A Case Study on a Female Client with Diabetes Mellitus Type – 2
NURS11153 (Health and Behaviour)
Term 3 – 2010
COORDINATOR: MS. Loretto Quinney
STUDENT: Jennifer Manzo, S0194234
WORD COUNT: 2,726
Type 2 diabetes mellitus has become a highly prevalent threat to human beings, mainly caused by having inactive lifestyle habits and increasing obesity. With this case study the attempt is to understand how physical and emotional ignorance becomes a risk factor for developing this disease. This paper is investigating a case of a migrant Filipino lady in Australia, known as Karla, who has Type 2 Diabetes Mellitus which she acquired when she moved to Australia. The client’s ...view middle of the document...
Type 2 diabetes is also known as ‘adult-onset diabetes’, as its development is associated with lifestyle, age or genetic factors. It is caused by the body’s inability to efficiently use the hormone insulin, which functions to convert sugar into energy. The disease is chronic and incurable and may result in disability and even death. According to National Health Survey data (Australian Institute of Health and Welfare 2006), diabetes is detailed as the sixth leading cause of death in Australia. It is more prominent in age groups above 35 years old and more than 70 percent of the adult population with Type 2 diabetes die of heart attack or stroke (AIHW 2006).
Filipino communities are the third largest growing Asian immigrant group in Australia, but the prevalence of diabetes in Filipinos is still unknown. This is the reason why this study has taken a case of Filipino woman with Type 2 diabetes on her role of developing and managing the disorder. This paper undertakes with the objective to understand the psychological and social foundations of health and illness and how this contribute to each person’s unique illness and health experience. It highlights in identifying the role that emotion plays in health and illness to the client. The information gathered is analysed with the factors that contribute to health and illness behaviours. These include the developmental stage and cognition of the client and the strategies used in facilitating change in health behaviour through the healthy ageing model, and lastly, recognising the influence of culture on health practices.
Personal, social and health information
Karla is a 68-year-old Filipina widow, who is currently unemployed and has three children. She migrated to Australia 20 years ago and now lives alone in a unit. Her father died at the age of 80 from a massive stroke and her mother died at the age of 78 from kidney failure. Her mother was found to have diabetes at age 51, which was followed by kidney complications. Both her parents were overweight and two of her siblings also have diabetes. Karla used to work in a laundry company and at present she is depending on the monthly pension from the government. She does not smoke but consumes alcohol occasionally. She is not the type of person who used of taking medications, vitamins or any herbal remedies, but concedes when in pain or when there is a serious reason.
Karla was diagnosed with Type 2 diabetes through the oral glucose tolerance test performed at the age of 52. At that time, she was obese, weighing 160 pounds at 5 feet and 2 inches tall with a BMI of 30. Karla confided that because of the lifestyle she adopted in Australia, this contributed to making her an obese person. She gradually lost weight by following a strict diet and exercising daily and had to do a daily blood sugar check to help control her diabetes. Health complaints consist of pain in both legs and occasional experience of eyes blurring. She has been...