scholarly journals Javanese Muslim with Diabetes in Yogyakarta Managing The Daily Self-Care Activity

2015 ◽  
Vol 4 (4) ◽  
pp. 241
Author(s):  
Muflikh Try Harbiyan
Keyword(s):  
Access To Health Care ◽  
Diabetes Management ◽  
Self Care ◽  
Well Being ◽  
Structured Education ◽  
Peace Of Mind ◽  
Poor Access ◽  
Access To Health ◽  
Care Activity

<p>Self-care, capability in performing certain activity in maintaining well-being in daily life, was regarded important especially among people with long-term condition such as diabetes. Locus of control and self-efficacy are among the self-agency factors that might influence how people engage with daily self-care activity in diabetes management. While, Javanese and Islamic values and norms are other parts of structure that support the effort. This study aimed to seek further into the experiences and perceptions among the Javanese Muslim on how they managed to do self-care in diabetes management. The study was done utilizing a mixed method approach with the usage of the Summary of Diabetes Self-care Activity (SDSCA) questionnaire to measure the level of self-care and followed by further interview to dig deeper into the perception and experiences and what are the opportunity or obstacle in performing daily self-care. A convenient sample of 100 participants has filled the questionnaires, with further 24 interviews. The study identified the moderate self-care practices as a separate notion, instead of an integrated and comprehensive concept amid the unavailability of a structured education program. Five themes were generated from the interviews, those are: education and knowledge, being in or out of control, Javanese way – sensitivity and surrender, peace of mind and role of Allah or God, and poor access to health care.</p>

Javanese Muslim with Diabetes in Yogyakarta Managing The Daily Self-Care Activity

2015 ◽  
Vol 4 (4) ◽  
pp. 241
Author(s):  
Muflikh Try Harbiyan
Keyword(s):  
Access To Health Care ◽  
Diabetes Management ◽  
Self Care ◽  
Well Being ◽  
Structured Education ◽  
Peace Of Mind ◽  
Poor Access ◽  
Access To Health ◽  
Care Activity

<p>Self-care, capability in performing certain activity in maintaining well-being in daily life, was regarded important especially among people with long-term condition such as diabetes. Locus of control and self-efficacy are among the self-agency factors that might influence how people engage with daily self-care activity in diabetes management. While, Javanese and Islamic values and norms are other parts of structure that support the effort. This study aimed to seek further into the experiences and perceptions among the Javanese Muslim on how they managed to do self-care in diabetes management. The study was done utilizing a mixed method approach with the usage of the Summary of Diabetes Self-care Activity (SDSCA) questionnaire to measure the level of self-care and followed by further interview to dig deeper into the perception and experiences and what are the opportunity or obstacle in performing daily self-care. A convenient sample of 100 participants has filled the questionnaires, with further 24 interviews. The study identified the moderate self-care practices as a separate notion, instead of an integrated and comprehensive concept amid the unavailability of a structured education program. Five themes were generated from the interviews, those are: education and knowledge, being in or out of control, Javanese way – sensitivity and surrender, peace of mind and role of Allah or God, and poor access to health care.</p>

New Patient Centered Approach to Unlock the Individual`s Potential to Adopt Healthy Lifestyles: Health Coaching

2015 ◽  
Vol 5 (4) ◽  
pp. 182-191
Author(s):  
Ayse Basak Cinar
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Health Promotion ◽  
Oral Health ◽  
Access To Health Care ◽  
Diabetes Management ◽  
Well Being ◽  
Health Coaching ◽  
Healthy Lifestyles ◽  
Oral Health Promotion

Health Coaching (HC), a patient-empowerment focused approach, is guided and supported by the medical professional, to facilitate patient to explore, unlock and activate his/her self-potential to adopt healthy lifestyles. HC, a whole person and also a population-based approach, can be defined as a system-wide innovation aiming positive social change. A NHS review showed that there is promising evidence about HC, particularly for supporting behaviour change. HC in our international intervention project, to our knowledge, is used for the first time as a holistic health promotion approach for oral health and diabetes type 2 (T2DM) management; in line with IDF-FDI (2007) declaration stating that oral health promotion should be part of diabetes management. The aim of the present study is to assess the effectiveness of HC on oral health and T2DM management by use of clinical (HbA1c, periodontal health) and subjective measures (satisfaction with access to health care, frequency of physical activity, toothbrushing and dental visit) among T2DM patients. Our study`s preliminary results show that at post-intervention there was a significant reduction at HbA1c (Turkey:0.7%, Denmark:0.4%, p=0.001) in HC groups. The figures for HE groups were non-significant. Daily toothbrushing was correlated with change at HbA1c and regular physical activity in HC groups. Person-centered approach focusing on multidisciplinary collaboration is essential to improve the whole well-being of individual in daily life, and thereby the society, in line with WHO 2014 Geneva Declaration. HC, a promising new approach, can speak as one of the key implementations/approaches at health care-settings to meet this essentiality.  

