Mrs. Rogers was a diabetic patient who repeatedly had HgbA1C levels higher than the desired range despite frequent medication compliance, exercise, and education on diet.
When a new Nurse Practitioner, George, joined the practice and began seeing Mrs. Rogers, he asked that her husband and four children attend her for the next appointment.
George explained to Mrs. Rogers’s family her needs, condition, and changes essential to her lifestyle in order to get her in improved health. George hoped that by including Mrs. Rogers’s family, who support and love her, in her care, he could improve her compliance, and the health of the entire family.
Three months later when Mrs. Rogers came back for a follow-up, her HgbA1C had declined considerably and was nearly in normal range.
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Rogers’s husband accompanied her for results, and explained to George that now he knew what foods to buy and prepare, and how to help his wife better control her diabetes, and they had made it a family mission to improve her numbers.
The Rogers’s family began a exercise and diet program, and had all lost weight and improved their health, in addition to better controlling Mrs. Rogers’s diabetes.
George saw personally how including and treating the family as a unit, had helped Mrs. Rogers personally, and the family as a whole in prevention, illness, and
HbA1C is elevated at 8.8% and the goal for diabetics is to keep that value below 7%
Goodwin’s memories of the 1950s were very positive, however the family life made growing up somewhat negative. During most of Goodwin’s life, her mother suffered from different illnesses that would cause problems in the household. Most of the time, her mother, Helen, was too sick to have company over, which was very stereotypical during that time. When television came around, the family would host gatherings. When Helen was asked if she could have more gatherings Helen would reply, “but I simply can’t do it. Even now, I am so exhausted just from having everyone here that I’ve got to lie down for a little while” (Goodwin 122). Goodwin’s sister, Jeanne, took many roles that Helen could not because Helen was so sick. Goodwin stated that, “For as long as I can remember, she was a surrogate mother, looking out for me, taking care of me when my mother was sick” (Goodwin 37). Goodwin would recall many stories of Jeanne doing tasks that their mother would do. This made her Goodwin feel embarrassed, which is where the negative
Both Gold Diggers of 1933 (Busby Berkeley, 1933) and Swing Time (George Stevens, 1936) feature the now-infamous Ginger Rogers in two very different roles. In Gold Diggers, she plays a supporting role as the chorus girl Fay Fortune, whereas in Swing Time, she is the top-billed star playing the show business hopeful Penny Carol aside her perennial film and dance partner, Fred Astaire as show business veteran Lucky Garnett. These two Ginger Rogers roles provide insight into the socioeconomic roles women played in the societal landscape of the 1930s. By analyzing the same actress in two roles, one leading and one supporting, in two film musicals produced three years apart, we can isolate exactly what characteristics were fit for a leading lady at that point in film history. Upon close examination, many of the changes made from the supporting role of Fay to the leading role of Penny can boil down to two overarching themes: sexual repression and heterosexual coupling.
The story Social work in the ER by Ogden Rogers was an eye opening read because, the medical field has always fascinated me. The idea of social workers, and medical professionals working together is interesting to me. Dr. Rodgers job in the ER seems to be both sad, but also self-fulfilling. He was able to switch from telling a family member their love one has passed, to aiding a lost teenager to a way out of trouble.
Slowly, but steadily, Sandy made progress. Through the time he spent with her, Dr. Perry was
In Red’s situation, poor diet, alcohol use and sleeping issues, play many roles in his diabetes management. In regards to his diet, Red has stated “I should be able to eat what I want, come on, I’m not going to live forever…”. Red’s diet consists of, fresh eggs which he collects every morning to go with his
Living an ordinary life, Crystal got married, settled down, and dropped off high school at the age of 16. Throughout her life, only a few members in her family knew that she was diabetic and obese. Her health, however, wasn’t the
Diabetes develops when an individual’s body cannot properly produce or respond to insulin. In a normal functioning body, after food is consumed it is converted into glucose, or sugar, that the body will use for energy. When the body is not able to appropriately respond to the glucose it builds up in blood and can create complex health complications such as a diabetic coma or even premature death. The HbA1C is a blood test a doctor uses to determine an individual’s blood sugar control over a ninety day time period as well as to make an accurate diagnosis of diabetes. The red blood cells carry oxygen from an individual’s lungs to other cells within the body. When sugar is elevated it will attach to hemoglobin and the higher concentration noted in the blood cells results in decreased control and the individual is said to have and a greater risk of severe health complications (Mayo Clinic Staff, 2013).
Mary is 86 and recently widowed, at which time she moved into the care home where Jean works. Mary has a large family who visits regularly and play an active part in her care plan. She suffers from rheumatoid arthritis and is a little hard of hearing. She had an active life whilst her husband
This woman reached out to a doctor who specializes in this and trusted him completely with her life. She remained a runner and changed her diet routine and eventually cured herself of her cancer. Later on, she won a gold medal for completing an iron man marathon; how much more inspiring can a person be? After watching this film I genuinely want to change my habits and become the best version of myself. As I stated previously, I have had issues with weight since a very young age. I have a disease called Polycystic Ovarian Syndrome which is a hormonal deficient illness. As a result of this disease, I am insulin resistant, gain weight extremely easily and have a very high risk of infertility. I have tried every single diet that I have heard in my life time and I never see results. After watching this film I am excited to begin to change my life and begin eating whole foods and cut out meats and dairy. I cannot wait to see the health benefits that will ensue.
I am going to discuss the issue of obesity among American minorities. Elma Dieppa, cousin of Helen Casillas, still wonders if her beloved family member would be alive today if she had been more conscious of her weight contribution to her diabetes. "She refused to take care of herself by not watching what she consumed or finding time during her day to exercise," Dieppa explains, reminiscing her as the “life of the party” during family reunions. At the age of 44, Casillas unfortunately suffered a fatal heart attack. Although Casillas worked in the medical field, the perception of her disease was skewed believing that she was not in fact over
Resistance of certain clients to group therapy is among the many challenges that therapists commonly face. George seeks to detach himself from the problem and sees his role in the family as that of a saint. Being the apparent head of the family
While Dr. Susan Heitler begins to understand the concern between Richard and Judith, she documents her observation and offers her insight about what she learned about their relationship and what the issue is. Dr. Susan Heitler initiates an effective plan of action to achieve the objective of what Richard and Judith need before the session. She explains to Richard and Judith what she wants for both of them to do which is to go back to good humor. Dr. Susan Heitler continues to explain to the couple that in order for them to proceed, they must learn new skills for talking about their issues.
The Garrett family sees themselves as a typical American family in the aspect that health is sacrificed because of the constant need to hurry and hustle. Medical appointments are put off due to other obligations and doctor offices make health care less appealing by the long wait times and feeling of being rushed or pushed out of the office. The perception of health is more prominent in the family now than it was before. “My family sees me as trying to be a health freak. Health is foreign to them, they do not understand passing up and making sacrifices of certain foods and exercising on a regular basis. I come from a long line of unhealthy people; I want my boys to have a more knowledgeable understanding” (Garrett, 2014).
To begin, Mrs.Jones seeks the good in others by looking past the bad. One way she did this was by being understanding with Roger. Even though it was terrible what Roger