Medical Prescription for a Diabetic Patient in Prison, Educating Doctors - Essay Example

Supplementary Prescribing Case Study of a diabetic patient in prison Clinical Management Plan Introduction Medical prescription is among the most common and fundamental ways of treatment for a patient. Drug treatment is a primary care that is offered to about 60 to 70 per cent of patients. Nevertheless, prescribing is a significant constituent of primary care associated with needless unnecessary or wasteful undertaking. According to a number of health care commentators, repeated prescription is likely to bring about complications. As per the statistics indicated by patients.co.uk, about 66 percent of prescriptions amount to particular area problems that are repeatedly experienced. This study examines how eating habits, balanced diets, age, beta-blocker medication, stress, body mass index, kitchen shopping lists and women to see if there is a connection. There was an observation on their food intake and eating habits, measurement was done on weight, physical activity, stress levels and sleeping cycle. History of the patient This paper presents a case study of a 59 year old prison patient who is type 2 diabetes under the prescription of a drug called 500 mg, which he is to take two tablets two times every day. The old man suffers from no other medical problems, not to mention that he is not allergic to any type of medication. In order to undertake the correct clinical management plan, it is fundamental to lay-out the history of the patient. For the last three years, the 59 old has suffered from diabetes. With respect to the prescriptions and measured to mitigate the condition, the patient has had a healthy diet. However, being in prison environment has left the patient to struggle so as to maintain a healthy diet, not to mention of inadequate access to other healthier options. Therefore, this paper undertakes an extensive and intensive clinical management plan for the patient, in an effort to study and come up with results as to whether the prescriptions of Gliclazide 80mg twice daily in glycaemic control is attained with the metformin. Patient care Treatment should harmonize with the causative agent. Diagnosis requires elevated clinical examination together with continuous examination, microbial analyses, and radiographic examination. Diagnosis calls for the use of several procedures such as Clinical, sugar, and microbiological diagnosis. Prevention should be the focus of clinicians. The act of elimination or minimizing the incidence of the diabetes to a level below threshold gets highly significant (Niederman, 2006). Each of the diagnostic procedures has its advantages and disadvantages. The viability of the procedures requires “gold standards” for the analysis of diabetes. The microbiological method has yielded good result when compared with other methods. The use of body fluids though takes time yield quality and viable result that can be used to administer appropriate medication. Observations Appropriate use of medication after successful diagnosis gets extremely crucial to the healing process. The outcome of the condition gets controversial as the hospital is blamed for the patient death if they are infected. Delay in treatment should be avoided by examining the number of cells affected qualitatively and quantitatively. This aids in choosing the right procedure for treatment. As forwarded by Crane, in a span of 6 years more women are exposed to high blood sugars as compared to men. Physical exercise may need to be supported by a balanced diet to ensure that that heart conditions minimal. Again older women are more resigned to the foods they are used to forgetting the balanced diet. As a follow up experiment on Cranes study on fatigue and physical activity in older women after assessment of how they take up their prescription most of the background information had been borrowed from his study. As women enter into the age bracket of 65 to 80 they are more exposed to cardiac disparities. Men have their energy levels higher as their food consumption is higher. This boosts their energy levels thus increased physical activity that directly relates to the amount of sugar levels in the blood and calls for a better medication and eating healthy diet. On the other in women it may not be the case. This puts them at risk of having low energy levels thus less physical activity which can cause recurrence of high blood sugar. A remedy can be found in the observation of a balanced diet. Consumption of the correct intake of vegetables, proteins, carbohydrates, fruits and fats will abet the body to function better and also increase the heart performance. The study approach in the available systems that enhance efficient medical care with regard to diabetes United State and United Kingdom do struggle with the cost of the health care. However, US spend a larger amount when compared to the UK. Still, the U.S. does not offer worldwide health care unlike the UK. The U.S does struggle with the goal of offering a universal health care. The achievement of this goal will lead through a network of diverse stakeholders and breathtaking agenda. Again, the failure of UK National Health Service for IT may prove a valuable lesson for the US. The failure may be due to migration of medical informatics systems or mandating the shift to electronic health records according to news source. The use of incentives, centrally adopted standards, and certification of records could be used to deal with the problem according to David Blumenthal. The U.S can learn from the failure of the UK use of IT and worldwide health care system. Provision of good quality care through educating doctors. Every state including UK and US wants to ensure the quality health care of its citizens. Hence, training of doctors in the world should not be taken granted. Doctors should be trained on the practical part they get involved in regularly even in the course of the working. Medical education must undertake significant changes in the practical training to prepare physician for nationwide health care needs. Doctors should be trained so that they can be exceptional and put the