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While some people exhibited high level of self-management as a result of supportive workplace and family along with personal capabilities, there are others who showed psychological problems like denial and also were constrained by socio-economic problems. According to the authors, self-management is “hard work, and is enabled or constrained by economic, material and socio-cultural conditions within the family, workplace and community” (p.83). The study concluded that different factors influence the self-management of people ranging from personal capabilities at micro level, accessibility of healthcare services at meso level to socio-economic conditions at macro level.
The importance of self-management for diabetes patients cannot be ignored. For its effectiveness, the need is that people remain aware of the negatives impacts of the disease along with knowledge about available healthcare resources. It is necessary that clinicians prepare the patients to deal with chronic disease on daily basis so that they can accordingly change their behavior for positive outcomes.
One common issue associated with older adults is falls, and although this can be the result of multiple factors, Deborah Mayne, Nigel R. Stout and Terry J. Aspray (2010) in their article have studied the extent of the impact of diabetes and associated complications on falls of older patients. In UK, it has been estimated that 40 percent of older diabetic patients who are over 65 years suffer from falls every year, and in Scotland almost 86 percent of fractures occur due to falls. It has been further estimated that diabetic patients have 1.5 to 12 times more possibility of hip fracture than non-diabetic patients. According to the authors, orthostatic hypotension (OH) is a principle factor for falls, and this phenomenon is common among 10 percent of diabetic patients.
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Communication technology itself has seen one of the largest growths which has come to encompass the Internet and cell phone technologies Personally, technology has allowed me greater flexibility and the ability to contact anyone almost anywhere and at anytime.
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