The purpose of this dissertation will to get to promote Molly’s health and wellbeing through evidence based theory and practice (Refer to appendix 1 pertaining to Molly scenario). Molly has various health needs that necessitate the advantages of health promotion such as the risk of postnatal depression. However , with regards to this essay, the focus will be her diabetes mellitus type 2 health want.
There are several bio-psychosocial factors that contribute to Molly’s health and wellbeing including genes, pressure and low income. The interventions that are designed to promote Molly’s health and wellbeing includes education and empowerment. These will address Molly’s determinants of wellness by using suitable models and approaches to give realistic and practical recommendations to Molly. The rationale after promoting Molly’s diabetic overall health need is because, type 2 diabetes could cause severe problems such as retinopathy, kidney failure and heart problems.
What is more, diabetes mellitus type 2 continues to increase in the United Kingdom and it is estimated to affect much more than 5 mil people simply by 2015 (NHS choices 2013) Historic introduction to health campaign was first featured by Florencia Nightingale (1860) who noted the biomedical care provided to patients and suggested the requirement to provide holistic patient centred care to patients (Piper 2010). Especially, she acknowledged the importance of environmental factors such as sanitation and nourishment to promote the health of patients (Piper 2009). Health promotion is a plethora of contested explanations.
Therefore , through the years there have been considerable attempts to define this concept. For (WHO 1986) Ottawa Charter, wellness promotion is described as a process of teaching and strengthening people to help to make healthier selections (Hubley ain al 2013). This classification implies that, overall health promotion is actually a holistic principle that stresses on the physical, social and mental wellbeing (Piper 2010) The nurse is the doctor that will be involved in promoting Molly’s health and wellbeing through evidence centered theory and practice moreover to employing various designs and approaches (Piper 2009).
This strategy is going to enable Molly and the registered nurse to singularly and holistically express themselves, develop innovative strategies suited to Molly’s health requires and enhance effective conversation between Molly and the nurse (Bowden and Manning 2006). Communication is a crucial principle in health advertising as besides it underpin the basis of holistic care given to people but it also forms therapeutic interactions between the nurse and the individual (Bowden 2006). Communication is actually a fundamental principle in breastfeeding that is thought as a skill of information sharing involving the patient and also other health professionals (Yulli et approach 2011).
During these circumstances, the nurse can communicate with Molly through different modes of communication that may include spoken, non-verbal and written connection. She will discuss with Molly upon shared beliefs and philosophy that is strongly related Molly’s health needs. Most critical, communication in Molly’s case will go further than information showing to involving Molly in her personal care simply by supporting her to make great healthier choices in her life (Hubley 2013).
Considerably, the registered nurse will comply with ethical concepts of autonomy, non-maleficence, beneficence and rights (Whitewood 2010). There are several bio bio-psychosocial elements that contribute to the health and wellbeing of Molly. These types of factors may be well recognized by using the bio-psychosocial model.
This is certainly holistic style that combines major determinants of wellness such as interpersonal economic status, biological position and psychological status to provide a holistic look at of an specific mental, physical and cultural wellbeing (Baxter 2010). The biological factors that play a role in Molly diabetic health will need are her genetic susceptibility due to her family history (NHS choices2013). Her unborn child is also by a likelihood of inheriting the sickness from her mother. Diabetes mellitus type 2 tends to operate in family members largely because of similar detrimental lifestyle (Bowden and Manning 2006).
Whereas Molly could have inherited type 2 diabetes from her parents, the introduction of this health issues is also motivated by way of living choices (NHS choices 2013). Psychologically, Molly is at the risk of suffering from postnatal depression and stress due to physical needs of work and taking care of her family. This can consequently cause mental ailments (Hobart and Frankel 2009).
Psychological health issues can affect Molly’s ability to self-manage her blood glucose. Apart from this, mental instability can cause Molly to shed control of her diabetes with fatal consequences (NHS alternatives 2013). Molly is over a low social economic status as the girl with only capable to work in your free time. Green and Colors (2010) disagrees that, low income restrictions access to healthy food and housing which could consequently result in poor physical health and interpersonal exclusion. Furthermore, Hill ain al 2013 s offers that, diabetes mellitus type 2 disproportionately affects people with limited resources.
Probably this is because, low income earners are more likely to take pleasure in unhealthy damaging behaviours including eating unhealthy food and deficiency of physical activity (Hubley 2013). In the event that this were the case, Molly might not in a position buy healthy food choices or has access to those activities that treat her well being needs including the gym and other social networks in her community. All these elements might hinder positive well being outcomes. According to (WHO 1986), health is defined as not only an absence of illnesses but the complete point out of physical and mental wellbeing.
