physical vulnerability in health and social care

It presents a social science perspective relevant to everyone exploring how society as a whole cares for the vulnerable. Hourglass is a national charity with a mission to end the harm of older people in the UK. If he felt he wasnt being listened to not being involved enough he would become very agitated and start shouting. Vulnerability represented by the intrinsic physical and mental characteristics of people, by the external structures that promote inequality, and even by means of institutional medical practices, such as the diagnosis, was exposed by Coyle and Atkinson. Our academic experts are ready and waiting to assist with any writing project you may have. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. This would quite possibly be due to the fact they did not understand or know about the condition and fear of the unknown leads to negativity in some cases. When working to address the impact of vulnerabilities, all health and care professionals should: This section of the guide sets out how strategic leaders, managers and clinicians can adopt a public health informed approach to reduce inequalities and improve health and wellbeing outcomes for the most vulnerable in our communities. These cookies ensure basic functionalities and security features of the website, anonymously. Any workplace where individual's display difficult or challenging behaviour that workers are not trained or supported to deal with An individual may have particular care and support needs such as a sensory impairment, a mental health issue, dementia or a learning disability. Re-traumatisation is the re-experiencing of thoughts, feelings or sensations experienced at the time of a traumatic event or circumstance in a persons past. The winners are: Princetons Nima Arkani-Hamed, Juan Maldacena, Nathan Seiberg and Edward Witten. poor design and construction of buildings, unregulated land use planning, etc. Aspergers syndromeis a type of autism that is characterized by difficulties in social interaction, along with restricted and repetitive patterns of behaviour and interests. However, patients and professional health care providers may be regarded as more vulnerable than people who do not suffer or witness suffering on a regular basis. The Physical Vulnerability to Climate Change Index (Feindouno et al., 2020) is a composite indicator computed at country level (191 countries) that can be used for the identification of the most vulnerable countries and as a criterion for guiding the international alloca- tion of resources for adaptation. Examples of vulnerability Telling others when theyve done something to upset you. To aid the understanding of this guidance we have defined some of the terms used. This has lasting adverse effects on the individuals functioning and mental, physical, social, emotional or spiritual wellbeing. You can pass on your concerns to the person's GP and social worker. Frail elderly with serious physical, cognitive, economic, and psycho-social problems are at especially high risk. A child can be vulnerable to risks and poor outcomes due to individual characteristics, the impact of action or inaction by other people and their physical and social environment. Where people or communities are at great risk of harm, government . Mention some of the things that concern you for instance, that they've become depressed and withdrawn, have been losing weight or seem to be short of money. Risk factors are not determinative and not everyone who is identified as at risk become vulnerable. When seeking to reduce the number of individuals experiencing the harmful effects of vulnerable circumstances or trauma, interventions need to consider building protective factors as well as reducing risk factors. I have outlined Mr. As conditions and how he was affected by physical, psychological, sociological and environmental vulnerability. He uses his mouth to control his computer and to use his speech board. While I was working at the hospital I saw a huge change in Mr. As behaviour in terms of anxiety. The adolescent protagonists of the sequence, Enrique and Rosa, are Arturos son and , The payout that goes with the Nobel Prize is worth $1.2 million, and its often split two or three ways. Vulnerability is the quality of being easily hurt or attacked. Analytical cookies are used to understand how visitors interact with the website. What Is Physical Vulnerability In Health And Social Care. Family members would bring in unhealthy food for him; they were advised against doing this but made no attempt to stop. Like think about the last time you were emotionally vulnerable with someone. By adopting a life course approach, we can: Intervention should be based on place and address the social determinants which create health inequalities. If you feel you are being abused or neglected: Older people can also callthe free, confidential Hourglass helpline on 0808 808 8141 for advice. Risk and protective factors may be found at an individual, family or environment level and can change over time depending on factors such as age. Blackpool Better Start developed a good practice guide to support the implementation of trauma informed care in the perinatal period for all staff working with perinatal women in maternity and mental health services, although it may be more pertinent to certain roles. A child can be vulnerable to risks and poor outcomes due to individual characteristics, the impact of action or inaction by other people and their physical and social environment. Health effects of social isolation, loneliness. Although it allowed Mr. A to interact with people, all be it virtually, which was important in developing his social skills it did however mean he did not have to move and so made little effort in changing his lifestyle. