Professional Documents
Culture Documents
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1. Introduction
2. Diabetes mellitus
The effects of the disease may be acute or chronic, involving many organs, including the
eye, the kidney, peripheral nerves and large arteries. Primary diabetes mellitus is
traditionally divided into either insulin dependent (IDDM or Type 1) or noninsulin
dependent (NIDDM or Type 2). The classification is important because of the different
genetic backgrounds, clinical presentations, metabolic effects, treatment and
consequences of the two types. Diabetes may also be secondary to other disorders
3. General information
Name : Mr. SM
Age : 60 years
Gender : Male
Marital status : Married
Place : -------
IP. No. : --------
Hosp. No. : --------
Date of admission : -------
Ward/Unit : -----------------
Diagnosis : Diabetes mellitus type II, diabetic foot ulcer-rt
Occupation : Farmer for 15 years,
Retired from military service, worked in ----
Culture
Religion : Hindu
Caste : Thiyya
Developmental history
Scholastic History
Socioeconomic Status
• Patient explains his illness: “I have diabetes for the last 10 years”. “I have
developed this ulcer a few weeks back.” “It was not getting healed from the local
hospital, so, I have come here”
6. What has been his past experience with illness?Past Illness History
• History of Koch’s disease 10 years back, took medicine for 6 months
Patient had a gun shot injury about 20 years back on the left forearm
He is diabetic for the last 10 years.
Family History
Inference: Patient has accepted the illness as a suffering which he has developed due to
inheritance, but his food habits points to the life style has contributed to the illness
significantly. He used to get double food in military because he was a football player in
the MRC. He used to take 6 eggs per day till the age of 40 and reduced to 1 egg per day.
• Patient is a firm believer of god, but does not believe in individuals as god.
He does not have any wrong belief that his illness is due any black magic or some
possession.
• He accepts his condition as a diabetic patient and understands the need for
adherence to medication and life style modification. As he has adequate servants
at home, he has not much trouble in carrying out his role. He watches TV and
reads newspaper, which gives his some diversion from the problems.
11. Anxiety related to effects of illness, recovery, cost of treatment, and future state
He is worried about the foot ulcer which is not heaing. His blood sugar fluctuates
between normal and high value. He plans to follow all the instructions well that ulcer will
not develop in future. He says he can bear the expense of treatment here, that he has 7-8
acres of agriculture land. That is enough to look after his expense for treatment.
Yes, he is worried whether the ulcer will get healed. When he developed ulcer in his left
leg 6 months back, his two toes were amputated in a local hospital. He was advised a
below knee amputation, but he decided to get discharged from there and came to -----. So
he could save his leg.
14. Which cultural differences can interfere with the patient’s treatment?