The aim of this case study is to provide a detailed account of a patients holistic health care needs from a health promotion perspective utilising the Tannahill Model which will be described. In promoting the health of the patient maintaining individuality within a diverse community will also be discussed by the application of the model to the patient.
Mary, the patient the study focuses on (surname withheld to uphold confidentiality), was chosen due to the writers involvement throughout the duration of her stay in hospital. The writer met Mary prior to her operation in theatre and was present for the duration of her operation. When Mary was admitted to ward L4 the writer was directly involved in Mary's care and discharge.
Mary is a 75
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Previously, she was situated in a four bedded bay of ladies in which she expressed no feelings of isolation. Following the expression of Mary's anxieties she visited the day room on a daily basis but remained in her wheelchair and was advised not to have physical contact with the other patients for infection control purposes. This integration with the other patients also had a positive impact in her psychological well-being. Psychologically Mary was affected by many factors. Her husband died the previous year in hospital following surgery that led to deterioration in his health and Mary had to be constantly reassured of her progress and that hospital admissions did not ultimately lead to deterioration in health. Mary's injury was a direct result of a fall in her home. This combined with her lengthy stay in hospital had decreased confidence in her own capabilities when she was able to return home. It was stressed to Mary that she should not be apprehensive to voice her fears. Biological needs refer to the physiological and anatomical functioning of the body. This includes the actual medical condition of Mary. As previously mentioned the surgical wound had become infected which would delay the rate at which it healed. Following her surgery, mobilising was difficult for Mary. On sessions with physiotherapists, it was reported that she had often conveyed frustration with limited walking abilities.
Health
Meanwhile, elsewhere in Habersham County, Tom was feeling slightly nervous as he exited the staff lounge and entered the hustle and bustle of County Hospital’s ER to begin his first shift as an RN. The first few hours of his shift passed slowly as Tom mostly checked vital signs and listened to patients complain about various aches, pains, coughs, and sniffles. He realized that the attending physician, Dr. Greene, who was rather “old school” in general about how he interacted with nursing staff, wanted to start him out slowly. Tom knew, though, that the paramedics could bring in a trauma patient at any time.
Childhood obesity has been increasing over recent years (Atay & Bereket, 2016). Kings Fund (2016) has shown a link to the lower socio-economic areas. Furthermore, World Health Organization [WHO] (2016) has recognised childhood obesity as a public health issue. Childhood obesity is the contemporary public health issue that is going to be explored throughout this assignment. Epidemiology will justify the reasoning as to why childhood obesity is a public health issue. A health promotion initiative designed to target obesity and the population’s health and wellbeing will be evaluated using Tannahills Model of Health Promotion (Tannahill, 2008). The health promotion initiative chosen is ‘Change 4 Life’ (Department of Health, 2011).
Hispanics are the largest and fastest growing ethnic minority group, estimated to be 54 million living in the United States of America. (Office of Minority Health and Health Equity). They work very hard to make both ends meet and also to stay in good health. They are relatively as a source of cheap labor in the American labor market This paper will dwell more on the Hispanic current Health status, how health promotion is described by the group and what health disparities exists for this group.
Health promotion utilises theories and models to guide practice. A theory is the general principles of a framework of ideas in regards to a particular topic. (Merriam-webster.com, 2016) A model is a set plan of action based on theoretical ideas to achieve a set goal. (Merriam-webster.com, 2016)
Patient stories bring healthcare experiences to life highlighting if they are positive or negative. They encourage the NHS to focus on the person and view then as a statistic. Stories can be told from the point of view of the patient therefore the focus is solely on the individual and not the condition. Stories are made up of a complex network of events from admission to discharge.Stories can be sourced from patients and families, members of staff and care workers. Everyone’s experience of the healthcare experience is valuable. Patient experiences are used to improve healthcare, however and individual story is not a representation of all patient experiences. Stories help us to see things from the point of view of a
Escarce, J., Morales, L., & Rumbaut, R., (2006). The Health Status and Health Behaviors of
(2015) notes that “Starting in 1997, the Office of Management and Budget (OMB) requires federal agencies to use a minimum of five race categories: White, Black or African American, American Indian or Alaska Native, Asian, and Native Hawaiian or other Pacific Islander.” Each minority group differs in health status and disparities and health promotion. In this paper the writer will focus on a specific minority group, the Black or African Americans, and will
The purpose of this paper is to discuss the health status of the American Indian/ Alaskan Native (AI/AN). A comparison and contrast of AI/ANs with the national average regarding the health status such as heart disease and strokes will be presented. Multifactorial barriers limiting health, and the overall factors affecting health within this population are identified. Current health status will be presented including health promotion and disparities among this US population. Primary, secondary, and tertiary health promotions will be discussed along with one approach to promoting health offered.
Asian Americans with no other ancestry comprise 4.8% of the U.S. population while people who are Asian alone or combined with at least one other race make up 5.6%
Health Promotion is a fundamental practise in ensuring optimum population health. In this essay I will be discussing the ‘settings’ based approach (SBA) of Health Promotion (HP) as a process for achieving sustainable improvements in health outcomes. I will discuss the strengths and weaknesses of the approach in relation to key movements which demonstrate the method in action.
The United States is a melting pot of ethnicity, in which, the healthcare system and its benefits vary widely. Those who are able to obtain primary care insurance via a full time employer, typically have the benefits of full coverage care. However, for many minority groups, full time work alone is hard to acquire, along with the health benefits full time employment provides. Culturally competent care among the diverse populations helps increase health promotion and gain a cultural perspective. One of these mentioned groups is the Hispanic population which is steadily increasing within the United States.
There are three levels of health care prevention in which the American Indians and Alaskan Natives can use to improve their common disparities. The primary level of prevention is used to prevent diseases or conditions from occurring. The second level of prevention is used to reduce the extent of a existing disease within a community or population, and the tertiary level of prevention is used to slow down the impact of a disease or illness that may have lasting effects. For this group of the minorities the primary prevention is most effective by preventive health implementations for individuals and communities through access to healthcare, immunization, nutrition information, tobacco cessation, and substance abuse, among many other preventive measures (Institute for Work,
In Bed Number Ten, Sue Baier shares her first-hand account of both her painful experiences and her lengthy recovery in the ICU setting. She was struck with the disabling effects of Guillain-Barre syndrome which resulted in her being admitted into an Intensive Care Unit. While there, her communication and mobility was very limited and made it very difficult for many of the staff to passionately and effectively take care of her. She describes multiple accounts of nurses and staff who were task oriented and failed to meet her physical and emotion needs. Her sense of isolation and inhumane treatment transpires from the pages to the heart of the reader. However, in the book, we observe a few staff that were sensitive to her condition and took care of her the way a person should be taken care of. Sue’s hardship and experience is one of perseverance in her time in the ICU and gives an outlook of how to be sensitive to critical care patients, as it should be.
Health is defined as a state in which human needs are met in an autonomic way, and is not limited to the absence of disease or disablement (V. Henderson). Optimal health is a lively, self-motivated equilibrium of physical, intellectual, spiritual, emotional, and social well-being. The concept of health promotion delineates the method of empowering people to increase control over, and to advance their own overall health.
Discuss the effectiveness of a range of health promotion strategies in relation to young people (6 marks)