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Case Study 3 Fred - Essay Example

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Case Study 3 Fred General Overview of Case Fred is a 75 year old male who lives in a small house in a rural town. Fred and his wife were once farmer but they retired ten years ago and are living on a pension. Freed enjoys walking his dog and chopping wood, which gives him exercise on a daily basis…
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Case Study 3 Fred

Download file to see previous pages... Also, Fred has a “few beers” every night, depending on his fortnightly budget. Fred also does all of the housework because his wife cannot do it, and he does all the shopping; he occasionally goes to social outings to get out of the house. Fred continues to smoke 20 cigarettes a day which amounts to about one pack, depending on the type of cigarettes he smokes and the number of cigarettes in the pack. He is also experiencing shortness of breath, and he his not as mobile as he used to be, having gained the weight. Medications and Current Conditions Fred had bypass surgery nine years ago and has hypertension. He currently takes anti-hypertensive drugs, metoprolol, and aspirin (has taken them for two years) for his hypertension. He also has problems with his eyes, having had surgery on his left eye to eliminate a cataract in it. He still does not see well out of that eye. Fred also fell recently while walking his dog, and lacerated his right shin, which requires a visit from the District Nurse each day to change his dressings. Fred stays away from his GP unless he needs his prescriptions filled, but he is beginning to feel that he cannot continue doing all of the work on his own. He has asked to go into full-time care. Social Determinants of Health Assessment of Fred’s Care Needs Income and Social Status The South Australian Council of Social Service (SACSS) (2008) states that there is a direct correlation between economic status and a person’s health. Fred may be having problems paying for his care because he is only on a pension. Because he is living on a pension, he may not have the resources to go to a doctor on a regular basis. He states that he only goes to the GP when he needs a prescription refilled, but he must be going because of his bypass surgery. He worries about having enough money to pay for his care, as he has noted in his possible upcoming surgeries. Fred and his wife are both in need of healthcare but it is not certain as to whether his wife is also getting her needs met in healthcare. The case study states that Fred uses his car for social outings but it does not go into whether he has friends or not. The SACSS (2008) states that when people live in poverty, may not have social outlets or a connection to a community. Also, their three children live three ours away, so they may not visit very often to see their parents or take them out to social events. This could have a negative effect on the parent’s attitudes and feelings of well-being. Social Participation and Social Support Networks The second health determinant is the social participation and social support networks. The SACSS (2008) provides information that financial exclusion and income levels can prevent people from having access to social supports. As the SACSS (2008) explains this, There are four areas where people do not have access if they have a low income: 1. Consumption – they are not able to purchase the goods and services that they need on a regular basis. 2. Production – they will not be able to participate in social or economic activities that in which they have an interest. 3. Political engagement – they do not have interaction with governmental processes that are on the local, state, or federal level. This means that they cannot participate in decision making. 4. Social interaction – they may not be connected to family, friends or to the community in a substantial way. Fred has some access to his ...Download file to see next pagesRead More
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