Aristotle stated “the whole is greater than the sum of its parts”, the same applies in the care of the dual diagnosis of diabetes and mental illness, the intertwining of the two chronic illness increases the blurring the lines of cause and effect, patients diagnosed with serious mental illness are at greater risk for the development of diabetes due to prescribed psychiatrist medications. Inversely diabetics are at increased risk for depression due to the chronic nature of diabetes. Despite numerous studies that have delved into the health disparities of mental illness and diabetes dual diagnosis few have addressed the provider patient relationship. Diabetes and mental illness crosses racial, cultural, ethnic and social boundaries, through …show more content…
Whereas comorbidities associated with diabetes are preventable such as hypertension, lipid abnormalities and obesity, the lack of data for the additional comorbidity of mental illness, often overlooked by health care providers, potentiates the development of comorbidities. According to Dickerson, Wohlheiter, Medoff, Fang, Kreyenbuhl, Goldberg, Brown and Dixon, (2011) patient reported data for mental illness, with 9 to 14 % having schizophrenia and the remainder comprising bipolar disorder and depression, have twice the risk to develop diabetes.
(Green, L., Gazmarian, J., Rask, K., & Druss, B., 2010) attributed the increased risk for development of diabetes due to medications prescribed in the management of schizophrenia and other serious mental illness such as bipolar disorder. Correspondingly the combined increased prevalence of sedentary lifestyle, poor diet, obesity, smoking, drug and alcohol use in the mentally ill contribute to increased comorbid conditions ( RICHARD GOLDBERG 2007, p. 536) Likewise, according to Harkness, E., Macdonald, W., Valderas, J., Coventry, P., Gask, L., & Bower, P.(2010) patients with diabetes suffer higher rates of depression, consequently this combination contributes to poor health outcomes. Even though, effective treatments exist for both diabetes and mental health problems, care services remain separate for diabetes and mental health problems. Unfortunately, the lack of integration and coordination of care
There is a great deal of literature and studies that have been done on the subject of Diabetes Mellitus (DM). According to Healthy People.gov, there is an estimated 23.6 million people in the United States living with diabetes and it is the 7th leading cause of death. It also lowers life expectancy by up to 15 years, increases the risk of heart disease, is the leading cause of kidney failure, lower limb amputations, and adult-onset blindness (Office of Disease Prevention and Health Promotion, 2015). The goal set by Healthy People 2020 is to reduce the disease and economic burden created by Diabetes Mellitus (DM) and to improve the quality of life for persons at risk for or living with this disease. The types of studies I reviewed include clinical
Diabetes as describes by health. NY. GOV is a disease in which blood glucose (blood sugar) levels are above normal ("Diabetes Basics," 2007). This can lead to a range of serious health consequences, “including vision loss, nerve damage and numbness, high blood pressure, kidney disease, heart disease and death” (DiNapoli, 2015). Diabetes is a growing epidemic in New York City among all age group but has grown significantly over the years among adults especially African American and other minority groups. In 2007, data report from the New York City Health Department reported that “diabetes was higher in NYC than in the U.S. overall (9.1% vs 7.5%). (NYC health data).
Schmutte et al. (2009) concluded that patients diagnosed as having a psychotic disorder have significantly more inpatient admissions than those with “other” disorders. According to Hunter, Yoon, Blonigen, Asch, & Zulman (2015), individuals with severe mental illness and substance abuse disorders were younger and had fewer chronic medical conditions. The same individuals also had a greater proportion of their healthcare costs generated by mental healthcare (41%).
During the study, it was found that 2,844 females developed type 2 diabetes and 7,415 were found with depression. Those with depression had a 17% higher danger of developing diabetes - even after ruling out certain risk factors, such as physical activity and BMI. The women taking antidepressant medications had a 25% higher risk of developing diabetes compared to those without
Patients who are suffering from chronic illnesses such as diabetes, will sometimes require the need for financial assistance, physical and psychological support. There are local and national resources available throughout the community for the patient. As a health care professional, education and providing the patient with the resources for diabetes, will further assist with managing diabetes. This essay will discuss the national resources available for patients who suffer from diabetes mellitus. There will be further discussion regarding the national resources benefits for patients with diabetes mellitus. This will include specific information about the services, fees, criteria for eligibility, application process, and transportation available for patients. The available resources will be integrated in the plan of care for a family member diagnosed with diabetes. Finally, the advantages and disadvantages will be discussed for the vulnerable population diagnosed with diabetes mellitus. Living with diabetes can become very frustrating and stressful for the patient. When the resources needed to cope with this illness is available, this will assist with management of this chronic illness. The purpose of this essay, is to discuss the national resources available for patient’s diagnosed with diabetes mellitus and how the health care professionals can assist with this transition.
The cost of the chronic illness, diabetes, is financially draining for patients and time consuming for providers. Adding to the cost burden, patients with the dual diagnosis of mental illness and diabetes, incur even more medical cost associated with their chronic nature and the care of the comorbidities associated with both illnesses. In addition, the time required of physicians in the care management of the dual diagnosed translates into decreased number of patients the physician treats during their daily schedule. Consequently, resulting in decreased revenue due to fewer patients being treated during a daily office schedule.
