The Health Industry Of Malaysia Health And Social Care Essay

The comfortablyness Industry Of Malaysia easilyness And Social C atomic number 18 Essay fleshiness has emerged as a super field in most countries. Countries much(prenominal) as Malaysia has identified this line of earn as one of the burden in wellness cargon system, which it has been united to high mortality and morbidity related infirmity in homosexualy an(prenominal) private and g e real(prenominal)wherenment hospital. Form everyy corpulency is assume as a symbol of wealth, prosperity and health, unless on this day it has been an enormous affright to the future genesiss where most of them died of tortuousnesss due to overeating and not starve to devastation. The prevalence of fleshiness realted disease in this country has leading to a speedy maturation of incident in chronic disease. fit to Health Ministry statistics, core group disease is the third leading slip of endings of long-sufferings in this country. If compared to the selfsame(prenominal) sta tistics in countries that consume developed as Western Europe, the United States and Japan, the leading relieve oneself of death in their country was cardiovascular disease. This clearly indicates that we were moving towards westernization in experiencing the same puzzle face by the developed countries.As we chouse obesity is a problem that de spell lower the flavour of lifespan and the leading comes of many a(prenominal) chronic diseases in later life. Myres (2002) state that obesity is an excess of body blue that frequently results in a substantial impairment of health. Unfortunately this problem should not be the cause of death if they have little whopledge about the disease and raising sentience about obesity. Thus it is not surprising the number of obesity has increase every year because of their ignorance and inadequacy of public lowstanding about the cause of obesity.Working with an surroundings that tends to lead my unhurrieds manufacture into obese has mad e me awake of my responsible to take part in battling this issue in the lead it become into a heavy burden on my health handle system. oer altogether my paper give not just focus on my patient, but alike to the society as well on the consequences of obesity in term of health and economic salute that will thence slide by if in that respect is no immediate action taken. Besides that, I will similarly explore in depth on how this issue can be a complication-related modus vivendi and recommendations for re-appraise our own practices accordingly.BodyObesity is a condition where a person has excessive body saddle due to accumulation of fat in the body. Obesity results when the size or number of fat cells in a persons body increases Myers (2004). Obesity is normally assessed by using Body Mass Index (BMI) and the level of obesity is a global standard of classification of respondents either underweight, ideal weight, arduous and obese. BMI is calculated by dividing a persons w eight in kilograms by altitude (in M ). A BMI of 18.5 to 22.9 consider as normal, 23 to 27.4 as pre-obese and supra 27.5 is to overweight (obese). According to BMI standards, individuals are said to be overweight when BMI is betwixt 25.0-40kg / m (Ismail I S elt. 2004). Generally, from the observations that has been made on my patients founds that not all of them eat more than the amount consumed by their body weight was obese, but what is for sure those who are obese eating more than what is needed by their body and most of them who are obese are more substantive to get the disease-related obesity than those with normal body weight.ListenRead phoneticallyWorld Health Organization estimates that by 2015, roughly 2.3 billion mountain in the world will have more weight and 700 one million million hatful worldwide will suffer obesity (National consumer Campaign 2010). much worsen, this phenomenon will continue growing into an pestiferous and spread to most maturation countrie s. Malaysia is a Southeast Asian country which has the act highest obesity in population. According to National Health Morbidity Survey (2006) found that 29% of Malayan adults were overweight and 14% are obese, which mean 43% of Malaysian adults (or 2 in 5) are overweight. Compared with the 10 years back the tidy sum reported that 17% (or 1 in 5) of Malaysian adults were overweight and another(prenominal) 4% were obese. Through the differences over the 10-year period, the increase of overweight among Malaysians had clearly had jumped into 70% and more surprising obesity has risen to 250%. Thats wherefore it has become a serious concern for the ministry to confronting this issue, which it has lead to many chronic disease including nephritic mishap in Malaysia. In my dialysis center, diabetes mellitus and high tide rip pressure were the main causes of my patients are been diagnosed with kidney disease and most of them also have excessive body weight. Although they have been d iagnosed with diabetes and hypertension disease, many of them are still ignoring the daily diet and proper victuals for them. As a result, mortality of chronic diseases becomes higher in my center.Causes dealings with obesity, what actually cause the problem to occur? To answer these questions, we need to reflection at the factors that can cause obesity. According to health experts, based on the results of the study, obesity can be influenced by various factors. These factors are among contagious factors, gender, excessive eating patterns, lack of sports motion, emotion, and environmental factors. So far there has been no strong evidence and data available linking gender and transmitted is the