Free Health Dissertations - In Direct Consideration Of Our Topic, Bowering (2001) Also States The Fact
In direct consideration of our topic, Bowering (2001) also states the fact that atherosclerosis is a major complication of Diabetes Mellitus. Brief consideration of the physiological and anatomy of the erectile mechanism will tell us that the presence of atherosclerotic vessels will seriously impede the blood flow to the penis which clearly will not be as responsive to the triggers to erection as normal.
The need for change
The need for change is highlighted in documents such as the National Service Framework which were produced by the Government after a major review of the NHS service provision. The National Service Framework specifically target areas where the provision was found to be inadequate together with the setting of targets that help those areas where provision is optimal. With regard to the subject of this essay the major sections of relevance to the diabetic are:
Standard 11
The NHS will develop, implement and monitor agreed protocols and systems of care to ensure that all people who develop long-term complications of diabetes receive timely, appropriate and effective investigation and treatment to reduce their risk of disability and premature death.
Standard 12
All people with diabetes requiring multi-agency support will receive integrated health and social care.
There was general agreement that the provision of care across the NHS as a whole was inconsistent. Some areas provided excellent care and others frankly, did not. (Croxson 2002)
The National Service Framework initiative aims to promote a more consistent level of care by publishing guidelines, standards and targets. Standard 11 and 12 are manifestly general in their content but clearly they represent a basic minimum that should be adhered to. Standard 10 suggests that all diabetic patients will receive specific and regular follow up for the possible complications of Diabetes Mellitus.
In addition to the Standards, the National Service Framework also defines intervention for the diabetic patient. It is not appropriate, in the context of this essay, to mention all of the interventions here but the Framework specifically calls for regular surveillance of patients with Diabetes Mellitus to detect the commonly occurring complications, such as erectile dysfunction, depression and cardiovascular disease so that they may be offered the appropriate treatment in a timely fashion. It particularly calls for healthcare professional to ensure that people with Diabetes Mellitus can feel free to discuss problems with their sex lives such as impotence.
Very significantly it makes the comment that healthcare professional should be aware that a person suffering from Diabetes Mellitus may also be suffering from depression.
Dissertations - Free Health Dissertations
