Anwar Malik

54 years old

Started to feel unwell; tired and less able to be active also more frequent trips to toilet
His wife was concerned ... Anwar was very reluctant to visit GP insistent that there was nothing wrong
He visited the Optician - found worrying degeneration of eyesight - Anwar was told to visit his GP asap

Hard for Anwar to accept that he was ill
- accepting illness takes time
- he has to come to terms with claiming sick role
-psychological adjustment and changes to daily life and routines

Anwar went to the GP - asked questions about eyesight, tiredness, thirst also has physical examination
Had to visit the nurse - urine sample found that he had high glucose levels = possible diabetes

Further blood tests revealed Anwar has Type 2 Diabetes = chronic condition / regular self medication / exercise / specialist diet

Given kit for self-monitoring blood glucose levels and taught how to use it
Given leaflets about diabetes
Told that he had to test his glucose levels regularly and take tablets for it and exactly the same time each day
Told about important of diet and exercise
Anwar couldn't understand some of the help and advice given to him.
His wife, who does the cooking, couldn't understand the new diet plan Anwar was given
Anwar was confused about what glucose and insulin were
Couldn't fit exercise and diet changes into daily routine = didn't fit in with their culture

Treatment programme made more culturally sensitive and compatible with lifestyle

Given pictorial guidelines about diet
Contact with South Asian diabetes support group - able to better understand condition and treatment in first language / share experiences with others

Struggling with treatment programme?

- Depression - Guilty (failure sticking to treatment programme) - Letting down Nurse Richards (missing Diabetes Clinic) Failure at 'job' of diabetes patient

Taken to hospital by Ambulance - emergency admittance
Gangrenous toe - bruised after hitting it, Anwar didn't think anything of it
Ward Nurse examined it and made notes
Diabetics doctor examined it and confirmed that it was gangrenous and was also spreading
Surgeon came and explained Anwar would need immediate amputation
Anaesthetist came and asked Anwar to consent
Anwar felt alone and helpless after Hansa went home

Anwar became a 'hospital patient' = more extreme version of sick role --- handed over to medical regime / completely removed from normal duties

Shedding identity - acquiring passive identity

	Erstellt von allycooper2893 vor fast 12 Jahre

Degree K101 Block 1 Notiz am Block 1 : Case Studies, erstellt von allycooper2893 am 18/05/2013.