main contributors to obesity in my center. However through my experience which virtually 10 years shows that obesity is more likely linked with the lifestyle and environment compared to other factors. Many experts believe that this factor does have a significant impact in contributor the cause of obesity in developing countries. Swallen KC, elt (2005) found the results of his research shows that obesity is closely linked with the inflamed quality of life. WHO (2003) also noted that the leading factor are increase consumption of energy-dense intellectual nourishments high in satu graded fats and sugars, and degraded physical activity. Thats why I find that excessive sugar intake in beverages and food will certainly lead to diabetes and if this problem is not treated immediately, patients may require dialysis to survive, because of kidney ill luck.ListenRead phoneticallyAs the populations become urbanization, the increase in the standard of living and modernization in most countries is usually go with by increase in weight gain and obesity. Young people in socio-economic groups are more likely concerned with their career as demanding on hardworking has been a necessity in worldwide. At the same time, dependence on automated technology such as heave facilities or modern transportation has reduce of their physical activity.In childishness obesity is already become a serious concern in Malaysia whereby obesity related complication also on rise among the them. According to Lim Y N elt. (2008) in 2006, the dialysis incident rate for age transmittable factors also play a big role in change to the risk of obesity where it can be inherited from the previous generation to the next generation in a family. Some individuals appear to be born with a genetic predisposition to obesity that is readily nurtured by our nations lifestyle (Thomas A. 2002). The most prominent feature of childhood obesity are other family members also face the similar problems and this usually is caused by a genetic defect called Lawrence Moon syndrome Biedl, syndrome. However, this doesnt mean that if there are families members who are obese and suffer from diabetes or hypertension, the other family members are not needfully will get kidney disease.ImplicationObesity is n ot a trifling issue. Its a health hazard. One of the major problems that will faced by the obesity children are insulin resistance and metabolic syndrome as stated by Kelishadi (2007) metabolic syndrome is also higher among the adult population in Asia. WHO (2002) as well reported that overweight and obesity also lead to unseemly metabolic effect on blood pressure, cholesterol, triglycerides and insulin resistance. Risk of coronary amount of money disease, ischaemic stroke and type 2 diabetes mellitus increase steadily with increasing BMI. This clearly shows that the obesity is one of the primary factors causing of all this chronic disease and associated with increased risk of death.In Malaysia especially in the dialysis center, the epidemic of chronic diseases have been seen to increased rapidly than expected, which almost doubled over the last decade. I find that many of my patients have diabetes and hypertension originally this and up until they had suffering from kidney failu re. According to The Star (2010), there is over 14.9% of Malaysian population aged above 30 are suffer from diabetes and hypertension respectively which has increase from 8.3% in 1996. While 20.7% of adults aged over 18 will be at risk suffering from high cholesterol. Lim Y N elt. (2008) also stated that diabetes mellitus continues to be the commonest cause of renal failure and has been the cause of at least half of new dialysis patients since 2002. Hypertension was the second commonest known cause of renal failure at about 7%. However the main cause of death in renal failure patients is cause by cardiovascular disease which remained the main cause of the death in 2008, accounting for 29%. All of these scenario show that obesity is the commonest complication related to many chronic disease.As mentioned earlier this obese subjects also had a significant impact on the economy which, the government have to bear the increasing budget and long-term financial burden to ready the health p rograms and such medical treatment. According to WHO (2003), Obesity accounts for 2-6% of total health care be in several developed countries some estimates adorn the figure as high as 7%. The true costs are undoubtedly much greater as not all obesity-related conditions are included in the calculations. Cost to be borne by the patient to get dialysis treatment is also very high compared with other diseases as they requiring dialysis treatment for a lifetime. Kasemsup V elt. stated, in government perspective, the average cost for hemodialisis would be approximately 49 USD per session and total costs for admission charge to HD (without erythropoietin injection) would range from 5,140 to 7,160 USD per good example per year. Total costs for PD (without erythropoietin injection) would range from 4,640 to 7,280 USD per case per year. The estimates of costs for HD and PD are similar to costs for RRT in Malaysia. As well asListenRead phoneticallyhealth care today is also considered cost ing a lot of cost where as health care has been made as an economic activity. For unseasoned women, obesity becomes a problem serious enough, because of their desire to be perfect and slim is a ideate for them. As a result, thousands dollars of money spent on diet, medications, and treatments for losing weight. As young men they are also afraid to be fat. For them, the fat man would be experiencing problems severe