Jean is a 55-year-old Indigenous woman living in a suburb in Sydney South West L

Jean is a 55-year-old Indigenous woman living in a suburb in Sydney South West Local Health District. She has previously been diagnosed with a chronic condition and recently experienced an exacerbation of symptoms. Jean doesn’t like attending the hospital as she has states that everyone is in a rush that no one really listens to her, she is concerned about the lack of privacy when clinical staff discuss her condition and worries if an appropriate care plan has been made that will support her health on discharge. Jean is taking regular medication although she confides that it is sometimes difficult to remember her medication particularly when she is feeling well.Jean describes her marriage of 36 years as fairly happy she enjoys her children and grandchildren. Jean smokes ten cigarettes a day she knows this is not good however finds it difficult to quit as her husband also smokes. Jean had noticed some weight gain over the years regardless she was embarrassed at her last clinic visit when the nurse had suggested a weight management plan. During the week dinner mainly consists of takeaway with a few fruits and vegetables. She doesn’t drink alcohol, however, has six cans of soft drink a day. On the weekend Jean has the family over as she cooks a traditional meal and they socialise.Case study 2Harry is a 68-year-old man who lives alone in a suburb in the Central Coast Local Health District. His wife of 49 years died five years ago. He has five children, four of whom are married with children and live some distance away from him. Harry has one son who is single and has never married. He lives in the same locality as Harry and visits him at least weekly, during football season they watch the game together. Harry shops at his local Woolworths where he purchases frozen ready to cook meals as he finds that fresh produce spoils in his fridge. Harry takes pride in his rose garden and ensures his lawn is always well manicured.Harry was diagnosed with a chronic condition some time ago. Although he has struggled at times to cope with this condition until recently he has managed to maintain a full and active life. Recently Harry has stopped going to the Bowling Club and attending the Men’s Shed of which he is a foundation member. When asked Harry feels that his health can no longer manage these trips. Harry’s children have developed a belief that Harry has become a hypochondriac over the last four year and attributed this to him being lonely since the passing of his wife.

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