and children. Type 1 diabetes happens when the body’s immune system strike and destroys cells in the pancreas, the organ which is located behind the lower part of the stomach. These beta cells commonly produce insulin, the hormone...
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...Women and Diabetes: An Examination of Quality of Care for Medicare Recipients Abstract In recent years, diabetes has become one of the top 10 causes of death among women. Research has revealed that women 65 years and older account for 40% of the population and numbers are expected to increase exponentially. Vigorous medication management and coordination of care is instrumental in treating diabetes effectively. The patchwork of health insurance that exist today, particularly Medicare Part D, is culpable in allowing unequivocal disparities among race, gender, and socioeconomic status. This paper will examine quality of care among Medicare beneficiaries, particularly women, and implications for revision in social policy. Maintaining an active and healthy lifestyle is a necessity for achieving longevity. A nutritional, well balanced diet coupled with regular exercise is a simple, yet effective way to sustain healthy living. Neglecting to address diet and exercise, as part of a weekly regimen, is a precursor to the onset of an acute, lifelong illness. Diabetes is one of the largest and fastest growing causes of chronic disease mortality, morbidity, and disability in the United States (Robbins & Webb, 2006). Currently, there is no vaccine to prevent diabetes and no cure for the disease once acquired. According to the American Diabetes Association, more than twenty-three million Americans have diabetes. Patients age 65 years or older account...
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...Running head: HEALTH PROMOTION Health Promotion in Nursing According to the World Health Organization (WHO), health promotion “enables people to improve control over the determinants of health and as a result to improve their own health, and able to make healthy choice” (Denise and Suzanne, p. 87). Historically, health promotion deal with protecting society from contagious disease, such as to providing safe water and reduce environments hazards, and treat of preventable disease rather than preventing them. Conversely, the contemporary health promotion is aimed to increase the society’s awareness of healthy prevention, improve their quality of life and reduce health care budget. Health promotion range from smoking cessation to diagnostic and screening test, injury prevention, and chronic diseases management. There are three levels of prevention can be applied to health promotion, which are primary, secondary, and tertiary. Primary prevention is cheapest method to prevent disease or injury by increase the health awareness of individuals, families and society, an example of primary prevention is smoking cessation. Secondary prevention is to take diagnostic testing or screening in order to treat disease at the early stage if needed, such as diabetes, Pap smear test, mammogram screening and colonoscopy. Tertiary prevention actually is to treat disease has already been detected and prevent recurrence of condition. This paper will discuss the purpose of health promotion, and the role...
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...Concepts of nutritional health: Food: This is any substance eaten o nourish the body. Food can be solid or liquid, and can be taken by mouth, by tube or even directly into a vein, if someone cannot eat or drink normally. Health and social care level 3 book 1 Diet: This refers to the types of food eaten regularly by an individual. The word diet does not necessarily refer to a weight loss diet. An individual’s diet means all the meals and snacks they eat. Health and social care level 3 book 1 Meals and snacks: The traditional pattern of eating three meals a day still exists in some households, but a significant number of people gain a lot of their food intake from snacks. Some people have snacks between meals if they feel hungry and sometime just simply because the food is there. Snacks are not all necessarily unhealthy. Health and social care level 3 book 1 Nutrients: These are the specific chemical constituents of food that provide energy or support growth, repair or normal functioning of the body. Proteins, carbohydrates, vitamins and minerals are all nutrients. Health and social care level 3 book 1 Nutritional health: Malnutrition: This is the condition in which the body does not receive enough nutrients to function properly. Malnutrition can include under nutrition or over nutrition. Under-nutrition: the outcome of insufficient food intake and repeated infectious diseases. It includes being underweight for your age, too short for your age, dangerously thin for...