In order to promote Molly’s health, an alternative approach is required to address the bio-psychosocial the factors that affect her health and wellbeing. Consequently , various actions need to be taken on by using suitable theoretical techniques and types. Initially, the nurse ought to ensure that, Molly’s basic requirements are meet up with first before moving up to the higher needs.
Maslow (1943) suggested that, human beings have hierarchies of demands. He thought that, demands such as meals and water are satisfy first before reaching the level of self-actualisation (Hubley2013). Having previously recognized that Molly is over a low profits which can have an effect on her capability to access healthy food choices.
The health promotion priority will probably be then to cope with this require before moving on to the additional higher requirements. The registered nurse should tips Molly within the help that is available for her to increase her revenue. For example , Molly would reap the benefits of extended institution that offer childcare and relatives support solutions (Larkin 2009).
The importance of childcare would be that, Molly will be able to function more hours attracting some extra cash flow for her relatives. Consequently, she will be able to acquire healthy food and have interaction in actions such as swimming or see the gym. Significantly, this would lessen her risk of social exemption and diabetes related problems (NHS choices 2013).
However , it is important that Molly believes that, her great health behaviors will prevent problems and help acquire good quality of life. This will influence Molly’s motivation to take action (Yulli 2010). In respect to Wellness belief version by Rosenstock (1966), Molly will only have positive actions if she believes that, she is at risk of serious ailments, believes that her type 2 diabetes is severe and thinks that her positive actions will avoid the negative implications of diabetes ( Yulli 2010).
For example, by doing physical exercises it reduces her potential for her carrying excess fat and consequently lowering her risk the of cardiovascular diseases or maybe death (Coyle 2013). The Health belief unit is useful in promoting Molly’s diabetic health will need. This is because it organises the patients health status, landscapes and remarks the elements that that determines whether the patient changes their conduct.
Furthermore it possesses a useful tips that points out the issues that must be addressed plus the patient’s motivation to change their very own health ( Yuill ou al 2010). Nevertheless, the Health belief version has not escaped criticism due to its individualistic way and ignores social influences (Hubley 2013). For example , Molly low salary status may well influence her decision of whether or not or certainly not she feeds on healthy food. Furthermore, it does not treat psychological factors such as dread and denial that significantly influences human being ability to take positive actions towards their particular health (Hubley 2013). For example, Molly’s capacity to engage in activities may be damaged her motherhood, emotions and social influences such as family.
Another activity that to get undertaken in promoting Molly’s health is motivating Molly to learn from great role models that will stimulate her to positively control her actions and reflect on her activities (Green 2010). This can be learning from her family, friends or perhaps other people who have type 2diabetes but have efficiently managed their very own diabetes through positive behaviour, behaviours and treatments. Relating Social learning theory by simply Bandura (1986), people activities are influenced by seeing the behavior of other folks. He contended that, this promotes people self-esteem that in turn hard drives them to make positive adjustments (Green 2010).
In these instances, the interpersonal learning theory is essential in promoting Molly’s diabetic health need since it addresses the concept of self-esteem. This is a key element of resisting adverse influences and promotes self-efficacy and positionnement of control to do what is right by simply her overall health (Amdam 2012). Social learning theory importance should not be underestimated as it acknowledges that, individuals do not can be found in isolation (Amdam 2012).
Despite this, it really is criticised by simply biological theorists for its rejection of natural factors including genes. Additionally, the biologist model problems the cultural learning problematic assumption that, behaviours will be learnt by contending that, behaviours happen to be inherited although not learnt (Gyenscuico 2011). Education is another activity that needs to be performed in order to showcase Molly’s diabetic health want. The aim of education will be to instruct Molly upon self-management abilities and to increase Molly’s understanding on diabetic care (Bowden and Manning 2006). The nurse will use health educational model to change Molly’s conduct and actions through rendering value-laden specifics and details about type 2 diabetes.
This may be done by providing Molly booklets about type 2 diabetes, teaching Molly on how to control and monitor her glucose levels (Bowden and Manning 2006). According to education procedure, if Molly have the necessary knowledge about diabetes, she actually is more likely to help to make positive decisions (Lawrence ou al 2009). For Instance, simply by teaching Molly how her blood glucose is affected by food and work out, she is more likely to eat more healthier meals and be energetic in order to keep her blood glucose secure (NHS 2012). One are unable to ignore that education version is evidence based and not only does it instruct the patient just about all gives skills to the affected person.
