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please help, am I on the right track and where I can condense info down, and check grammar and spelling without losing the content without the use of AI 1. Identify and analyse two main problem areas related to Alice’s diabetes management using the ADEA 7 self-care behaviours essential for successful diabetes self-management as the assessment domains. For each identified problem, make sure you determine its cause and contributing risk factors. Compare the identified problems and contributing factors to clinical guidelines and evidence on diabetes management. my answer below Problem area 1: Low physical activity levels and poor motivation affecting medication adherence Cause(s) and Contributing factor(s) Alice’s current physical activity and poor adherence to having her prescribed Metformin regimen demonstrates a concerning trajectory of her Type 2 diabetes management. Although this issues are not isolated, they can be indicative of the deeper psychological and environmental barriers that are present in her life which are undermining her ability to engage in effective self care behaviours. Alice use to enjoy sports, but her current sedentary lifestyle is influenced by the combination of stressors in her mental health side, self care, efficiency, lack of support within the social side and suboptimal health care engagement all of these have a collective risk of increasing disease progression and any diabetes related complications. Alice experiences of sadness, hopelessness and lack of motivation are indicators of the psychological comorbidity. Research shows that individuals like Alice have increased prevalence of having psychological conditions like depression and adjustment disorders, which can increase the risk of reduced motivation and adherence to lifestyle and pharmacological interventions (Schmidt et al., 2020). Alices medication nonadherence can be related to the modeled behaviour from the family dynamics. this can stem from multiple stressors and factors such as physiological fatigue, lack of education around the medication and its side effects. The missed doses of her metformin can be from these barriers. Alices limited engagement with the multidisplanary teams exacerbates the situation as skipping appointments limits the chances of receiving needed education, medication review and accessing necessary services to help break down the barriers. Alices emotional challenges impair her capicty to be able to change the behaviours, which then can make it more difficult to initiate and maintain efficient routines to be able to follow exercise plans and medication regimes. Alices weight perception compounded by the mental burden from the diagnosis and the struggles of controlling her diabetes in context with the family dynamics. Although Alice has stated that she enjoys physical activity it is observed that she views her weight as a barrier to being able to participate in physcial activities which lowers her confidence. Clinical Guidelines and Evidence Having a multi displianary approch and having regualr contact with the tean is crucial to addressing and reinforcing positive behaviour and identifying any concerns (Murfet et al., 2022). Without the regular contact, Alice may have increased feeling of isolation within her management efforts, which then can increase her helplessness. Alices current approach is e is inconsistent with the evidence based recommendations and clinical guidelines. It is recommended for adults to complete a minimum of 150 minutes of moderate intesity acitivty per week wthat is individualised to persons perfences and capacity. For Alice a program should consist of a enjoyable, low impact acitivty to allow her to return to regualr movements. The guidelines also recommendeds that individuals like Alice should be screened for mental health conditions such as depresson as having a untreated mental health illness can result in the difficulty of managing their diabetes successfully. patient education programs is recommended to help demostrate the importance of the pharmacological management with the addition of having practical aids of simplyifing medication regiemes, addressing side effects.
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