The higher number of deaths from physical disorders in patients with schizophrenia and bipolar disorder has been well established (Bushe et al., 2010; Manderbaka et al. , 2012). The most common cause of death such as cardiovascular diseases in the Nordic or Scandinavian countries, that have the most socially progressive healthcare, has dropped recently but not for men and women in the same region who had been hospitalized due to bipolar disorder or schizophrenia. The number of deaths from cardiovascular diseases is excessive (Osby et al.,
Diabetes is associated with wide range of complications such as chronic renal failure, blindness, amputations, heart disease, high blood pressure, stroke, and neuropathy (Alotabi, A., et al., 2016). There is no known cure for diabetes, but the disease can be controlled through health management that includes multiple perspectives of care such as medications, blood glucose monitoring, diet, nutrition, screening for long-term complications and regular physical activity (Alotabi, A., et al., 2016). Managing diabetes may be complicated and requires the knowledge and skills of both healthcare providers and the clients. Studies have shown that to prevent or delay diabetic complications due to diabetes, counseling and other lifestyle interventions are the effective therapy. Even with many policies set up for diabetes, 8.1 million Americans are undiagnosed with diabetes mellitus, and approximately 86 million Americans ages 20 and older have blood glucose levels that considerably increase their risk of developing Diabetes Mellitus in the next several years (CDC, 2015). For diabetes care to be successful there needs to be a good understanding of the disease and management by both patients and healthcare providers,
Diabetes is a metabolic disease in which the body’s inability to produce any or enough of the hormone insulin causes elevated levels of glucose in the blood. There are different types of diabetes; Diabetes Mellitus Type I, Diabetes Mellitus Type II, Gestational Diabetes, and Diabetes Insipidus. The type of diabetes you are diagnosed with is characterized by the way the body produces insulin and how the body responds. According to the CDC 2014 Statistics Report, at present 29.1 million people in the United States have diabetes of 8.1 million of those people are undiagnosed. The ethnic groups showing the most prevalence of diabetes are Hispanics, Non-Hispanic Blacks, and Native American. The most common symptoms of diabetes are
There are two forms of diabetes, type 1 diabetes formerly called juvenile-onset and type 2 diabetes. Type 1 diabetes occurs when the immune system attacks and permanently disables the insulin-making cells in the pancreas. The other form of diabetes type 2 diabetes takes years to develop into full blown diabetes. Type 2 diabetes begins when muscle and other cells stop responding to
In the sample of women with diabetes the top psychological factor reported was any type of depression (60%). For that same sample, the top biological/physical factor was a tie between hypertension and malaria (72%). Then the social factor reported by more than 50% of the sample was death of family (96%). 49-25% of the sample reported diabetes stress (88%) as the top social factor and less than 25% of the sample claimed eating right (80%) to be the top factor. The sample of women without diabetes reported that the top psychological factor was any type of depression (52%). The top biological/physical factor reported was malaria (64%). Greater than 50% of the sample reported the top social factor was a tie between all types of abuse and
The chosen heath issue in city of Horizon and for this report is Diabetes. The potential health issue which has made huge impact in Australian community is Diabetes. It is the common chronic medical condition that leads to increased blood sugar (glucose) levels. Diabetes can have a significant impact on quality of life and can reduce life expectancy. The common types of diabetes are type 1 and type 2. It can lead to other medical conditions such as heart disease, cardio vascular disease, blindness, kidney failure, poor healing, stroke, mental health and other neurological (nerve) diseases. Although, it cannot be cured but can be managed and controlled by control of high blood pressure and high cholesterol levels when present. Early
Therefore, my persuasive presentation began with couple compelling stories emphasizing the need for diabetes self-management program to be initiated by Primary Care Provider. Just for clarification, those two case are not to insult practice of medical professionals but to underscore the imperativeness of education in the population affected by this chronic illness. The first individual whom I encountered along my career as a Diabetes Educator was a female in early twenties who was full of anguish over her new diagnosis of diabetes. Consequently, after couple meetings, she revealed that a few years ago she exhibited symptoms of what she thought was diabetes and after reaching out to her medical doctor her concerns were blatantly dismissed. Subsequently,
When people have or develop a chronic illness they believe that are unable to do the thing that they have done in the past before. Although, that is not always true and because people start to think this way they become depressed by thinking they can’t do the same things as they have in the past. These effects may be reduced if people are informed of what their illness actually prevents them from doing. For example, as far as I know people with diabetes just have food restriction or food to stay away from, but there are no events that they can’t participate in like sports, or going on vacation. Making sure people are informed about their illness should help people from developing depression with a chronic
People with mental illness seen by their primary care physician, will probably not be treated for their mental illness, but just for a medical condition. When a person with mental illness is admitted to a hospital for treatment; they need treatment for their mental illness during their stay. Treatment for mental illness should not just stop because you’re in an acute hospital setting. Many people that suffer from mental illness not only need mental health treatment but also need to treat their medical health issues. These two things correlate together because by having some type of mental illness like Schizophrenia, bipolar, depression, or anxiety; it increases the chances of having some type of metabolic syndrome. This increases