The paper “Different Attributes of Health Care Provided to Older People with Type 2 Diabetes Mellitus ” is a good example of a term paper on health sciences and medicine.Diabetes mellitus type 2 affects about 80%90% of elderly people in developed countries and in developing countries. The prevalence of diabetes rises with age and estimated that 50% of patients with diabetes mellitus are aged 65 years or older. It is important to establish a self-management approach for elderly patients in primary care.
Studies identified certain factors that hindered self-management, poor physical condition, financial constraints, and transport problems, long waiting times at clinics, unsupportive healthcare professionals, family support, and long-term intervention. Complications like cognitive and functional impairment are common in patients with diabetes this disability is particularly apparent in the elderly, a number of studies indicate that deteriorating functional and cognitive ability hinders self-care management.
Therefore, the view of the patient is an important basis for . (Sinclair & Girling & Bayer 2000) Lifestyle changes of older people experiencing type 2 diabetes mellitus are difficult to manage and adhere to. Therefore, they need special attention and constant motivation to manage their lives. Therefore, there is a need for more research on how effectively these lifestyle changes have to be integrated into primary care and the proper application by health professionals.
And in making decisions the patients should be involved in every step of LIFESTYLE CHANGES ELDERLY TYPE 2 DIABETES MELLITUS 2 making decisions, and their views have to be considered and be integrated into the final decision. (Boult et al 1994) Background information Diabetes self-care requires that patients make many dietary and lifestyle changes simultaneously which, further emphasizes the need for . Therefore, there are a number of studies that will help explain the behaviors required for such as, self-efficacy, locus of control, health belief, and health value.
Self-efficacy is concerned with the perceptions a person has about is the ability to perform a task and can influence the acquisition of new behaviors, while locus of control contends with an individual’s perception of whether is action determines an outcome outside of their control. (Hayes & Ross 1987) Rationale or research questions The aim of this study is to explore different lifestyle changes required for self-management of diabetes and to identify the best combination for maximum benefits to the patient.
Discussion of different strategies and tailor-made changes to suit specific individuals health beliefs, values, self-efficacy, and locus of control to help illustrate the findings within the context of self-management. Limitation of the study Although there is a strong body of evidence emphasizing the health benefits of lifestyle modification for elderly people with type 2 diabetes, far less is known about the effectiveness of for achieving the physical activity and dietary changes necessary for the general adult population.
All these reviews LIFESTYLE CHANGES ELDERLY TYPE 2 DIABETES MELLITUS 3 Acknowledge the difficulty of drawing conclusions from primary care-based studies completed to date. (Clark 1997) Many health professionals do not believe in these lifestyle intervention efforts of prevention and management of type 2 diabetes mellitus. There are no concrete studies to indicate whether these behavior changes are effective and practice challenges and social and environmental barriers experienced with patients facing other chronic diseases reduce the use of these interventions.
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