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...Diabetes with Co-Morbid Depression Research and reviews from the CDC and the Robert Wood Johnson Foundation, among others, recognize that health disparities in diabetes result from complex interactions of individuals with social, political, and environmental factors (1). Therefore, interventions designed to reduce these disparities and improve health care for African-Americans and Latinos with diabetes must also intervene at multiple levels. That same research also indicates that optimal disease management for patients with diabetes should include mechanisms for screening and managing depression. An article in the International Journal of Psychiatry in Medicine reports that in a group of diabetes patients who were screened for depression, the majority (56%) of the sample screened positive for depression (PHQ-9 >10), and half (49%) did not have evidence of that diagnosis in their encounter data. The study further concluded that the prevalence of co-morbid disease in diabetics may be as high as from 30% up to 50%.(2) Patients with diabetes are twice as likely to experience depression as those without diabetes. While diabetic patients who are also depressed show an increased incidence of diabetic complications, screening for depression in diabetics is not routine.(3) Moreover, patients with diabetes who have co-morbid depression have decreased medication adherence, poorer adherence to exercise and diet, and poor glycemic control,(4) Diabetics with depression have total...
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...Developing Effective Diabetes Care Interventions in Rural Populations Salem International University Traci L French May 20, 2013 Abstract: Diabetes mellitus wreaks a high toll on Americans in regards to shortened life expectancy, decreased quality of life and staggering health care expenses. Prevalence of this disease in some populations can reach nearly 30%, with 11.3% of the total population affected in 2010 (Texas Diabetes Institute, San Antonio, TX). In Arkansas, prevalence rates of the illness in some counties exceed 20% (Bradley, 2010). Recent statistics show that annual direct expenditures on diabetes care total $116 billion dollars per year with an additional $58 billion per year in indirect costs due to lost productivity and increased mortality (Texas Diabetes Institute, San Antonio, TX). The goal of this paper is to assess the development and implementation of current interventional strategies for diagnosing diabetes mellitus in affected populations in the southeastern United States. Outcomes of current programs will then be evaluated on a local, regional and national level. The final area of study will examine possible improvements to existing programs using culturally sensitive methodology to increase access to care within these populations and improve clinical outcomes while following evidence-based care guidelines. Diabetes mellitus is a costly illness, both in the number of lives affected as well as actual expenditures on health care and lost wages. In...
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...Health Promotion in Nursing According to the World Health Organization (WHO), health promotion “enables people to improve control over the determinants of health and as a result to improve their own health, and able to make healthy choice” (Denise and Suzanne, p. 87). Historically, health promotion deal with protecting society from contagious disease, such as to providing safe water and reduce environments hazards, and treat of preventable disease rather than preventing them. Conversely, the contemporary health promotion is aimed to increase the society’s awareness of healthy prevention, improve their quality of life and reduce health care budget. Health promotion range from smoking cessation to diagnostic and screening test, injury prevention, and chronic diseases management. There are three levels of prevention can be applied to health promotion, which are primary, secondary, and tertiary. Primary prevention is cheapest method to prevent disease or injury by increase the health awareness of individuals, families and society, an example of primary prevention is smoking cessation. Secondary prevention is to take diagnostic testing or screening in order to treat disease at the early stage if needed, such as diabetes, Pap smear test, mammogram screening and colonoscopy. Tertiary prevention actually is to treat disease has already been detected and prevent recurrence of condition. This paper will discuss the purpose of health promotion, and the role of nursing in health promotion...
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...Page 1 The World Health Organisation (World Health Organisation, 2008) states that the indigenous peoples of Australia are one of the most disadvantaged indigenous groups in the developed world. The health of the Indigenous population of Australia is an increasingly pressing issue. Current research and statistics reveals great inequality in many areas of health care and health status between the Aboriginal people and the general population of Australia. Couzos and Murray (2008, p. 29) report that the Indigenous population has “the worst health status of any identifiable group in Australia, and the poorest access to health systems.” This paper will examine the underlying historical contexts and contributing factors that have lead to the current disparity between the health of the Indigenous Australians and non-Indigenous Australians. Furthermore, the high prevalence of chronic health issues such as diabetes will be analysed and community health initiatives that are needed or currently being enacted will be identified. Many reasons for the current appalling state of health and wellbeing of the Australian Aboriginal people can be explained by examining their recent history to the devastating impacts of colonisation, genocidal policy, loss of land and years of oppression. These several hundred years of cultural destruction, dispossession and social and political upheaval have resulted in generations of trauma and grief (Burke, 2006, para. 4). As reported by Forsyth (2007, p. 35-36)...
