Individual chronic condition in which the body produces insufficient

Individual Analysis Report


of client and social factor

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Mr. Othman B N a 53-year-old
male, a Singaporean Malay, working as cleaner at Simei MRT Station is not
married and currently living with his eldest sister. He has two sisters and one
younger brother. He was admitted to the hospital due to right foot gangrene which
then lead him to an amputation of his right knee one week after admission in
the hospital. He is a smoker since he was 18 years old and is an ex-alcoholic. He
smokes 20 sticks a day which is definitely higher than an average smoker. Besides
his current medical condition, his reason of admission to the hospital is that
he was also suffering Diabetes Mellitus, Hyperlipidemia and Ischemic Heart
Disease. According to the patient, his second sister also had an amputation on her
left below knee when she was 55 years of age. Diabetes Mellitus is a chronic condition
in which the body produces insufficient insulin, a hormone that keeps the blood
sugar level in balance or the body does not respond properly to insulin
resulting in high amount of sugar in the blood. There are three types of
diabetes, Type 1 diabetes is usually inherited and could not be prevented, type
2 diabetes is the most common type of diabetes and can be prevented and lastly
gestational diabetes which usually occurs in woman who is pregnant. Diabetes
can also cause kidney disease, limb amputation and also loss of vision.


Basically, there are many
factors that lead to diabetes and one of it that I am about to mention is
ethnicity. Ethnicity is categorized by different races such as Malay, Indian
and Chinese. As you can see our races celebrates their respective festive culture
every year for example, Malay will celebrate Hari Raya followed by the Indian
will celebrate Deepavali and lastly the Chinese will celebrate Chinese New
Year. Moreover, during these time of the year, each race will prepare a feast
and dessert for their relatives and friends. Among all the races mentioned, our
pioneer generation did not receive adequate education thus their knowledge on
how to maintain a healthy well balanced diet is not there. The fore fathers of
these each ethnicity has created and invented their individual traditions which
are naturally required to be preserved by the younger generations. With the
knowledge of health and the concerns they had back in days, we can all agree
that we might be inheriting the traditions that needs an adjustment and
amendment to it.


between identified social factor and medical condition


As you can see the diabetes
is a well-recognized health problem in Singapore. According to health promotion
board, 49.4% of people in our country were unaware that they have diabetes. The
percentage of undiagnosed diabetics were found highest among the Malays which
is (55.6%) come next by the Chinese (50.4%) and Indians (38%). Also results
from the Singapore Health Promotion Board indicates that the Malay community are
the ones that are suffering from obesity the most. Even with the current
figures showing that Malays topped the results in having the most diabetic
patients, the figure shows a dramatic increased from year 2004 to 2010 by a
total of 5.6%. These shows that the awareness to live a healthier lifestyle and
also the prevention of getting diagnosed with diabetes was not properly
projected and educated to especially the Malay community.


According to health promotion
board, regardless of ethnicity, the percentage of diabetics increased from year
2004 to year 2010 with the most dramatic increase among the malay. As pointed
out in the article by endocrinologist in National University of Singapore “Most
of us believe Malays are the heaviest ethnic group because of their diet which
often includes high-calorie food like fried noodles, lontong lemak, nasi lemak,
sayur lodeh, curry lemak, mutton rending, beef rending and malay kueh.
According to the National Nutrition Survey they had in 2004, one in two malay
has deep-fried food more than twice a week. One in five has at least seven
sweetened drinks weekly. Nowadays as these foods have higher in demand, more
exotic renditions of these food are invented and thus as we can see that the
obesity cycle in the Malay community will escalate even higher each year.


The affected patient, Mr.
Othman, was among our pioneer generations which I believe did not receive
enough education and awareness on how to prevent from getting diagnosed with
diabetes. Then again that could be an understatement as he may be a Type 1
diabetes patient since birth. The probability of him to inherit this vicious
cycle from his parents are very high as his eldest sister is also a diabetic
patient. Being in his 50s and also someone does not have a high-income status
to his name and also without proper knowledge about his medical conditions, he
probably had received unequal treatments as he belongs to the minority group.
Technically a powerful person who belongs to the majority group with the same
race and ethnicity as the mentioned patient in this case might be fully aware
of his medical conditions and by the time he finds out about this he will have
also received proper and adequate treatments right after his findings.




Ultimately, it is everyone’s individual
responsibility to ensure that they are in good health. Being in a certain race
or ethnicity does not necessarily mean the fate of your own health cannot be
altered or improved. In an instance, whereby your individual culture’s food is
prepared in a way that will put your own health at risk, sometimes I believe it
is okay to create a slight amendment on the recipes before one starts to enjoy
them. Race and ethnicity does not separate us as a nation, it is our duty to ensure
that our families and neighbours are aware of the treatments and checks that
they might need to help prevent from diagnosing with any types of evil