scholarly journals Medical-Legal Partnerships: Addressing Competency Needs Through Lawyers

2009 ◽  
Vol 1 (2) ◽  
pp. 304-309 ◽  
Author(s):  
Edward Paul ◽  
Danya Fortess Fullerton ◽  
Ellen Cohen ◽  
Ellen Lawton ◽  
Anne Ryan ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Well Being ◽  
Public Programs ◽  
Skill Sets ◽  
Legal Professionals ◽  
Access To Health ◽  
Patient Health ◽  
Access To Food ◽  
Attending Physicians

Abstract Background Many low- and moderate-income individuals and families have at least one unmet legal need (for example, unsafe housing conditions, lack of access to food and/or income support, lack of access to health care), which, if left unaddressed, can have harmful consequences on health. Eighty unique medical-legal partnership programs, serving over 180 clinics and hospitals nationwide, seek to combine the strengths of medical and legal professionals to address patients' legal needs before they become crises. Each partnership is adapted to serve the specific needs of its own patient base. Intervention This article describes innovative, residency-based medical-legal partnership educational experiences in pediatrics, internal medicine, and family medicine at 3 different sites (Boston, Massachusetts; Newark, New Jersey; and Tucson, Arizona). This article addresses how these 3 programs have been designed to meet the Accreditation Council for Graduate Medical Education's 6 competencies, along with suggested methods for evaluating the effectiveness of these programs. Training is a core component of medical-legal partnership, and most medical-legal partnerships have developed curricula for resident education in a variety of formats, including noon conferences, grand rounds, poverty simulations and day-long special sessions. Discussion Medical-legal partnerships combine the skill sets of medical professionals and lawyers to teach social determinants of health by training residents and attending physicians to identify and help address unmet legal needs. Medical-legal partnership doctors and lawyers treat health disparities and improve patient health and well-being by ensuring that public programs, regulations, and laws created to benefit health and improve access to health care are implemented and enforced.

Healthcare infrastructure development in rural India: a critical analysis of its status and future challenges

2019 ◽  
Vol 25 (12) ◽  
pp. 1-9
Author(s):  
Nenavath Sreenu
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Access To Health Care ◽  
Health Care Facilities ◽  
Rural India ◽  
Infrastructure Development ◽  
Poor Access ◽  
Access To Health ◽  
Future Challenges

At present, the development of healthcare infrastructure in India is poor and needs fundamental reforms in order to deal with emerging challenges. This study surveys the growth of the healthcare infrastructure. The development of infrastructure and health care facilities, the position of the workforce, and the quality of service delivery are important challenges that are confronting healthcare centres in rural India. This article critically analyses the future challenges of Indian healthcare infrastructure development in rural areas, discussing the burden of disease, widespread financial deficiency, the vaccination policy and poor access to health care as some of the main issues. Life expectancy, literacy and per capita income are further considerations.

Inequalities in health care and social work intervention: The case of Iran

2010 ◽  
Vol 53 (4) ◽  
pp. 556-567 ◽  
Author(s):  
Taghi Doostgharin
Keyword(s):  
Health Care ◽  
Social Work ◽  
Access To Health Care ◽  
Well Being ◽  
Health Care Facilities ◽  
Inequalities In Health ◽  
Stress Symptoms ◽  
Access To Health ◽  
Work Intervention ◽  
Social Work Interventions

This article examines the role of social workers in tackling inequalities in health care. The aim of such social work interventions is to empower service users, increase their well-being and reduce stress symptoms, mainly by advocacy and facilitating their access to health-care facilities and promoting social change.

