Bill is an aged man suffering from chronic hypertension to due this illness, his wife is threatening to leave him. His wife’s response to his health is straining the way he is handling his situation. Evidently, he has stopped caring about he lives and has turned to drinking too much red wine and eating takeaway food despite his overweight condition. His eyesight is deteriorating but he does not take heed in seeking medical care but goes to a chemist and purchases cheap glasses. I proposed a guidance and counseling session for him so that he can be in a position to deal with the stress being brought by his health condition and his marriage.
Bill is an aging man who lives with his wife in a small coastal town. His age describes a person who is retired but does not refer to himself as such because he works part-time at a golf club as a grounds man. The wife to Bill is called Betty. Bill is a family man and has managed to raise two children who are currently grown up. His children are married and have managed to bring forth five children, ‘Bill's grandchildren' however they live in far away from home states. Bill is an outgoing man who loves to fish whenever he finds spare time. Also, he is a good and keen gardener who finds himself in the garden nurturing plants and flowers. His weight is extremely high as he weighs ninety kilograms and is one sixty-eight centimeters high. Despite Bill being a family man, he finds pleasure in eating takeaway foods and taking too much red wine. In spite of his overweight condition, Bill makes numerous bad lifestyle choices and does not consider exercising properly into his consideration.
Bill is not a healthy man according to the case study. A half a decade ago, Bill was diagnosed with chronic hypertension which has been a challenge to live with since then. Bill is also awfully overweight as he weighs 98 kilograms and is 168 cm tall. The overweight condition is also harmful to his state of health as obesity is a lifestyle disease that he refuses to control and observe. In recent times, Bill's vision condition is deteriorating as he is not able to see properly. About his old age, Bill is developing health problems as time goes by, but he refuses to check and take care of himself. It is evident according to the study because when he notices that his eyesight is failing, he does not consider going to the hospital rather he goes to the chemist and buys himself a pair of cheap glasses (Roberts, Shields, de Groh, Aziz & Gilbert, 2012).
Bill is unemployed except for his part-time job as a grounds man at the golf course. For this reason, The Beveridge model of health care is apparent for him because he does not have a permanent government job that rewards its workers through a payroll system. In this system, the government is the solely responsible for the health care of its citizens. The government owns quite a large number of hospitals and has also employed doctors for the sake of the health of the health of its citizens (Burwell, 2015). To fund the hospitals and pay the doctors, it collects taxes from individuals such as Bill and Betty. The taxes may not be direct but may be indirect recovered through the purchase of goods and services. This model is apparent Bill's because he is facing a period of financial crisis as he is being faced with a home loan repayment and his daily expenditure rate is increasing because he has turned to playing pokies at the hotel joint thus cannot afford to pay for a private medical practitioner.
According to the study, Bill is finding it hard to make sound health decisions regarding the conditions of health he is having. Firstly, Bill is overweight but he does not take precaution because he does not exercise adequately, therefore, contributing to his weight. Secondly, regarding his weight also, Bill does not eat healthily he is frequently seen eating takeaway food that is not friendly to his current state of health. It is evident that his intake of red wine has increased therefore his hypertension and obesity conditions are on the rise (Hammond, Keeney & Raiffa, 2015). It is also apparent that in recent times, Bill is experiencing difficulties with his sight, his vision is slowly deteriorating however he does not take it seriously so as to seek medical care instead he goes to the local pharmacy and purchases cheap glasses to correct his eyesight (Valente, 2010).
Bill's health has brought many problems to his family and also to his circle of friends. The unsound decisions he is making are as a result of his wife's reaction and treatment whenever he is at home. The social influences and inequalities that are surrounding him are a result of his decision making about his health. For instance, according to the study, he was diagnosed with hypertension five years ago, and his wife has consistently complained of how sickly he has become and is threatening to leave him (Brunson, 2013). To deal with the current situation of his marriage, he lies about his hypertension progress to the registered nurse to the extent of telling them that his now robust enough to work in the garden more often without a break. Also, regarding his overweight condition, he claims that he heard an advertisement on the television of a doctor who was offering weight loss programs and that he was going to enroll in the program (people & US Department of Health and Human Services, 2010).
According to the case study, Bill has portrayed about how he feels regarding his failing health condition. Bill is all worried about his health and fears that an increase in the decline of his health will result in being taken to a nursing home. The reaction is evidently shown when he told his next door neighbor that in the case of a further health deterioration condition, he would end up in one of the dog box homes (Orbell & Verplanken, 2010). For instance, he expresses how he feels about going to the hospital and being given drugs through the use of this statement, "it's my life, and no one is going to tell me what to do those young quack doctors think they know it all and just wants to pump be with pills." The health condition of Bill is interfering with how he is feeling and perceiving things on the outside world (Martins, Ramalho & Morin, 2010).