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...Journal of Diabetology, June 2010; 3 :4 http://www.journalofdiabetology.org/ Review Article: Diabetes in Prevention Abstract: Pakistan: Epidemiology, Determinants and * R. Hakeem 1 , 2 , A . Fawwad 2 Epidemiology and determinants of diabetes in Pakistan have peculiar combination of risk factors. Strong gene and environment interplay along with in-utero programming in context of low birth weight and gestational diabetes are the main contributors of a high prevalence of type 2 diabetes in Pakistan. The real burden of diabetes is due to its chronic complications leading to increased morbidity and mortality. The unique combination of various risk factors necessitates research studies to make appropriate risk assessment tools to control this diabetes pandemic. Better understanding of aetio-pathological genetic and environmental factors are suggesting prevention should begin much before the start of disease process and interventions in high-risk subjects alone will not be sufficient. It is necessary to initiate population based programmes for primary prevention of diabetes including a range of activities targeted at different age groups from fetal life to old age. Synchronized and coordinated efforts from public and private sectors are needed to combat this mammoth health and economic issue. Key words: Diabetes, Pakistan, Introduction: Escalation in rates of diabetes, especially type 2 diabetes in Pakistan is posing threats to the economy and quality of life...
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...been, or are likely to be, present for at least 3 to 6 months, and can only be controlled and not, at present, cured (Meetoo 2008). Diabetes is a chronic and progressive disease that impacts upon almost every aspect of life. It can affect infants, children, young people and adults of all ages, and is becoming more common. Diabetes can result in premature death, ill health and disability, yet these can often be prevented or delayed by high-quality care. Diabetes comprises a group of disorders with many different causes, all of which are characterised by a raised blood glucose level. This is the result of a lack of the hormone insulin and/or an inability to respond to insulin. Insulin in the blood, produced by the pancreas, is the hormone which ensures that glucose (sugar) obtained from food can be used by the body. There are two main types of diabetes: Type 1 diabetes and Type 2 diabetes. In people with Type 1 diabetes, the pancreas is no longer able to produce insulin because the insulin-producing cells (-cells) have been destroyed by the body’s National Service Framework for Diabetes. (National Service Framework for Diabetes ) A simple discharge is one that can be executed at ward level with the multidisciplinary team (MDT); funding issues, change of residence or increased health and social care needs make the discharge complex. The key principles of effective discharge planning Nursing Times 22.01.13/ Vol 109 No 3 Although nursing roles are distinct in different...
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...Type II Diabetes in Pennsylvania 4/29/2015 Introduction Diabetes is a lifelong disease that occurs when a person’s pancreas stops or isn’t producing enough insulin and/or the body cannot use it. Insulin is needed to use the energy from food. The body makes glucose from food that is eaten and then the glucose goes into the bloodstream and circulates around the body. Insulin helps glucose enter the cells where it is used for energy, growth and repair. When people have diabetes, glucose cannot enter the cells. It builds up in the bloodstream until it reaches high levels, which is damaging to the body. High blood glucose levels can be returned to normal with such treatments as meal planning, medication, and regular physical activity. It sounds too good to be true on reversing Type II diabetes through exercise and healthy eating is true. While certain lifestyle changes are key to managing diabetes, whether you can actually turn back time so that it's like you never had diabetes is a different matter. That depends on how long you've had the condition, how severe it is, and your genes. "The term 'reversal' is used when people can go off medication but still must engage in a lifestyle program in order to stay off," (Ann Albright, 2015). Type 2 is the most common form of diabetes and can be diagnosed at any age. It is most commonly seen in adults. Type 2 diabetes accounts for about 90 to 95 percent of all diagnosed cases of diabetes, more than 29.1 million people or 9.3% of the U...
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