SG2204 Culture And Health Case Study Report 4 – Australia.

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Assignment Type : Case Study Report 4
Weighting : 40%
Word limit : 1500 words
SG2204 Culture And Health Case Study Report 4 – Australia.

SG2204 Culture And Health Case Study Report 4 - Australia.

Background History :-
Hope Vale is a remote town in Far North Queensland (FNQ) on the Cape York Peninsula, about 46 Kms NW of Cook town (the nearest town), 372 km from Cairns the nearest city and 2,029 km NNW of the
Queensland capital city of Brisbane 2.The population of Hope Vale is 92% Aboriginal and/or Torres Strait Islander people 3, who make up thirteen clan groups who mostly speak Guugu Yimithirr and other related languages, as well English 4. The Guugu Yimithirr people are the traditional custodians of the land and are
estimated to have occupied this area for approximately 100,000 years. The Aboriginal Shire Council proudly state that Hope Vale is located in ‘a valley surrounded by tropical native bushland, mountain ranges,pristine coast and diverse flora and fauna’ and it is the most Northern township on the Eastern seaboard that can be accessed by Bitumen (road). The town is remote, and the weather can be extreme due to tropical cyclones that can make movement in and out of the town difficult.

SG2204 Professional Studies – Indigenous Culture And Health Case Study Report 4 – Australia.

There are a number of services available in Hope Vale for the 1500 or so residents, including education,
health, community and social services 5. However, there are a high proportion of people who do not access services due to socioeconomic disadvantage as a result of low income, low educational attainment, high unemployment, and having no access to a motor vehicle 6. Furthermore, the remote Indigenous population experience poorer health outcomes than non-Indigenous people in the region including a higher burden of chronic diseases such as Cardiovascular disease, Diabetes mellit us, and Chronic respiratory diseases compounded by limited access to integrated team care 7. In addition, some services such as those available for mental health and social & emotional well being have been identified as not culturally appropriate, meaning access and treatment outcomes are poorer for the Aboriginal and Torres Strait Islander people in the area 8

Dora Barnes is a 48 year old Guugu Yimithirr woman from Hope Vale who speaks a dialect of Guugu
Yimithirr and some English. Dora was born small and premature at 33 weeks and had to be tube fed due to prematurity and then later bottle fed, as her mother had difficulty breast feeding and was unwell having gestational diabetes most of her pregnancy. Dora grew up living with her mother, father, grandmother and 3 siblings, making living conditions cramped and difficult and the transmission of infections common between household members.

Dora recalls that ‘good tucker’ was scarce when she was a child due to the cost of food in town and the fact that there was very limited food choices at the local store. However, she remembers fondly that the best tucker was when someone had gone hunting and returned with some kangaroo, or even better when
someone returned from the coast with some turtle which was her favourite (Turtle fat is highly desirable in
many communities, but usually reserved for elders or special occasions). Dora does not remember visiting a doctor or nurse very often as a child or even as an adolescent, but when she did it was always strange and scary to meet a new ‘white stranger’ who didn’t seem very friendly.

SG2204 Culture And Health Case Study Report 4 – Australia.

SG2204 Culture And Health Case Study Report 4 - Australia.

Current Medical History :
Dora has felt quite unwell lately with lack of appetite, nausea, shortness of breath, and feeling exhausted
most of the time. Dora informs the nurse that she has also been ”passing water” less frequently over the
past few weeks. Her sister took her to see the doctor at the local medical service who examined her, took
some blood and a urine test and explained that she needs to see a nephrologist urgently for a renal biopsy,at the Royal Brisbane Hospital. Dora is alarmed (as is her family) as Brisbane is 2,045 km from Hope Vale and ‘a long, long way off country’ as Dora says. Dora has never travelled this far ‘off country’ or away from her family for any length of time and is very nervous about going to hospital so far away. After much
discussion Dora understands she is very unwell, and the doctor organises to access funding for her sister to fly down to Brisbane with her.

Dora’s blood tests show significantly elevated urea and creatinine. Her urine tests indicate albuminuria and haematuria.

Dora’s provisional diagnosis is deterioration of Chronic Kidney Disease
• Overweight
• Hypercholesterolemia
• Hypertension
• Diabetes (T2DM) – diagnosed age 30.
• Multigravida (2 live births)

Mother – CKD, Gestational Diabetes – now Diabetes Mellit us (T2DM), Obesity, Glaucoma, Depression
Father – Alcohol dependence, Hypertension, Mitral Valve replacement (secondary to RHD)
Sister #1 – Diabetes Mellitus (T2DM), obesity
Sister #2 – Hypertension, CAD,
Brother#1 – Hypertension, Hypercholesterolaemia, CAD

Simvastatin 40 mg (note)
Atac and 32 mg/d
Lant us 20 units/bd

Case Study Report Instructions

Please read the case study carefully, so you have the context for Dora’s health condition and impending admission to hospital.

SG2204 Culture And Health Case Study Report 4 – Australia.

SG2204 Culture And Health Case Study Report 4 - Australia.

• Address each question below in 1,500 words +/- 10%
• USE HEADINGS to make it clear which question you are addressing. Note: headings are NOT
counted in the word count
• Beside each question is a guide to the word limit to help you structure your report. This is a guide only, so you may be under or over the suggested word count, as long as you answer each of the questions sufficiently to meet the rubric criteria and do not exceed the 1,500 word +/- 10%
• Each response must be referenced appropriately with relevant and recent literature and a reference list with at least 10 references must be included with your submission.
• Please make sure that you proof read your work for spelling, grammar and syntax prior to submission
• You must use APA 7th referencing style for this submission.

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