Health Maintenance Issues
Mrs. Gray is an 86-year-old woman who has been diagnosed with Type Two Diabetes. She has lived with the disease for three years. Mrs. Gray is single and lives in the area in a naturally occurring retirement community. Mrs. Gray, though 86, appears much younger than her stated age, which can be largely attributed to her active physical nature. Mrs. Gray boasts an exceedingly active social life, meeting her friends for lunch several times a week, and she strives to keep herself in good physical condition by going to the gym an average of four times a week. Mrs. Gray is further involved in the community through significant work in her church and as a member of the Senior Friends Program, which allows volunteers to interact with shut-ins by visiting with them and bringing them dinner once a week. Mrs. Gray’s last A1C was 6.1%.
Health Maintenance Issues/Concerns
In assessing the issues at hand to assure that Mrs. Gray remains in good health, certain areas of concern rise to the forefront. These areas of concern must be addressed early in terms of treatment and a health promotion plan so that the issues will not yield future health problems for the patient.
Mrs. Gray’s “health triangle” (maintenance and promotion of health in the areas of physical, mental, and social well-being) is evident, but unbalanced in certain areas. While Mrs. Gray remains physically active by going to the gym and moving about town during her volunteer work, her social lunches several times a week raise significant threats in terms of her ability to maintain a healthy diet that will most significantly assist her in terms of her Diabetes maintenance. Mrs. Gray’s single status also poses a minor issue in terms of monitoring her food intake and continued physical activity. Additionally, Mrs. Gray’s age poses a threat to her health maintenance due to the fact that at any instant, her ability to maintain her now lively and energetic weekly routine may be altered in some way, which in terms of her Diabetes, can be detrimental to her health. Should her diet and exercise routines be altered in any significant manner, Mrs. Gray’s blood sugar levels have the capacity to shift significantly, which poses a major issue due to the fact that her A1C levels are already high. Though Mrs. Gray has remained active in her lifestyle, the fact remains that her A1C level, at last measurement, presented at 6.1% which requires assistance in terms of a suggested health promotion plan.
Patient presents with 6.1% A1C/glycatedhemoglobin level, noting a slightly elevated presence of sugar within the blood. While this percentage places Mrs. Gray in a generally accepted “normal” range for A1C measurements, her previous diagnosis of Type 2 Diabetes makes this slight elevation reason enough to attempt an adjustment in diet to lower the percentage level. While Mrs. Gray’s A1C notes good glucose control, her lack of a consistent diet proves problematic in maintaining the aforementioned levels, which causes concern for future testing. With continued diet and exercise, patient presents with the capacity to continually lower her A1C, maintaining a tight control on the issue in hopes of reversal.
Health Promotion Plan
Mrs. Gray’s diagnosis of Type 2 Diabetes and her age of 86 years old present as major risk factors in terms of keeping her Diabetes and blood sugar levels under control. However, there are certain actions that can be taken in order to reduce the risks associated with the disease and alleviate complications. Complications of diabetes including microvascular and macrovascular issues pose a major threat, especially in dealing with the elderly. A recent prospective study indicated that patients with Type 2 Diabetes without a history of prior heart attack [Mrs. Gray] have equal if not greater risks of myocardial infarcation (MI) compared to those without diabetes who have had prior heart attacks (20.2% vs. 18.8% incidence of MI, respectively over 7 years) suggesting that older diabetics specifically should be monitored for cardiovascular risk factors as well as healthy diet and exercise routines (Haffner, Lehto, Ronnemaa, 2008, p.230). In combating such issues, in general, a glycosylated hemoglobin (HbA1c) goal of <7% is reasonable for most patients.; a less-aggressive goal may be considered for patients at high risk of hypoglycemia or high risk of complications from hypoglycemia, as long as acutely symptomatic hyperglycemia is avoided (Fravel, McDanel, Ross, 2011, p. 502). Further, Chlorpropamide, glyburide, and rosiglitazone, which pose a great risk for hypoglycemia, should be avoided in the elderly as in the case of Mrs. Gray.
The management of the elderly patient with Type 2 Diabetes through medical procedures and intervention has different goals and objectives than does that of the younger patient. The patient’s life expectancy, coexisting medical or psychiatric disorders, and the patient’s willingness and ability to comply with the proposed treatment are important considerations (Halter, 2009, p.239). Medical therapy can contribute to the development of complications in older patients.