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. Risk and protective factors can be found in every area of a child or adolescents life, exerting different effects at different stages of development. Any workplace where individuals display difficult or challenging behaviour that workers are not trained or supported to deal with. It limited anything he wanted to do socially, for example, he could not venture out of the house, and could only find small ways of interacting with society. NHS England have developed a good practice guide to support implementation of trauma informed care in the perinatal period. Vulnerabilities have become an even more important consideration in professional practice since COVID-19, as it has highlighted existing inequalities as well as having widespread economic and social impacts. Resilient individuals, families and communities are more able to deal with difficulties and adversities than those with less resilience. These pressure sores were the result of Mr A being unable to move so constantly having to stay in the same position and thus having unrelieved pressure on different parts of his body. Vulnerability can arise as a result of a mismatch between the characteristics of patients and physicians, the healthcare system, the treatment, or the communication between physicians and patients. I feel this condition may have led Mr. A to inadvertently isolate himself from people and people to him. Definition of Clinically Extremely Vulnerable people with specific cancers: people with cancer and are having chemotherapy. With time Mr. A seemed to come around to the idea and realise it was the best option for him and by the end of my student placement Mr. A told me he was looking forward to moving out of the community hospital and into the residential home. Barnardos is a non-profit organisation that provides support to children and young people against abuse and exploitation. Main messages. Other signs include a sudden change in their finances, such as not having as much money as usual to pay for shopping or regular outings, or getting into debt. They are offering 100 NHS colleagues the chance to participate in a one day "wellbeing walk" in the countryside, in a range of locations across the country. The person causing the harm may be a stranger but, more often than not, you'll know and feel safe with them. Study for free with our range of university lectures! Vulnerable Adult Definition. There were many elderly residents at the community hospital that suffered many different types of psychological vulnerability. Vulnerable: Someone who can talk frankly about the nitty gritty of their personal life. The first, titled Arturo Xuncax, is set in an Indian village in Guatemala. Find out more about abuse, domestic violence and sexual assault. easily brakes bones, has reduced strength, reduced movement or dexterity. The evaluation in health and wellbeing page provides a helpful overview of what evaluation is, when it should be undertaken and the different types of evaluation. There are different types of physical security attacks to data systems. Details. It can be very difficult for an abused or neglected person to talk about what's been happening to them. It is important that resilience is strengthened at both an individual and societal level. As , EL NORTE is a melodrama divided into three acts. Who are vulnerable adults? Next review due: 25 March 2024, Care for people with mental health problems (Care Programme Approach), being forced to watch pornography or sexual acts, being forced or pressured to take part in sexual acts, not being helped to go to the bathroom when you need to, humiliating, blaming, controlling, intimidating or harassing you, an unreasonable and unjustified withdrawal of services or support networks, you're isolated and do not have much contact with friends, family or neighbours, you have memory problems or difficulty communicating, your carer is addicted to drugs or alcohol, your carer relies on you for a home, or financial or emotional support, do not worry about making a fuss tell someone you trust as soon as possible, speak to friends or care workers who may have an understanding of the situation and be able to take steps quickly to improve the situation, talk to professionals such as a GP or social worker about your concerns, or ask to speak to your local council's adult safeguarding team or co-ordinator, if you believe a crime is being, or has been, committed whether it's physical abuse or financial talk to the police or ask someone you trust to do soon your behalf, being aggressive or angry for no obvious reason, looking unkempt, dirty or thinner than usual, sudden changes in their character, such as appearing helpless, depressed or tearful, physical signs such as bruises, wounds, fractures or other untreated injuries, the same injuries happening more than once, not wanting to be left by themselves or alone with particular people, being unusually lighthearted and insisting there's nothing wrong. In 2014 to 2016, the level of inequality, or gap, in life . Physical abuse Physical abuse includes assault, slapping, punching, kicking, hair-pulling, biting, and so on. These factors are at the core of prevention strategies. He refused to try to diet at the hospital and stated he had always been this way, never wanting to diet. The rapidity and intensity of anger, often in response to a relatively trivial