Based on the case study provided of JM, a 43-year old Hispanic female with type 2 diabetes, identified barriers include finances, time, culture expectations and values, and knowledge related to diabetes management. Having health insurance through her employer is a financial advantage for JM in her diabetes management. However, finances have led to decreased activity as evidenced by dropping her dance classes. Eating healthy food is widely perceived as more expensive. She is a busy woman committed to her family, church and work. Time to shop, read labels, prepare healthy meals and fit in physical activity will be limited by competing priorities. Aroian, Peters, Rudner, & Waser (2012) categorized culture expectations and values into six subcategories of: traditional foods as a marker of ethnicity, hospitality, and affection; valuing social interaction over solitary exercise; trying to be the ideal Hispanic; fatalism; not seeking health care; and for some Hispanics, being overweight as normative.
Problem List for JM The problem list for JM includes: ineffective management of therapeutic regimen; nutrition imbalance, and sedentary lifestyle. If assessment of her medication regimen indicates
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Regular physical activity will benefit JM in efforts for weight loss, improve glucose control and decrease risk for cardiovascular disease (ADA, 2017 & AACE, 2015). JM loves to dance. Salsa dancing originated in the Hispanic community and is a part of the culture. JM’s culture is important to her. She has noted that her children are at an increased risk for type 2 diabetes. Salsa dancing is a great option that includes the things that are important to JM, dancing, family, and culture. Zumba is similar to salsa and may be more accessible for JM and her children. She may research what is available in her community for salsa dancing, Zumba, or
One in every two of American minorities born after 2000 will contract early onset of diabetes. The price of medicine to treat diabetes is very expensive, especially for those who are uninsured or with little or poor insurance coverage. In many low income families and families of minorities the expenses of medicine take away from income. These families are then unable to buy healthy foods. Cheap food means it is also unhealthier, take a look at fast food restaurants that offer dollar menu items. You can easily buy a burger for a dollar or a large soda full of high fructose corn syrup for only a dollar. Water is more expensive than soda or sugary drinks in many instances. Diabetes is caused by eating foods that are unhealthy and requires daily medication to control. These medications can be very expensive causing families to continue their unhealthy eating habits because it is the only thing they can afford to eat so a cycle is created and passed on to the younger generations. Food companies have place a veil between us and the food we consume, even things that appear to be a healthy choice, in many cases is not. We consume food that is injected with fillers like pink slime, foods that contain high fructose corn syrup, and are genetically modified. It is no wonder why America has seen a rise in childhood obesity and the early onset of diabetes. The pictures in the store that depict pretty
The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez & Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse health conditions for each population and the types of socioeconomic factors that affect them. Culture helps shape an individual’s health related beliefs, values, and behaviors. It is more than ethnicity and race; culture involves economic, political, religious, psychological, and biological aspects (Kleinman & Benson, 2006). All of these conditions take on an emotional tone and moral meaning for participants (Kleinman & Benson, 2006). As a health professional, it is one’s duty to have adequate knowledge and awareness of various cultures to effectively promote health behavior change. Cultural and linguistic competencies through cultural humility are two important aspects of working in the field of public health. Cultural competency is having a sense of understanding and respect for different cultural groups, while linguistic competency is the complete awareness of the language barriers that impact the health of individuals. These concepts are used to then work effectively work with various pop...
Mainous, A. G., Diaz, V. A., & Geesey, M. E. (2008). Acculturation and healthy lifestyle among Latinos with diabetes. The Annals of Family Medicine, 6(2), 131-137.
The American Public Health Association. (2003). The obesity epidemic in U.S. minority communities (Issue Brief ). Retrieved from : : .
Linderman, Robert, Charles Mouton, and Melissa Talamantes. "Health and Health Care of Hispanic/Latino American." Stanford University. N.p., n.d. Web. 27 Apr. 2014. .
Without the proper resources, support, and access to healthier options, it becomes challenging for even the most determined person to make a change. The exercise made it evident that Jane would be more successful in her endeavour to lower her blood pressure than Joe would, because of the resources, support, and access than her higher economic status afford her. Sadly, as a result of such an unequal wealth distribution in America, many people are in Joe’s shoes; despite the desire to be healthier, they are unable to control their circumstances and surroundings or get the proper support to help them successfully improve their unhealthy habits or
The fathers and husbands of Hispanic families are more likely to stop their children from going to the doctor until the very last minute and are more likely themselves to not do anything until they get so sick they must go to the M., Feinglass, J., & Simon, M. A. (2013). Pregnancy Intention and Use of Contraception Among Hispanic Women in the United States: Data from the National Survey of Family Growth, 2006-2010. Journal Of Women 's Health (15409996), 22(10), 862-870 Mann, J. R., Mannan, J., Quiñones, L. A., Palmer, A. A., & Torres, M. (2010). Religion, Spirituality, Social Support, and Perceived Stress in Pregnant and Postpartum Hispanic Women Mann, J. R., Mannan J., Quiñones, L. A., Palmer, A. A., and Torres, M. Religion, Spirituality, Social Support, and Perceived Stress in.. JOGNN: Journal Of Obstetric, Gynecologic & Neonatal Nursing, 39(6), 645-657. Schoulte, J. C. (2011).
Diabetes is a group of metabolic diseases in which the person has very high blood sugar. This is either because the production of insulin is inadequate or because the body cells do not properly respond to insulin. Obesity, on the other hand, is a health condition whereby excess body fat has accumulated to an extent where it has a negative effect on health. This leads to reduced life expectancy and increased health problems. Diabetes and obesity are closely tied as doctors highly link diabetes to people’s weight problem. This study focuses on the relationship between obesity and diabetes and the care for patients suffering from these conditions.