enough to earn the opposite sex. This of course will require a lot of money to be spent on a diet, buy slimming drugs and sports equipment just to reduce weight. Although they had to bear the burden in the battle against obesity and the disease, with the rapid economic growth and variety of health program make by the government, has given them a intermit quality of life than the past.ListenRead phoneticallyListenRead phonetically policyImplementation of policy is very important in preventing this problem before it become into a catastrophic especially for the younger generation. Working in dialysis department has many advantages and potentials that can be done for patients to strengthen and handle their healthy lifestyle. One of the programs in our policy here is health education, which it has a significant impact on their lifestyle. We always diversify the programs and measure they canonic knowledge about the diseases and complication so they can make the perspicacious decision to make changes in their cultural lifestyles and get help or counselling to deal with the problem of obesity. Greater emphasis on patient care also done through plan, organize, analyze and evaluate patients blood test results to determine the level of sugar and foods intake such as phosphate and potassium. The results of blood test are important to us to know their eating habits and thus the nutritional assessment can be made.The health system launched by the Ministry of Health Malaysia also very brave in implementing total transformation or make changes to the compre hensive strategy speak to to combating the obesity of lifestyle. Promoting and up(a) weight management through programme kempt Lifestyle Campaigns by the government has been running since 1991. However the most significant government policy in health progression today is improving and focusing on the important of excercise, dietary habits and nutritional status under the National pabulum Policy with the collaborations 10-year National Plan of Action for Nutrition from years 2006 to 2015. The government also has outlines the objectives, to plan and implement health promotion programmes and activities for the benefit of the fraternity with a particular focus on youth. To caudex and support sporting, recreational and cultural organizations to promote healthy lifestyles and healthy environments (Malaysian Health Promotion Board Act 2006).RecommendationDealing to address the obesity should be made through the various aspects of approaches. Controlling eating and lack of custom al one to achieve weight loss is not unless the solution. From my past experience of public participation, it was found that the response of my patients and as well as the public to participate and understand the health programs that have been organized is very poor. The structure and guidelines with the goals, objectives and policies in form of a statement is often difficult to understand by them. As a result, their respond is very low in participation and certainly this implementation process will brings into questions on the effectiveness of health programs that can make aware of the community. Therefore, the quick campaign must be improved and intensified to convince them of the splendour of health care. Health programs need to be restructured and reorganized in sanctify to expand to the whole community, especially for the tail group. Health policy should be reviewed immediately in line with the increase of the disease and for a better outcome. To be more effective, I also re commend to my hospital for providing exercise facilities or fitness centres and free medical check up to attract them.Apart from that the Ministry must provide a large amount of use for the purposes of promoting programs such as advertising programme, which its has own way in get people excited about healthy lifestyle. The advertising programs that aim to reduce this burden also should be expanded and made easier for all levels of community to understand the message.ListenRead phoneticallyListenRead phonetically hardly for the advertising of a variety of snack food products should be banned by the Ministry. Concerned about a toxic environment such as urban planning and junk food in schools only the act or the law alone can change the environment into a healthier and safer for the community.However, some of the contributing factors such as fat gene the thing that cannot change but of course they can work even harder to control their way of lifestyle. But what is the most important part of all is the involvement of all parties in addressing this epidemic become more wide.ListenRead phoneticallyConclusionGenerally, this disease has become a huge burden in my work place as well as in my country. With the available data, show that this issue frequently occur in developing country. By knowing the most common cause and incidence of the disease, we can understand how dangerous this scenario to the society. The high prevalence rate of this problem gave a lot of negative implications on health and economy, as the society are suppose to be the economic power and canty generation in the future.However government has reinforced their strategy and target in combating this problem. Meanwhile health policy also should be reviewed immediately to improve for better public health outcomes. If these problems are not prevented from the very beginning can weaken the structure of society and become be a heavy burden on health care system as most young people will suffering many o f the chronic disease. Therefore, obesity must be tackled as soon as possible before more and more Malaysians will experience it.