2)¨**********APA norms 4) **********References from the last 5 years 5) The points don’t be must copied in the work. It must be identified by numbers. For example: 1. According to Leininger’s Sunrise …………………………. 2. According Fatima´s case ………………………. ____________________________________________________- Case: During a diabetes education, Fatima indicates that she is Muslim and that for Ramadan, she fasts from sunrise to sundown. Questions:
During a diabetes education session, Fatima, a Muslim patient, reveals that she observes fasting during Ramadan from sunrise to sundown. This raises certain considerations and questions regarding her diabetes management and potential risks associated with fasting during this holy month.
1. According to Leininger’s Sunrise Model, how does cultural and religious beliefs impact healthcare practices, particularly in the context of chronic diseases such as diabetes?
Leininger’s Sunrise Model is a theoretical framework that emphasizes the importance of understanding cultural and religious factors in patient care. It suggests that individuals’ cultural and religious beliefs significantly influence their health-related behaviors and decision-making processes.
In the case of Fatima, her religion, Islam, dictates that she fasts from sunrise to sundown during the holy month of Ramadan. Ramadan is a significant period of spiritual reflection and self-discipline for Muslims worldwide. Fasting during Ramadan is regarded as a religious duty and an act of worship. Therefore, it is essential to respect and consider Fatima’s religious beliefs when discussing her diabetes management.
2. How might fasting during Ramadan affect Fatima’s diabetes management?
Fasting during the daylight hours of Ramadan can present challenges to individuals with diabetes, as it involves abstaining from food and drink for an extended period. For Fatima, this fasting duration spans from sunrise to sundown.
For individuals with diabetes, maintaining stable blood glucose levels is a crucial aspect of managing the condition. The regular intake of food and medication is typically essential to achieve this stability. However, fasting can disrupt this balance, potentially leading to adverse health effects.
During fasting, the body relies on stored glucose (glycogen) for energy. If the glycogen supply is depleted, the body starts breaking down fat for energy, leading to the production of ketones. Ketones are acidic chemicals that can accumulate in the bloodstream, leading to a condition called diabetic ketoacidosis (DKA). DKA is a potentially life-threatening complication of diabetes.
Furthermore, fasting can also affect blood sugar levels. For some individuals, fasting may cause blood sugar to drop too low (hypoglycemia), especially if they take certain diabetes medications that increase the risk of hypoglycemia. Conversely, for others, fasting may result in the opposite effect, causing blood sugar levels to rise too high (hyperglycemia). Achieving the right balance during fasting can be challenging for individuals with diabetes.
3. How should Fatima approach fasting during Ramadan while effectively managing her diabetes?
To ensure safe fasting during Ramadan, Fatima should engage in effective diabetes self-management strategies. This includes working closely with her healthcare team to develop an individualized plan that considers her specific diabetes management needs and religious obligations.
Firstly, Fatima should consult with her healthcare provider, such as a diabetes educator or endocrinologist, before initiating the fast. They can assess her overall health status and determine if fasting is suitable for her, taking into account factors such as blood sugar control and presence of any diabetes complications.
During the consultation, Fatima’s healthcare provider may adjust her diabetes medication regimen to accommodate the fasting period. This could involve changing the timing or dosage of medications to minimize the risk of hypoglycemia or hyperglycemia during fasting.