Aboriginal population and Diabetes Mellitus-Strength Based Approaches Assessment Answer

Introduction

Through this assignment, the main aim is to analyze Aboriginal population experiencing Diabetes Mellitus and how to adopt the consistent strength-based approaches. As per the NHPA's, the Aboriginal community suffers from diabetes mellitus four times higher than the non-Indigenous Australians (Yang, 2019). The main goal is to focus on the Aboriginal people who experience a high prevalence of diabetes types and how to find ways to reduce diabetes disease. In Aboriginal community, the likeliness of people suffering from diabetes holds out a greater chance, in comparison to the non-Aboriginal people. It is primarily due to the social and economic determinants, like the higher incidences of unemployment, lack of job opportunities, having a low sustainable income, low education, and facing the low detrimental quality of life (Zhang, 2019). The indigenous population holds higher diabetes prevalence, and likeliness of onset of the disease begins during the adolescent age. There is a higher rate of mortality and increased likeliness to occur at a tender age. In the Indigenous men, there are a higher instance of getting diabetes mellitus by  9–10 times within the age group of the 25–44 years. Similarly, the Aboriginal women, have a 12–13 times higher chances of getting diabetes by the age of 35-40 years (Thomspon, 2019).  The rising cases of diabetes mellitus, is due to the bad lifestyles, having a higher stressful life and domestic violence suffering given rise to the unfavorable social determinants conditions (Serra, 2019).

NHPA’s  Assessment

As per the NHPA's assessment, diabetes is the most common form of the ailment which has impacted the majority of the Aboriginal cases who suffer from the ever-increasing morbidity and mortality rate.  Unfortunately, the higher instances of diabetes mellitus are mainly due to the higher prevalence rate of low education, having a low awareness, high unemployment rate, and having a significantly lower quality of life and living. As Aboriginals, are low educated, they have low knowledge and low learning’s to note any prominent signs, symptoms of diabetes. They take minimum steps to include a high fiber-rich diet and take low efforts to change their immoral lifestyles. Aboriginal faces higher cases of the 10- 30 percent is primarily due to the low education and lack of awareness (Dao, et al, 2019). The problem of diabetes, is mainly due to the large socio determinants, such as low education, high domestic violence cases, having low incomes, and low accessibility to health, are the main reasons for diabetes. The signs and the symptoms begin at a tender age of 15 (shows the sign by 2.7 percent). Similarly, in the other part of Australia, such as in South Australia, the rate of prevalence is at 12%,  which falls in the age group of the   25–50 years in comparison to the other non Indigenous groups. In the Aboriginal community, the rate of occurrence stands at 10% and within the community, the women are the highest vulnerable community who would likely get 1/3^rd more chances of diabetes in comparison to the males (Su, et al, 2019). Similarly, as per the AHWS the rising cases of diabetes are primarily due to the bad lifestyles (such as having a high fatty food, higher smoking and the alcohol rate and including low exercise regime), that has to lead to the more diabetes cases. It is mainly due to blindly following the European culture and facing detrimental socio-cultural impacts such as oppression, low income, higher unemployment rate, which has caused higher rate of diabetes prevalence. Aboriginal lifestyle and obesity are directly proportional and it is mainly due to low education and lack of awareness to control diabetes.  Aboriginals have a higher BMI which shows 29% more overweight cases for the Indigenous community in comparison to the non - Aboriginal males (Waters, 2019). The problem is likeliness to face the related disorders due to the lack of control on diabetes by the rate of 26 times as seen in the Indigenous population. The rate of survival is also lower in the Aboriginal people who show 8% fewer survival chances in comparison to the non-Aboriginal people, by bifurcating in the gender figures, there are only 56 percent reported cases in males, while in the females it is 80 percent. The death ratios is observed 2.1 for men and for the women it is 1.7. With the higher instances of Diabetes, incidentally, there is only 22 percent of cases in comparison to the other chronic diease like the 21 percent of deaths caused due to cardiovascular deaths (Waters, 2019). Similarly, in the mortality rate, during 2010-2015, there are approximately 9.6 percent cases in men and women show 5.4 percent (Oulas, et al, 2019).

Strength-Based Approaches

The strength-based approaches involve educating the people and also to make them aware of how to take precautionary measures and control the chronic ailment. The intervention can happen, with the education, awareness, and even the steps to prevent it and secure community, by intervening at the stages of the adolescent age. Nurses play a vital role in providing care and quality of treatment with equity, justice, and with fairness.-:

To obligate by Practicing safely,  have an effective means of collaborative approaches 

Person-centered practice 

The role of the nurses is to engage in the safety and the person-centric practices that can help the patient to recover, get treated, and to have evidence-based approaches (NMBA. 2014). The patient health and wellbeing need to be engaging and collaborative with the person's cultural and patient practices. 

