Reference no: EM133709694
Problem
Carefully review the information presented in Mr Hughes's case study. Then answer the five (5) questions that follow by typing directly into this template.
Mr Roger Hughes aged 79 years, has been living with Type 2 diabetes since he was 39 years old. Roger had an active social life and played golf with his mates on a regular basis. He enjoyed his career, where he worked as a manager at a large plumbing supplier. His wife, Connie, manages the household affairs, and prepares Roger's meals every day. This typically includes two pieces of white toast with jam for breakfast, a piece of cake for morning tea, a meat and salad sandwich on white bread for lunch, biscuits or fruit with a cup of tea in the afternoon, meat and three vegetables for dinner and a piece of toast before going to bed.
During his early years of retirement, Roger's diabetes progressed and he now requires insulin to manage his blood sugar levels. Some days he finds it difficult to self-administer the injection because osteoarthritis has affected his hands. He has also developed peripheral neuropathy, which causes burning pain in his legs; this prevents him from sleeping at night. Mobilising has become increasingly difficult, and he no longer wants to play golf because at times he loses his balance. His vision has been affected by bilateral glaucoma and he does not feel safe driving. His GP prescribed regular tramadol (a pain killer) and suggested that he purchase a walking aid. He also suggested that Roger ask his children to drive him the long distances to his specialist medical appointments, but Roger refused to be seen using a walking aid in public, and he does not want to bother his children to drive him to his increasingly frequent appointments.
I. Analyze the information in Roger's case-study and identify two chronic-disease 'burdens' and how they are contributing to Roger's suboptimal healthy ageing.
II. Evaluate potential health system factors that are barriers for Roger in accessing health care for Roger.