Health Promotion Among the Hispanic Minority Health is determined in the nation by the minority health. "Approximately 36 percent of the population belongs to a racial or ethnic minority group" (CDC, 2015).One of these are the "Hispanics or Latinos are the largest racial/ethnic minority population in the United States" (CDC, 2015). "About 1 in 6 people living in the US are Hispanic" (CDC, 2015). Therefore, this student will make the comparison between the status of the health of Hispanic minority and the nations ,barriers of health behavior This paper will compare the health status of the Hispanic minority with the nations, barriers to health seeking behaviors, and methods of promoting health among this population. Status of Health Among Hispanic Minority "Heart disease and cancer in Hispanics are the two leading causes of death, accounting for about 2 of 5 deaths, which is about the same for whites" (CDC, 2015). "Hispanics have more deaths from diabetes and chronic liver disease than whites, and similar numbers of deaths from kidney disease" (CDC, 2015). Even though the percentage of Hispanics suffering from high blood pressure are17% in comparison to 20% of whites. Hispanics are 68% that suffered poorly controlled high blood pressure compare to whites which are 54%. Even though Health risks may vary among Hispanic subgroup and whether they are US born or not. Lower death rate is suffered by the Hispanic than whites .But Hispanic has about 50% higher death rate from diabetes. Many deaths may be prevented within the Hispanic population with an increase in education and health screening . Barriers to Health Promotion in the Hispanic Minority "Social factors may play a major role in Hispanic health" (CDC, 2015). According to the art...
Millions of Americans are living with hypertension. Collaboration of patients and providers to control the disease can help prevent life-threatening illnesses. Patient perceptions pertaining to an illness or disease can dictate one’s health behaviors, yet little attention has been directed toward the perceptions of Mexican American adults in relation to hypertension. Although hypertension is most prevalent among African Americans, Hispanics have higher rates of mortality due to poverty, cultural barriers, and customs affecting modifiable risk factors, prevention, and treatment. Without the proper treatment, many hypertensive patients may face devastating complications, including myocardial infarction, kidney failure, and blindness.
Various factors are said to increase the chances of developing type II diabetes. These factors fall under two categories-genetics and medical/lifestyle risk factors, which include impaired glucose tolerance, gestational diabetes, hyperinsulinemia and insulin resistance, obesity and physical activity (6). Although studies have shied away from making direct correlations between obesity/physical activity and the susceptibility of developing type II diabetes, researchers suspect, however, that a lack of exercise and obesity, as well as other unidentifiable factors, may be contributing to the high diabetes rates in African American and Hispanic American communities. The NHANES III survey indicated that "50 percent of African American men/65 percent of Mexican American men, and 67 percent of African American women/74 percent of Mexican American women participated in little or no exercise" (7).
It is evident that Lisa is subjected to medication and hospitalization for her treatment. However, this method of treatment was not effective for her, because despite her being hospitalized for the last eight years; she still does not take her medicine. Since for those eight years no significant changes have been made following her diagnosis, another mode of treatment would be advisable. I would recommend the self-help strategies. Although many healthcare providers overlook this treatment method, it seems to be very
Diabetes mellitus also known simply as diabetes refers to a group of metabolic diseases which affect the body’s homeostatic mechanism used for maintaining and regulating the body’s blood sugar levels. Diabetes is a chronic condition which, in 2013 was estimated to be affecting 382 million people worldwide.[1] People suffering from diabetes are required to constantly be vigilant of their blood sugar levels to ensure it does not go below or above optimum levels. Depending on the type of diabetes and glucose level range, they may need to inject themselves with insulin or eat high sugar foods to restabilise their body. Failure to do so can lead to other long term health effects.[2]
When a person engages in physical activity, they are burning calories at a more rapid rate than when they are sedentary. The more vigorous the activity that is performed, the greater the amount of calories burned. Exercise can help prevent weight gain and maintain weight loss. Statistics show that in 2009-2010, the portion of adults aged 20 years and over who are classified to be overweight, including obesity, was 69.2%. As of 2014, more than two thirds of U.S. American adults are overweight or obese. The rates of overweight and obese woman are higher for African-Americans and Latinas than Caucasians, and for men the rates are higher for Hispanic males than their Caucasian and African-American counterparts. A person doesn’t necessarily need to engage in intense physical activity to preserve their health by maintaining a healthy lifestyle. Simple physical activ...
In our society today, the number of people that are diagnosed with diabetes is increasing. Diabetes is caused by many factors like genetics, inactivity, and obesity. With obesity on the rise in our country, so is diabetes especially in young children. With the fattening and unhealthy foods provided by fast food chains and grocery stores, children are the ones that diabetes is affecting the most, by causing them to have higher chances of being diagnosed with diabetes. According to Kim and Lee (2008), the rates of childhood obesity have tripled over the past three decades. Childhood obesity is becoming a problem for many youth in our society, with more youth being overweight and inactive increases the chances for them to be diagnosed with diabetes. The community needs to become active about this topic by having more activities open to the youth in the areas. This would include workshops and sport programs for the youth being available in the community. Hopefully, the North Carolina School Diabetes Act will educate children so that they will learn to make good quality health decision when they are younger and to give them a better chance of not being diagnosed with diabetes.