Juanita Chronic Diseases and Conditions Case Discussion To Prepare: Review the following scenario, reflected in the media for this and previous weeks, Jua

Juanita Chronic Diseases and Conditions Case Discussion To Prepare:

Review the following scenario, reflected in the media for this and previous weeks, Juanita’s Story (Laureate Education, 2018):

Juanita is a 35-year-old female Mexican-American immigrant. She has recently had some symptoms consistent with diabetes.

Think about the implications of Juanita having diabetes at the primary, secondary, and tertiary levels. How might her different stages of change affect her motivations to seek treatment at the various stages?

Consider:

What would Juanita’s disease look like in the various stages of prevention? How would it affect her daily life, diet, ability to function, and so forth?
What factors would contribute to the differentiation between the stages?
What are the implications of the three stages of Juanita’s condition?
How might these implications translate to other chronic diseases and conditions at a population level?
BY DAY 3 Juanita’s Story – Part 3
Juanita’s Story – Part 3
Program Transcript
[MUSIC PLAYING]
DR. SMITH: Hi, Juanita. Come in.
JUANITA: Hi.
DR. SMITH: Good to see you.
JUANITA: Good to see you.
DR. SMITH: Please have a seat.
JUANITA: OK.
DR. SMITH: So how are you feeling?
JUANITA: Fine, but I’m nervous to find out what you have to say about my blood
test.
DR. SMITH: Yeah, I understand. Well, I was just going over the results and at
this point the tests show that you’re definitely pre-diabetic. Yeah. And it’s in line
with the symptoms you’ve been experiencing– the blurred vision, the wound on
your foot that would not heal. All of this is likely connected to the fact that you
developed gestational diabetes when you were pregnant.
JUANITA: No.
DR. SMITH: Yeah. Based on the blood work, five more points and it will be
diabetes. But there are things that you can do to prevent this from happening.
JUANITA: I read the brochures that you gave me, all of the risks– blindness,
maybe losing an arm or leg, insulin dependence. I do not want type 2 diabetes.
DR. SMITH: No, of course you don’t. Here’s some information about what you
can do to start turning your health around. It’s all about properly managing your
diet– cutting out soda, alcohol, any sugar, and getting lots of exercise. It’s a
lifestyle change, but I know you can do it.
JUANITA: I’m going to do it. I know I can. My children, they need me. I am not
going to let this happen.
[MUSIC PLAYING]
© 2018 Laureate Education, Inc.
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