The health status of Bill is causing a challenge in his marriage because his wife is threatening to leave him. His wife's behavior is the main reason for his stressful condition because he does not want to be left alone seeing that his children are far away from home dwellers. As a result of the treatment, he is facing from the wife Bill is unable to manage his health condition appropriately and additionally confronted with a challenge in controlling his stress (O’Connor, O’Connor, Shepherd, O’Carroll, & de Ridder, 2016). It is very likely for an individual to have the inability to face their challenges when they do not have family and friends support. In Bill's case, this is happening as he is turning to spending so much time playing pokies at the nearby hotel thus finding solace there hence This behavior is a stress management strategy because he feels less rejected and unwanted in the hotel rather than at home with Betty (Folkman, 2013).
First, he is overweight and obese, but he regularly evades going see his GP as possible as he can and this can be taken as a behavioral denial regarding his weight. Also, another obvious behavior response about his weight is that he is making many corrupt lifestyle choices such as drinking excessive red wine and also he likes eating food that is not homemade ideally known as taking away food (Dixon, 2010). Thirdly, to respond to his stressful marriage condition, he has turned to find comfort in taking his time in playing pokies at the hotel. Evidently as shown by the study, Bill does not seek proper medical care for his eyes after noting that they are having problems however he goes to the nearest chemist and buys cheap glasses in the hope that they will help correct his condition (Oliver, 2014).
According to the study, Bill visits the health center and tells the doctor that he is feeling better and just needed the prior prescription given to him then and that he could work a little bit more in the garden without a break (Greenberg, 2011). A response that had been triggered by his worry of if his health condition continued to be bad he would be sent to a nursing home by his wife. Regarding his weight, he did not take any other pills or prescription therefore to defend his refusal; he blamed his wife of always nagging him about weight loss whereas she was the cause because she was not a good cook hence. As a result, he turned to liking take away foods. It is unfortunate that he is choosing the wrong behavior responses to deal with his health problems hence cannot be in a position to recover as expected (Oliver, 2014).
Illness prevention is the act of averting the causes of a disease by practicing good lifestyle behaviors and sanitary conditions. In most case, disease prevention leads to increase in health promotion. For instance, if Bill in our case study is keen on watching and managing his weight, then it would be easier for him to deal with the health problems he is having. Bill eats take away food and drinks excessive red wine and while at it; he does not take an interest in exercising properly. Therefore he does not practice health promotion thus is unable to prevent an occurrence of other illnesses. It is likely that his eyesight problem is caused by his hypertension condition which cannot be managed even during medication because he is always making poor health conditions (Cecchini et al., 2010). If Bill is keen on checking his weight as a health promotion strategy, he would be in a position to know that he is obese and needs to exercise well. After the accomplishment of that health promotion step, then chronic hypertension would be managed and avoid his vision problems hence illness prevention realized (Centers for Disease control and Prevention, 2010).
After the observation of Bill's condition, I recommend a guidance and counseling program for him as an intervention strategy. Bill is not affected by his current health problem as much as he is affected by the behavior of his wife. Since he was found to be suffering from chronic hypertension, his marriage has been facing problems with his wife describing him as a "crabby old man" who complains about "everything." So as to help him deal with his health issue, then he should be guided and counseled on how to address his abusive wife (Bowler, Buyung-Ali, Knight, & Pullin, 2010). Success in the counseling sessions will reduce him how he thinks and feels about himself hence improving on his behavioral response. Also, during the sessions, he would receive advice on the importance of leading a healthy life so as to avoid an increase in health problems that are straining his marriage. A positive impact from the information would improve the perception of Bill towards his health and therefore would likely change the way he handles himself (Janssen & LeBlanc, 2010).
Health is an important issue in the society and the private dwelling of an individual. When an individual’s health starts to be a problem, then the social circle of that individual is affected. For instance bill’ marriage is in a crisis as his wife is tired of the constant complains and therefore is threatening to leave him. Also, health affects one’s private life and in the absence of an intervention they are unable to manage and handle their stress hence turning to negative behavior responses as seen in the case study.
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Cecchini, M., Sassi, F., Lauer, J. A., Lee, Y. Y., Guadjardo-Barron, V., & Chisholm, D. (2010). Tackling of unhealthy diets, physical inactivity and obesity: health effects and cost-effectiveness. The Lancet, 376(9754), 1775-1784
Centers for Disease Control and Prevention. (2010). Chronic disease prevention and health promotion.
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Greenberg, J. S. (2011). Comprehensive stress management. McGraw-Hill Higher Education,.
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Valente, T. W. (2010). Social networks and health: Models, methods and applications. Oxford University Press.
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