COMMUNITY ATTACHMENT SCHEME

SECOND VISIT
Group Members: Mohammad Amirul Ashraf bin Mohd Shukeri Parwin Kaur A/P Pardeep Singh Nur Amalina binti Hussain Nurarif bin Roslan

 Name

: Madam SK Sex : Female Age : 81 years old Race : Sikh Language : Punjabi, Malay Clinic of Attendance : Klinik Kesihatan Jelapang Address : No.17, Persiaran Jelapang 16, Taman Silibin, 30010, Ipoh, Perak. Patients Diagnosis : Diabetes Mellitus,Hypertension

 Her husband and one of her son are diagnosed with the

same disease; diabetis mellitus

After delivered her last daughter, she was confirmed by the

doctor to be having diabetis mellitus

She practices a healthy life style; walking around her

residential area every morning.

Even though she was diagnosed with diabetis mellitus and

hypertension, her life progresses as usual; she cooks for herself, clean and tidy up her house every day and having a very good relationship with people surround her.

Diagnoses with:
Diabetis mellitus and hypertension

Starting having diabetis mellitus and

hypertension since age of 40 years old (after delivered her last daughter)

 Diabetes mellitus, or diabetes, is a group of metabolic diseases in

which a person has high blood sugar, either because the pancreas does not produce enough insulin, or because cells do not respond to the insulin that is produced.
Type 1 diabetes mellitus is characterized by loss of the insulin-

producing beta cells of the islets of Langerhans in the pancreas, leading to insulin deficiency. Type 1 diabetes can affect children or adults, but majority of these diabetes cases were in children.
Type 2 diabetes mellitus is characterized by insulin resistance, which

may be combined with relatively reduced insulin secretion. The defective responsiveness of body tissues to insulin is believed to involve the insulin receptor. Type 2 diabetes is the most common type.

 Hypertension (high blood pressure), sometimes called arterial

hypertension, is a chronic medical condition; the blood pressure in the arteries is elevated. This requires the heart to work harder than normal to circulate blood through the blood vessels.
High blood pressure is said to be present if it is persistently at or

above 140/90 mmHg.

Hypertension is classified as either primary(essential)

hypertension or secondary hypertension; about 9095% of cases are categorized as primary hypertension which means high blood pressure with no obvious underlying medical cause.
The remaining 510% of cases (secondary hypertension) are caused by

other conditions that affect the kidneys, arteries, heart or endocrine system.

Based on her story, she maintains her health by doing simple activities such as regular exercise every morning; walking about half an hour everyday, do not make herself stay static in the house by cooking and doing simple event of cleaning up her house.

She also control her diet and obeys doctor instructions; taking medications according to time and do not skip taking any medication prescribed to her.

According to her daughter- in- law, Mdm. SK has a very good relationship between herself and her health professional. She trusted the doctor; any complications happen she will refer to the doctor and follows what has been advised to her.

PSYCHOSOCIAL
LIFESTYLE

SOSIAL

SOCIAL She has no social problem as she is a kind of friendly and warm person.

LIFESTYLE Her daily activity is restricted as she cannot be too tired. Sometimes she has to depends on others to help her to complete her wish; going upstairs. She now using crosier to walk. PSYCHOSOCIAL

She will try as hard as possible to not to burden anyone including her family even though she needs helps.

HEALTH PROFESS IONALS

NEIGHB OURS

SUPPORT

FAMILY

 Health professional
- Based on her story, she got a very strong support from doctors in

Klinik Jelapang as she has no communication difficulties and managed to get along with the doctors from different races in the clinic very well. - Doctors gave her a lot of guidance on achieving a healthy lifestyle and correct medication so that she becomes healthier and her condition will be improved.
Family - Her daughter- in- law takes a very good care such as guiding her in

taking medication and helps her a lot by doing many things such as clean and tidy up the house. - Not only that, she also give a very strong support in every single thing that Mdm. SK love to do such as cooking, walking and go to temple for praying every day.

 Neighbours - Mdm. SK lives in a harmony residential area. - Every morning while she walks, she will be greeted by her

neighbours regardless the race of her neighbours. - Sometimes her neighbour will accompany her to walk. - She also love to chat with on of her close neighbour, Mr. Rahim. - She will never missed any event conducted by her neighbours such as wedding ceremony.

THANK YOU