wants such as surgical, medical and death of the patients’ first. They should be trained not only practically but also the theoretical part so that they can understand the whole process. HCE TO EDUCATE Home and community education (HCE) calls for charitable and nonprofit organization to educate people on fundamental knowledge such as hygiene, diet and health care for the sick. These basic skills affect the lives of the people positively if the learnt skills are applied adequately. The basic skills leant about health care helps in avoiding any illness brought about by lack of hygiene or inappropriate diet taken. The organization enables members to share information that pertain the group hence grows positively. The heath care of the sick enables members to know how appropriate to take care of the sick especially, in infectious diseases hence avoiding transmissions. Maintenance of Certification Maintenance of certification aims at keeping the physician up-to-date with the other physician in the world. Thereby enables the health officers to be kept in the same standard. It helps to maintain physician on the current advancement in their field and develop best practice system. The Accreditation Service recognizes active physician so that to maintain excellent patient care and improved clinical outcome. The accreditation service approves the standard for certification of all medical officers hence, ensuring equal health care system. Critical thoughts and any new information encountered or learned Medical training is a nonstop process, and individuals should ensure that they gain more knowledge so that to upgrade the information they have. Knowledge advances with time and learning from each other should not be taken as a point of weakness. The assumption currently says that US try to enhance the health care of its citizens. Technology in the medical knowledge advances in time and the medical schools should ensure that they advance as time passes. Still, the issues affecting the health of the states should be dealt with immediately before the new medical situation emerges. It is crucial to establish of advanced health care systems in the two states. Controversial points presented Barriers to learning include; culture, politics, economy, mutual ignorance, and social reasons. The UK politics impact negatively on the health system of the citizens. Health problems have developed into complex situations and few comprehend more than one system. Sharing of information becomes difficult because the understanding the problem becomes a hard task. People tend to believe that sharing information demonstrates a point of weakness or failure to learn from each other. Learning from each other leads to innovation of new ideas as well as the solution to some of the issues that affect the world. Things implemented on your job According to the UK health, official website the health care should not be centralized to the government body. Rather, an excellent outcome calls for quality management as well as information sharing. Hence, to work efficiently knowledge is crucial and one should not be left stagnant. In medical schools, the tutors should vary the technique of teaching and adjust accordingly with knowledge. The student ought to be watchful to gain more information as well practice what they have learned in the schools. The Over lecturing and under the teaching of Clinical Medicine The student joins institutions of higher learning hoping to be taught. Their minds are conditioned to maintain what they are taught by their teachers until they do their exams after which they forget. However, a few years to come they will not remember all information required. This calls for outstanding teaching principals in that a learning environment should stimulate the mind of the student making them ask questions as well as seek answers. Good medicine schools teach the student how to discover medical problems and resolve them this becomes of aid even after they leave the school. Good learning calls for lecture time as well as practical because student tends to remember what they see and do rather than what they hear. From Case-stand point reckoning to Problem based Learning This takes a thought of individual knowledge to a step further. The researcher proposes a solution to a problem that emerges. Case based reasoning gets its application in the field of medicine in solving unknown emerging problems. Emerging medical problem may bring about a serious problem in the globe. Many medical schools do question on the implementation of problem-based learning. Problem- based learning calls for use of instruction method characterized by the use of actual records of patients with a condition to acquire skills about clinical sciences. Team based Learning This method calls for the student to work in small groups so that to ensure they share the knowledge. For this to work well, the groups must be formed properly and well managed. The accountability of both the group work and individual work should be a key factor. Feedback to the tutor should reflect both team development as well as learning. Critical thoughts and any new information encountered or learned. Teaching has three main stages that ensure that the students have understood the content. First, the teacher should understand the content to be taught and prepare the best methodology to deliver the information. Secondly, he should communicate it to the student. Lastly, he should ensure that the student has captured and understood the necessary point. An excellent teaching method calls for the encouragement of the learner's brain to reflect and talk rather than listen to the instructor. The use of team based learning as well as problem based learning should be encouraged as this leads to greater acquisition of knowledge. Therefore, it is clear that the prescriptions of Gliclazide 80mg twice daily in glycaemic control are fundamental to the achievement of the metformin. Reference Niederman, M.S. (2006). "Use of broad-spectrum antimicrobials for the treatment of pneumonia in seriously ill patients: maximizing clinical outcomes and minimizing selection of resistant organisms.” London: Oxford UP. Read More