Health Program in Singapore for Diabetes - myassignmenthelp.com

Question: Discuss about theHealth Program in Singapore for Diabetes. Answer: Introduction: Diabetes is one of the most significant chronic disorders which had been affecting the lives of people of different ages all over the world. It has taken the form of an epidemic and has been affecting both the develop countries and developing countries altogether. Singapore has not been an exception as individuals of this nation are also found to be affected. The old aged cohort of this nation is the most vulnerable group as the tendencies to develop the disorder increases with age. Diabetes is a condition where the body system produces insufficient insulin. Insulin mainly produced by the beta cells of the islets of langerhans help in making the body cells absorb the glucose form the blood to gain energy after respiration (Eldredge et al., 2016). In case of diabetes the body either produces low level of insulin or the body cell does not respond to insulin. These increase sugar level in blood that disrupts normal physiological system of the body and often becomes life threatening. The refore it is extremely important for development of health promotion program which will address the issue and take steps that will reduce the burden of diabetes on such cohort in the population. It is found that diabetes was the 4th and the 8th most common condition which had caused the patients to visit the clinics and hospital admissions respectively in 2014 (Tucker et al., 2014). The cost burden for diabetes in Singapore for the older citizens is found to be beyond 940 million in 2014 to that of 1.8 billion to 2050. Of the different age cohorts, it is seen that the patients of the age groups 60 to 69 are more prone to poor quality life due to diabetes. This can be supported with the help of a statistical study as follows: Source: (Sallis et al., 2015) It has been also stated by the researchers that although diabetes is not fatal in short term but undiagnosed as well as poorly controlled diabetes ultimately lead to different disabilities and diseases. These ultimately compromise the life of the elderly people as well as their caregivers. Progression of the different complications becomes rapid once the symptoms of diabetes are poorly managed. It has been found that every year in Singapore about 2 in 3 of the kidney failures are found in patients; suffering from diabetes (Sharma, 2016). Moreover 1 in every 2 people who had a heart attack have coexisting disease burden of diabetes and also 2 in 5 people who suffered stroke also had diabetes. Hence it is extremely important for the old people to be aware of the complication of the disease. The health promotion will mainly have two important goals: The first will be to educate the patients of diabetes about how to manage their symptoms effectively. The second goals would be to take preliminary initiatives by the aging individuals in a way so that they can reduce their chances of developing the disorder in their lifetime. The main health promotion model that would be used in order to establish the program successfully would be the health belief model. This model usually contain five important steps which of followed successfully may help in bringing a behavioral change in the concerned population showing benefitting effects: The first step would be to gather information by conducting a health assessment for the concerned disorder in the selected patient group. This assessment would then help in the identification of the cohort of the population who is at risk so that the correct cohort can be targeted. The health promotion will be conducted at first by sending close ended survey forms to every household of the community instructing only members above years age to be eligible for fill up (Basak, Chinar and Chou, 2014). The responses which will return to the centre will help in identifying the number of old aged people suffering from diabetes. The survey questions will also help in understand in the health conditions of the diabetic patients, how their conditions are maintained, wherever they are well aware of the risk factors, whether they take in medications properly, whether they are educated or not on the health issue. All these would help the members of the health promotion program to develop an all o ver idea about the patients and accordingly they will plan the entire project (Lerner et al., 2013). These need to be completed within fourteen days of the initiation of the program so that one can proceed with the next step in the fifteenth day. The second steps of the health promotion program according to their model is the development of knowledge in the individuals regarding the health consequences of diabetes along with making them know the risk factors that lead to the occurrence of the disorders. This should be done in a clear as well as the unambiguous fashion in order to develop an understanding of the concerned cohorts perceived severity. The old people suffering from diabetes or who are vulnerable to the diseases can be well benefitted from the circulation of brochures and leaflets which would have information of the pathophysiology of the diseases in simple languages as well as with larger fonts and with illustrations (Kramer et al., 2015). Thee member who will develop the brochures should make sure that they are written with simple language of the level of standard six s that it does not become complicated of them to understand. Moreover no jargons or scientific terms should be used. These brochures should be col orful and all the information would about risk factors and consequences will be written in dot points so that they can relate them easily with their personal issues and help them to understand easily without developing stress to read unnecessary information in paragraphs (Chan et al., 2015). The circulation of the brochures and pamphlet will be done within the fifteenth to twenty-fifth day. The third step of the health promotion program will be based on communicating the target population about the different steps that they should take to develop knowledge and alter their lifestyles to reduce the chances of getting affected with the disorder. They would be educated about the recommended actions which they would take and also at the same time the members should highlight the benefits of the taken actions. The communication classes as well as the education programs will be conducted every day for one hour in the community hall by experienced trainers. The classes should not extend for more than one hour as it may become strenuous for the elderly people. The main actions that should be introduced in these classes and workshop will be to prevent complications of Diabetes by optimal management of the different problems (Le et al., 2016). The health promotion program should help in development as well as implement programs with targets and goals for primary care as well as in the diabetes centers so that they can focus on the prevention of different types of complications through a programmed procedure which will include integration, coordinated as well as multidisciplinary care. Different healthcare professionals will be handling symptoms like eye complication like retinopathy and vision impairment, kidney complications like damage and dialysis, foot and limb complications like lower limb amputations, cardiovascular complications like heart attacks and strokes. This would also involve different mental health complications which include proper care for anxiety, depression and distress. The other actions for achieving the goals would be to ensure early detection of the silent as well as undiagnosed type2diabetes. The members should also introduce structured self management education and support classes in the community halls on scheduled days for one hour and so on. Moreover the members should also ensure that proper access of the patients are provided t o treatments and also different technologies which would help in the supporting the prevention of complications and burden (Huff et al., 2014). Putting an end to social stigma and discrimination of the people should also be taken interaction. The second goal would be to prevent more people from developing diabetes and therefore a proper prevention strategy should be proposed in a brochure and circulated via mail to every household. Moreover community based weekly risk assessment or screening system should be done across the community for identifying the presence of diabetes in an individual. This would help them in being aware beforehand before situation becomes stressful for the patients to handle. Both the initiatives should be taken to identify vulnerable population The next step would be the provision for better assistance for the identification of the barriers as well as identifying and reducing the barriers to action. Often fund allocation may be a barrier which needs to be handling with efficiency by approaching charitable organizations, local government and state government with the vision of the care for elderly people (Phan et al., 2014). Other barriers like social stigma may prevent many patients to take part in the promotional program. Other barriers would include improper education about the need of participation of the patients for which they might avoid coming in the classes. Care should be taken that they are properly made to understand the importance of the program. The last step of the health promotion would be to evaluate the results of the interventions with the introductions of proper monitoring boards that would attend each of the classes and take note of the response of the patients attending those (Matson et al., 2014). The members should also analyses the quality of the education and training provided to patients and also note the result of the demonstration of actions of the team members who are introducing the skill development activities of the elderly people. They should also note the behavioral changes in order to ensure that beneficial effects are reflecting or not from the interventions. Conclusion: Diabetes is one of the most harmful disorders that are affecting the quality lives of many elder citizens of Singapore. 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