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Medical Interventions

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The purpose of this paper is to utilize Pender's Health Promotion Model as a framework for discussing interventions for a 71-year-old white female suffering from Type II Diabetes, hypertension, and hyperlipidemia. The conceptual framework, Pender's Health Promotion Model, is presented in the first section. This framework is then used in following sections (3-5) to discuss interventions.

Pender's Health Promotion Model identifies behaviors for enhancing health.á For this model, perceptual factors are identified: health importance or the perceived value of health to one's life and daily functioning; perceived control of health or the perceived ability to control health internally, externally, and by chance; perceived self-efficacy or the perceived ability to take part in action which brings a desired outcome; personal health definition or what health means to a client; perceived health status or how one views their own health; perceived benefits of behaviors which promote health or perceptions of positive outcomes which may occur from health-promoting behaviors; and perceived barriers to behaviors which promote health or what things hinder health-promoting behaviors. These perceptual factors are modified by demographics (age, sex, race, location), biologic factors (height, weight, fat distribution), interpersonal factors (family and health care provider interactions), situational factors (societal factors which affect the

. . .
, valsartan (80 mg/day), which controlled the problem. Again the client failed to comply with lifestyle changes and she is not always compliant with the taking of the medication. The specific use of valsartan is also useful for those who have or are at risk for type 2 diabetes, such as this client, since it has been shown to lower microalbuminuria in patients, independent of antihypertensive effects (Anonymous, 2002). The present goal for this patient is to bring the blood glucose level down within a normal range. While regular exercise and a balanced diet low in concentrated sweets and fat, are important, thus far the client has been non-compliant with regard to these changes. At this point, it is hoped that an explanation of the consequences of too much glucose in the blood, may be a motivation factor. For example, the American Diabetes Association (2001) pointed out that excess blood glucose results in damaged blood vessels, particularly those found in the eyes and kidneys. Increased risk of foot ulcers which won't heal normally is also a risk. In addition, and most importantly, diabetes is a risk for heart disease. Since the client was already at risk for heart disease, current complications exacerbate this risk. Wh
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Some common words found in the essay are:
Appel Cutler, Diabetes Association, Medscape DrugInfo, Murdaugh Parsons, Mayerson Inzucchi, Dekker Nijpels, Conceptual Framework, Promotion Model, Description History, Interventions HPM, type 2, type 2 diabetes, 2 diabetes, health promotion, blood glucose, insulin resistance, blood pressure, medscape druginfo, promotion model, dietary exercise, health promotion model, client comply, low blood glucose, pender's health promotion, whelton appel cutler,
Approximate Word count = 3920
Approximate Pages = 16 (250 words per page)

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