However , this model fails to consider environmental, emotional and economic constraints which usually affect individual’s ability to help to make choices (Lawrence et al 2009). One other limitation with this model is usually its simplistic view of cost-benefit research. It assumes that, in the event that Molly is given the knowledge she’ll accept this unconditionally, consider the cost make a positive health choices for her best interest (Bowden and Manning 2006).
What is more, its deterministic view stage that, education is a must truly does and its best down strategy does not give Molly much free can to make her own selections which the self-empowerment does (Bowden and Manning). The empowerment model gives the patient the free will through that advocacy of the individual concept of locus of control and self-efficacy to take control of their own well being (Lawrence et al 2013). This model links to the process of empowerment which can be another activity that needs to be taken on in to be able to promote Molly’s health and well being. This will be through Molly participating and taking part in all areas of decision making (Piper 2009). This model adjustments the balance of power in the health professionals for the patient (Piper 2010).
The empowerment style bottom up approach is actually a vital element in empowering the individual (Bowden and Manning 2006). The personal strength will mean that, Molly is usually acknowledged as like a part of her health advertising and she will work together with the nurse and other multi-agency teams involved in her very own care (Yulli et al 2010). Perhaps this might raise her self-confidence and effect her capacity to make more healthy choices by taking responsibilities on her type 2 diabetes administration (Hanlon ainsi que al 2012). The advantage of making use of the self-empowerment version in Molly’s scenario will be that, Molly will gain more control over her lifestyle and assurance to move toward healthier lifestyle (Hanlon 2012).
However , that fails to consider influences of power that prevents Molly by making much healthier choices (Hanlon 2012). For instance , Molly’s partner might affect her ability to make selections. Moreover, it will not address cultural economic elements such as low income that can mean that, Molly’s primacies may be at odd with the goals of the health promoting pros (Bowden and manning 2006). Finally, its acknowledgment of the self-determination implies that, Molly may well exercise her free is going to and choose unhealthy consuming behaviours which may place her at risk or even death (Dean and Irvine 2010) 1 cannot ignore the benefits of wellness promotion in Molly’s scenario is a useful tool to educate, encourage and empower Molly to make positive adjustments towards her health.
However , health promo can be problematic at times. This is due to the dangerous presumptions of the overall health promoters concentrate on health issues disregarding that, people have various causes to change their behaviours and health is probably not one of them (Scrive 2010). As an example, for Molly diabetic health need may not be her excellent motivator to change her lifestyle. Another criticism of health promotion is the ever changing wellness advice pertaining to patients because of research that may be always finding new evidence (Amdam 2011).
In these circumstances, patients include barely plenty of time try one particular treatment or perhaps advice prior to they can adjust to another. This affects the efficacy of health campaign (Scriven 2010). Evidently, the media contradicts the health promotion advice which is based on specifics due to its focus on controversy rather than facts that can be confusing pertaining to the sufferers (Amdam 2011). Furthermore, the promotion in Molly’s scenario raises this problem.
If Molly decides never to change, will it mean that the health promotion in her case has failed? The challenges of effective well being promotion need actions whatsoever levels starting at an specific, community and at a federal government level (Scriven 2011). Consequently , to successfully, promote the fitness of an individual, you ought to have an strategy that combines all these amounts together because they all impact the effectiveness of well being promotion ( Amdam 2011).
To conclude, health promotion is described as a process of educating and empowering people to generate healthier selections. Molly’s wellness is motivated by various determinants of health that are linked to her social, biological and environmental conditions. The promotion emphasis is to tackle such determinants of health through evidence based techniques that combines various hypotheses and strategies.
These theories and approaches are involved in practical activities that are aimed at changing Molly’s lifestyle and behaviour to promote her wellness. The importance of health advertising should not be undervalued at it educates and empowers the patients to generate positive actions towards their particular health. Nevertheless, health promotion is plagued with problems such as contradicting health suggestions that impacts the efficacy of well being promotion. These types of challenges impact the most prone people including Molly.
Therefore, it is important that the health promoters recognizes these difficulties and treat them consequently. Finally, we recommend that, future health promotion professionals talk about the debt of the not enough an approach that tackles health promotion in a individual, community, government level to ensure the success of wellness promotion. Referencing Amdam, R. (2011) Planning in well being promotion work.
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