MN 610 PU Patient Centered Health Promotion Discussion Reply
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REPLY TO THIS DISCUSSION:
It seems that with each patient you always have some form of health promotion. Depending on what the need is for the patient will dictate health promotion. One diagnosis that sticks out a lot is A1C. During these visits We discuss nutrition, hydration, and exercise. We also go over the risk that their numbers show how close they may be to becoming a diabetic. Depending on how receptive the patient is could alter the depth of the conversation. Discussion of types of foods along with minimizing sugars or even cutting them out altogether. One specific patient had many several social contributions. Patient smokes and drinks socially. The patient was also not very active and did not focus on what he ate. All these factors can contribute to vascular disease, diabetes. Respiratory issues and GI complications such as GERD for example. Multiple complications can occur due to some unhealthy lifestyles. The patient works at a factory. The health care policy is actually pretty good. Generic medications are covered under the plan. Even semaglutide only cost them 200 dollars. If the medication is covered then most of the time the patient will take it. The patient did not understand that once he ran out of the medication, he needed to request a refill. So, the patient was taking metformin but not the Jardiance. Labs had shown an increase in A1C which is alarming when trying to decrease. Patients’ labs showed that cholesterol panel was elevated slightly more than last results which also show to be within the higher range. Healthy food choices is a primary health promotion that is needed. Vitamin D was low. A1C was elevated. But the BMP, CBC, and the liver panel were normal. Patient is overweight. After reading health promotion tips for reducing the risk of DM. Such as weight loss, increase activity, eat healthier foods, and eating healthy fats. I feel that we cover everything to help the patient prevent Diabetes. One tip I did not think of was fad diets being negative. It was explaining how studies show these diets are not sustainable and the patient gets back into their old habits (CDC, 2023). For this patient a healthy lifestyle is highly recommended. This is not for just 6 months this should be looked at for a lifetime. It is a completely healthy lifestyle change. To sustain this the patient must have a connection to a relational lifestyle framework. There has to be a implementation of identifiable patterns of thinking. Behavioral modification can be very hard to control if not noted and talked about (Bohme et al., 2022). Another issue that is something that is concerning when trying commit a patient to changing their ways is there socioeconomical status perception. That can be the clinician’s perception which has shown to cloud the clinician’s judgement when treating the patient (Arpey et al., 2018).
References
Arpey, N., Gaglioti, A., & Rosenbaum, M. (2018, July 7). How socioeconomic status affects patient perceptions of health care: A qualitative study. Journal of primary care & community health. https://pubmed.ncbi.nlm.nih.gov/28606031/
Bohme, J., Walsh, Z., & Wamsler, C. (2022, March 17). Sustainable lifestyles: Towards a relational approach – sustainability science. SpringerLink. https://link.springer.com/article/10.1007/s11625-0…
CDC. (2023, March 24). Diabetes prevention: 5 tips for taking control. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/typ…
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