Question

Review the Case Study

A 13-year-old male presents to his primary care provider for his annual school physical and is noted to be grossly overweight. His vital signs include a BP of 138/70, pulse of 88, and respirations of 18. He seems somewhat winded from walking from the waiting room to the exam room. His urine dip reveals trace protein and mild amounts of glucose and you suspect he already has Type 2 diabetes or is quickly on his way to becoming a Type 2 diabetic. You arrange for a fasting glucose and HgA1C to be drawn. Knowing that his family cannot afford multiple physician visits, you determine that you will have him follow up with the nurse practitioner at the free clinic in his inner-city neighborhood, and you have also arranged for diet counseling with a dietitian at the same clinic. You are quite proud of the fact that you have engaged your inter-professional partners and have worked toward a better outcome that is lower cost for the patient.

How can this plan be altered so that it becomes an interdisciplinary plan? In reflecting on the probability that your plan will be successful, discuss the answers to the following questions. (Each of the following five questions is worth two points.)

Discuss the implications of the fact that there is not a quality grocery store near his home and that while fresh produce is not readily available, there is a fast food restaurant across the street from his home.

What about the fact his school has soda and junk food vending machines on every floor and the lunch menu lists pizza as a vegetable?

What about the fact his mother has never learned to prepare fresh fruits or vegetables, has never seen an avocado, and has never been taught how to prepare dinners that incorporate healthy foods?

What about the fact his neighborhood is one in which jogging, running, or walking might not be the safest things to do, and as a result his exercise is highly curtailed?

What is the likelihood that this young man will have a positive health outcome in the years to come if the previous items are not addressed?

Reframing the Case Study: Treatment Options

In this case study, a partnership must be forged not only with other healthcare providers, but also with the school, the child’s mother, community leaders, private corporations, and public health departments.

Discuss the answers to the following questions. (Each of the following four questions is worth two points.)

What kinds of public-private partnerships could you forge to change the access to fruits and vegetables and decrease the potential for disparities based on race, neighborhood, and countless other factors?

What types of partnerships with local government and perhaps private entities might enable members to tear down several abandoned buildings and turn the lot into a park for recreation and exercise for the neighborhood?

What school and community leaders could be approached to eliminate the junk food and soda vending machines from the school?

What research data could you bring to or interpret for a policymaker that would help the policymaker sell the idea to his/her colleagues? (Cite a source, not older than 5 years, for the research data. Attach a copy of the source. No points will be awarded without a correct source.)

Answer 1

Interdisciplinary plan in patient care refers to multiple health care workers working together to achieve a common goal for patients iĺlness.Here the team should include Pediatrician, Endocrinologist ( Diabetes,Obesity)Cardiologist (increased BP), Nutritionist, Physical therapist (exercises ),School nurse

Food a basic essential for all living being .A growing child at age of 13 needs an extra attention on this

from the parents.The main reason for not having a quality grocery store and having a fast food is due to the hectic life style of people.Additionally the mother doesn't cook any fresh foods ,the school encourage to have Pizza, poor environment where the child will have no knowledge about the exercise and its benefits.When these things sorted like mother cooking home foods,having veggies and fruits, avoiding fast food,pizza, junks,soda can be banned in school set up.

This young man can have a healthy lifestyle if he changes the food habits ,following proper diet,exercises

The public private partner can come into action to solve this by educating and spreading awareness. The mayor's public private partnership takes a charge to renovate area for parks or exercise parks,crecreating awareness on health hazards