Cultural practice and to derive the meaning goal and relationships 

The cultural attributes of the patient should be aimed and provided with adequate care and better engaging practices. This step would help in providing culturally safe elements and to hold a respectful relationship. The cultural practices have to be engaging in providing the openness of fostering privacy and confidentiality (NMBA. 2014).

Domain: Professional integrity

To follow a Professional behavior 

The nurses have to obligate with the framework of the best practices and to abide by the integrity, honesty and have better respect and compassion. 

Teaching, educating and monitoring  

The nurses should bring in better nurturing care and the best practices to benefit the patients. They should aim to inculcate the welfare practice, such as educating with the best interest of creating awareness (NMBA. 2014).

Research 

The nurses should also provide their observations, any noted trends on how to provide quality healthcare that can provide better policies. The nurses should adopt ethical practices and provide engaging supportive material for an overall improvement while taking effective decision making (Dao, et al, 2019).

Domain: Promote health and wellbeing

Health and wellbeing

The role of the nurses is to attain steps within the framework of promoting health and wellbeing. It would be a step to overcome the clauses of inequality and the injustice in health.

ROLE OF COMMUNITY HEALTH SERVICES

To engage in the disadvantaged community, it is important to take fundamental intervention and even the best cultural practices that can be beneficial to sustain and share transgenerational knowledge (Serra, 2019). The people should be guided to take proper steps and ways to control health, such as how exercise plays a prominent role in shaping health, how to aim for a balanced diet, etc. Due to the staff and the health clients, who can work collaboratively, while educating, sponsoring health benefits also providing additional support can help to control chronic ailments. The staff and the clients can educate as to how one can take corrective steps, like reducing smoke, alcohol, and even provide better comprehensive, engaging social, education support practices that would be best strengths-based services (Duan, 2019). 

EXERCISE AND DIABETES

By adopting an exercise regime, the overall benefits can be strengthening approaches to correct the lifestyles. The strength-based approaches would include the active involvement of the exercise physiologist. It would be a collaborative step for the betterment of the community welfare by providing free access to the gyms, swimming pools, training, educate about the correct way to do exercises (Zarrin, 2016). The Aboriginal community can be provided an overall engaging plan and even aim to attain a healthy weight by focusing on cutting down high salted and sugary items that can lead to high blood pressure and lower ways to reduce the coronary disease.

The other types of active engagement of the health care workers can be-:

Diabetes Consultant and the Educator-: The main goal is to understand, how exactly the blood sugar spikes over and how to take precautionary measures to control it. Through consistent care and educating the Aboriginal, how the body reacts with what we eat, the fasting and the random sugar levels, and accurate steps to change the lifestyle can have a positive restoration in health (Mahdiya, 2019).

Podiatrist –  Constantly monitoring and checking swelling of the feet and the circulation of the blood.

Dietitian – To educate the Aboriginal about the role of having timely and healthy meals such as high fiber, fresh fruits and vegetables, and less fried items. 

Pharmacist – The main aim is to provide adequate care and control through the medication 

Psychologist – To work over the social and the economic parameters to overcome the emotional barriers and any sort of health issues.

Optometrist – To address the diabetic retinopathy and monitor any disease that would check any worsening of the condition (Zarrin, 2016).

Dentist – To check oral health as diabetes can cause a foul smell in the mouth.

The work of the community members with the nurses aims for the best strength-based practices that can help to achieve better health (Lauermann, et al, 2019).

Outcome & Evaluation

Depending on the strength-based approaches, it is essential to accentuate positive capacities, such as including the nutrition professionals, or engaging clients/communities who can provide a better-derived solution. The strength-based approaches should also aim to correct the patient socio-cultural factors that can affect health outcomes. The approach can be based on a better diet and having healthy practices. The goal is to adopt social practices by including healthy dietary practices and to get better treatment. As per the Biomedical model, it is important to aim for individualized diets and have the corrective steps to control the food, lifestyles, and exercise regime. The main aim of the epistemology is to understand how the affirmative and constructivist epistemologies can work to improve the condition. By including the multiple social messages to spread awareness in the Aboriginal community about diabetes and steps to combat it (Nevídalová, 2019). As per the Autogenic theory, it is important to understand the significance of the reduced health gaps and to work, aiming to close gaps.

Conclusion

To conclude, health care systems, are less supporting systems for the disadvantaged community, and how to have appropriate care for the Aboriginal people is through monitoring health and social needs. In the group of Aboriginals, the rate of prevalence of diabetes stands at  30% in comparison to the non-Indigenous population, which is around 8%. As the Aboriginal people suffer due to diabetes with the highest rate of prevalence is primarily due to the lack of education, social awareness, and having limited knowledge to combat it. The problem of the Aboriginal people is  substantial due to the significant socio-determinant factors and is necessary to understand how to improve the socio determining factors and how to improve consistently. It would help to correct the social and emotional wellbeing and help to combat lifestyle diseases. Through education, awareness and with consistent personal engagement, it would help to improve the overall health of Aboriginal people.