Poverty, Welfare Reform and the "Culture of Wealth"

2007 ◽  
Vol 29 (4) ◽  
pp. 43-45 ◽  
Author(s):  
Merrill Singer
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Partner Violence ◽  
Access To Health Care ◽  
Structural Violence ◽  
Well Being ◽  
Legal Rights ◽  
True Nature ◽  
Care Access ◽  
Access To Health

An important shift has occurred in anthropology over the last 30 years. A notable expression of this change is seen in the contemporary anthropology of poverty. As dramatically contrasted with the anthropology of poverty of an earlier era, when the notion of a "culture of poverty" had currency within the discipline, current thinking has been significantly influenced by a structural approach that seeks to understand poverty and its health consequences in terms of what has been called "structural violence." Structural violence was introduced into the lexicon of anthropology to label relations of inequality that are so grave in their effect that they can be seen as a form of sanctioned violence (like the structuring of access to health care in terms of possession of health insurance or the exclusion from quality housing, or even any housing, on the basis of ethnicity and social class). Unlike street violence or intimate partner violence, both forms of physical harm that are criminalized, structural violence is legal and hence unpunished. Indeed, perpetrators, if they are corporate heads, may be rewarded with stock options and other perks that boost their salaries to obscene levels relative to the prevailing wage system in society generally. Structural violence has been publicly denied its true nature as a direct assault on the health and well-being of the poor and other marginalized populations because access to health care, access to housing, and access to food are not legal rights.

scholarly journals Fractured Tracheostomy Tube Ingestion in a Pediatric Patient

2009 ◽  
Vol 24 (1) ◽  
pp. 18-20
Author(s):  
Michie Jay D. Simtoco ◽  
Samantha Soriano–Castaneda ◽  
Daniel M. Alonzo ◽  
Maria Rina T. Reyes-Quintos
Keyword(s):  
Pediatric Patient ◽  
Access To Health Care ◽  
Foreign Bodies ◽  
English Literature ◽  
Tracheobronchial Tree ◽  
Due Diligence ◽  
Tracheotomy Tube ◽  
Poor Access ◽  
Access To Health ◽  
Periodic Replacement

Objective: To report a case of fractured tracheotomy tube ingestion in a pediatric patient, discussing the clinical presentation, complications and management of tracheobronchial tree versus upper digestive tract foreign bodies.   Method:             Design:   Case Report             Setting:   Tertiary Private Hospital                 Subject:   One   Results: A 4-year-old male child with unusual hypersensitivity to routine tracheotomy suctioning was discovered to have a fractured tracheotomy tube. Emergency radiographs localized the cannula in the abdomen and bronchoscopy was deferred. The foreign body was eventually passed out after 4 days   Conclusion:  Due diligence in diagnostics prior to bronchoscopy led to the avoidance of an unnecessary and sometimes complicated procedure. In developing countries with poor access to health care, the importance of regular tracheotomy follow-ups and periodic replacement cannot be overemphasized. A search of the English literature using Pubmed and Ovid search engines with keywords tracheostomy, foreign bodies, and pediatrics confirms that this is the first reported accidental ingestion of a fractured tracheotomy tube in a pediatric patient   Keywords: Tracheostomy, Complications, Foreign bodies, Pediatrics

scholarly journals IMPROVING HEALTH AND WELL-BEING OF GRANDPARENTS RAISING GRANDCHILDREN: A STRENGTHS-BASED INTERVENTION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S356-S356
Author(s):  
Christine Fruhauf ◽  
Loriena Yancura ◽  
Aimee Fox ◽  
Nathaniel Riggs ◽  
Heather Greenwood-Junkiermeyer ◽  
...  
Keyword(s):  
Mental Health ◽  
Short Form ◽  
Self Care ◽  
Well Being ◽  
Community Services ◽  
Grandparents Raising Grandchildren ◽  
Self Assessments ◽  
Health And Well Being

Abstract Many grandparents raising grandchildren experience depression. Few interventions take a strengths-based approach to improve their mental health. To address this gap, this study utilized an adapted version of Powerful Tools for Caregivers (PTC) for grandparents (PTC-G) to improve their self-care, communication, and self-efficacy. Grandparents completed self-assessments including the CES-D short form prior to the intervention, immediately after the 6-week program, and at 6-months. Focus groups were also conducted during the 6-month follow-up to further explore positive behavior change. Data from all sources were analyzed to show that the PTC-G program significantly lowered depressive symptoms of grandparents raising grandchildren. Qualitative data shows that grandparents report increased awareness and use of self-care practices and community services. By improving the health and well-being of grandparents raising grandchildren, the PTC-G intervention shows promise in reducing depression and improving long-term mental health outcomes in vulnerable grandfamilies.

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