Guest Lecture (Wendy) Oct 10th Flashcards
Language always has meaning
Informed by our culture and social environments
Beyond a tool for exchanging information
Influenced by context – Who, what. where, when, why, and how
Methodology for analyzing language in policy
- what is the problem represented to be in a specific policy?
- Where are the silences? What is not being talked about?
- What is the effect of this representation of the ‘problem’?
Diabetes means
to siphon
mellitus means
sweet
Diabetes is from
300 BC
Type 1 diabetes
vs Gestational
vs Type 2 diabetes
What is type 2 diabetes?
Most common type of diabetes
Impacts 462 million people around the world
Contributor to other underlying illnesses
Causes are diverse including behavioural
Two clinical tests at different intervals indicating chronic hyperglycaemia
OGTT
FPG
A1c (most common
Terms associated with type 2 diabetes
Preventable
Stigmatizing
Inherited
Asymptomatic
Silent
Epidemic
Non communicable
Remission
Reversal
Study Purpose
Explore how we come to know, think about, and address risk
What does patient centred mean
- For the good of the patient
- Thought to be the way care works from a family physician perspective
Patient centred practice for diabetes
- Diagnosing pre diabetes
- Contextualizing symptoms
- Time contingent (providers don’t have time to ask what you could do for physical activity)
- Cannot make assumptions about patient knowledge
- It can be about weight
- Age as a balancing act ( providers are more likely to effect change for younger patients than older ones)
Addressing risk for type two diabetes from patients (pre diabetes)
Reaching and resisting pre-diabetes (Trying to make healthy life choices) It’s difficult to make healthy lifestyle choices in or world today
Navigating and using pre-diabetes to not eat certain foods but then be treated like they have type two diabetes.
Co-existing discourses (Those with kids, those with Parkinson’s will care more about those things than tending to their risk)
What could be through family history
Attending to pre diabetes
A critical policy analysis of risk for type 2 diabetes in federal policy in Canada
Framework for diabetes in Canada was released in October 2022
Purpose “ provide a common policy direction to address diabetes in Canada
Informed by stakeholders
Data Collection
Explored how solutions proposed represent the problem risk for T2D
Kind of a backwards approach
A policy framing of risk for type 2 diabetes (representation of risk for T2D
- Make people aware of their risk (prevention is severely under funded) We need supports for pre diabetic people
- Absence of primary care (primary care were not consulted for policy making at the federal level) They consulted provinces and territories but they did not endorse
- Individual has to change (It’s always placed on the individual: The individual has to exercise more, the individual needs to eat less and better)
“Can” risk
Screening for type 2 diabetes risk
What can we do
- Can policy change systems so it’s not all on the individual. We need funding on primary care workers.
- Built environment: make walking easier, make healthy food cheaper.
- Implement policies which address risk for chronic disease (eg. We could have sugary beverage tax)
Take home notes for briefing note
Ensure you know context
- Be concise and specific (Don’t try to solve it all)
- Focus on understanding what the problem is
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