Exercise and diet have long been attributed to Diabetes maintenance, and both have played a role in Mrs. Gray’s ability to manage the disease. Along with the continuation of a diet rich in fiber, lean meats, fish and poultry, low-fat and fat-free dairy, limited saturated fats and trans-fats, limited sodium, limited alcohol, limited sugars, and increased H2O intake, with significant exercise, Mrs. Gray should may want to include a dietary supplement into the mix to continue management. Physicians have found that the inclusion of fatty acids, Omega 3, Vitamin D, and Vitamin K in supplement form have aided elderly patients with the maintenance of Type 2 Diabetes when used in conjunction with steady exercise (Traustadottir and Tsitouras, 2010, p.22).
In addition to a steady diet rich in the aforementioned food items, physicians have found that an optimal nutritional regimen exists in Western populations, specifically for the elderly with Type 2 Diabetes. As a general rule, a diet should be adhered to that is nutrient-dense, with a low-glycemic index, high in high-dietary fiber foods with possibly lowered carbohydrate intake and higher protein intake (Esfahani, Josse, Panahi, 2008, p.363). Such a diet with the addition of exercise opens the door to easy dietary and lifestyle modifications that will both prevent and control the progression of the disease.
In viewing the research at hand in the maintenance and reduction in severity of Type 2 Diabetes in the elderly, a proposed health plan for Mrs. Gray will follow these general rules in terms of modified diet, increased exercise, addition of dietary supplements, and scanning for cardiovascular issues during medical exams and physicals.
Mrs. Gray has presented as a patient that consistently works to maintain control of her disease, as seen in her lowered A1C levels back to a more “normal” range. In maintaining her current exercise regimen and making slight alterations to her diet, Mrs. Gray should be able to gain a firm control over the disease in hopes of reversing it significantly.
Esfahani, A., Josse, A., and Panahi, S. (2008). Nutritional considerations for older adults with type 2 diabetes. Journal of Nutrition for the Elderly, 27.3-4. pp. 363-80. Retrieved from: EBSCOhost Database.
Fravel, M., McDanel, D., and Ross, M. (2011). Special considerations for treatment of type 2 diabetes in the elderly. American Journal of Health-System Pharmacy, 68.6. pp. 500-9. Retrieved from: EBSCOhost Database.
Haffner, S., Lehto, S, and Ronnemaa, T. (2008). Mortality from coronary heart disease in subjects with type w diabetes and in nondiabetic subjects with and without prior myocardial infarction. New England Journal of Medicine, 349:1. pp. 229-234. Retrieved from: EBSCOhost Database.
Halter, J. (2009). Geriatric patients. In: Therapy for Diabetes Millitus and related disorders, 3 ed. Alexandria, VA: American Diabetes Association. pp. 234-240. Retrieved from: EBSCOhost Database.
Traustadottir, T. And Tsitouras, P. (2010). Role of exercise and dietary supplements in the management of prediabetes and type 2 diabetes the seventh in a continuing series on diabetes in the elderly. Clinical Geriatrics, 18.10. pp. 22-7. Retrieved from: EBSCOhost Database.
Health Maintenance Issues
Get Professional Assignment Help Cheaply
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Why Choose Our Academic Writing Service?
- Plagiarism free papers
- Timely delivery
- Any deadline
- Skilled, Experienced Native English Writers
- Subject-relevant academic writer
- Adherence to paper instructions
- Ability to tackle bulk assignments
- Reasonable prices
- 24/7 Customer Support
- Get superb grades consistently
Online Academic Help With Different Subjects
Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.
Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.
While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.
Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.
In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.
Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.
We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!
We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.
Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.
What discipline/subjects do you deal in?
We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.
Are your writers competent enough to handle my paper?
Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.
What if I don’t like the paper?
There is a very low likelihood that you won’t like the paper.
- When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
- We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.
In the event that you don’t like your paper:
- The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
- We will have a different writer write the paper from scratch.
- Last resort, if the above does not work, we will refund your money.
Will the professor find out I didn’t write the paper myself?
Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.
What if the paper is plagiarized?
We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.
When will I get my paper?
You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.
Will anyone find out that I used your services?
We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.
How our Assignment Help Service Works
1. Place an order
You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.
2. Pay for the order
Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.
3. Track the progress
You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.
4. Download the paper
The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.
PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!