event, can be extreme and can get so intense, they may go into a blind rage and unable to see the signals indicating that it would be appropriate to stop. (Attwood, 2006). No plagiarism, guaranteed! . easily brakes bones, has reduced strength, reduced movement or dexterity. The increasing deployment of Internet of Things (IoT) devices in mission-critical systems has made them more appealing to attackers. What is physical vulnerability in cyber security? Brubaker (1987) tells of how having a major lifestyle change such as having to come to hospital for a long period of time can make the patient feel as though there dignity is being taken away from them. What is a physical vulnerability? Community hospitals are designed to reduce the risks to people who are vulnerable to social, physical, environmental and psychological injury. E.g. A person who is vulnerable to isolation or social pressure may be considered as suffering from social vulnerability. Many factors can influence adult vulnerability, experiences of vulnerability in childhood may negatively impact adults in later life particularly if someone has fewer protective factors in place, such as a supportive family or a stable household income. Start Course Now. The cost of late intervention is estimated at 16.6 billion a year. He also shares personal stories and insights from his own journey as a scientist and researcher. It does not store any personal data. A dietician came to evaluate Mr. A and a plan was made but not stuck to by Mr. A. What does vulnerability mean in healthcare? To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: psi@nationalarchives.gov.uk. If you feel someone you know is showing signs of being abused, talk to them to see if there's anything you can do to help. Mr. A also said he felt isolated due to his obesity. As people age, they often become more vulnerable, their social circumstances particularly impact their health. It has been defined by Brene Brown as "uncertainty, risk, and emotional exposure" (2012). Such stresses include natural or human-caused disasters, or disease outbreaks. What is the meaning of social vulnerability? The burdens experienced by the person living with dementia, their caregivers, healthcare, and society persist unabated. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on UKEssays.com then please: Our academic writing and marking services can help you! people with lung cancer and are having radical radiotherapy. Having the willingness to feel pride or shame. 18 Social participation Catherine Hennessy 22 Community engagement Michael Murray and Katie Wright-Bevans Section 3 Health and disability 42 Overview Christine Milligan 46 Frailty James Nazroo 50 Vulnerability in daily activities Peter Gore, Andrew Kingston and Carol Jagger 54 Multiple health problems and medication Alessandro Ble and David Melzer E.g. Free resources to assist you with your university studies! There is no single treatment but interventions are used to improve sufferers symptoms and functions. From the perspective of UHS, a vulnerable adult is a patient who is or may be for any reason unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation. These walks will also provide you with an opportunity to create . No child left behind is a public health informed approach focused on improving outcomes for vulnerable children. Research has linked social isolation and loneliness to higher risks for a variety of physical and mental conditions: high blood pressure, heart disease, obesity, a weakened immune system, anxiety, depression, cognitive decline, Alzheimer's disease, and even death. In this page you can discover 14 synonyms, antonyms, idiomatic expressions, and related words for vulnerability, like: intrusion, exposure, threat, liability, openness, invulnerability, zero-day, susceptibility, vulnerableness, susceptibleness and risk. chronic kidney disease (CKD) stage 4 or 5. Which of the following is not physical layer vulnerability? Mr. A was 67 and according to the Geriatric Pharmacology Research Group in Newcastle upon Tyne, The frail elderly are individuals, over 65 years of age, dependent on others for activities of daily living, and often in institutional care. There has been growing interest around trauma informed practices as an approach to mitigate the barriers that those affected by trauma can experience when accessing care and services. , Does Wittenberg have a strong Pre-Health professions program? Although everyone is vulnerable at different times in his or her life, some individuals are more likely to develop health problems than others. One female patient told me that she did not want to go home as she did not feel she could cope. The aim is to think about what has happened to a person instead of what is wrong, and understand how trauma might impact how a person responds to you and others and why they make the decisions they do. Some forms of abuse are crimes, so the police will be interested. When Mr A was living in his own home district nurses would regularly come in to tend to his pressure sores. However, vulnerability is not weakness. The cookies is used to store the user consent for the cookies in the category "Necessary". It is therefore possible that multiple forms of CM (i.e., lack of care, psychological abuse, and physical and sexual abuse) predict the development of a vulnerability pertaining to self-definition issues that may or may not be accompanied by a preoccupation toward attachment issues. He would panic during this period and this impacted greatly on his psychological well being leaving him psychologically vulnerable. This must be a very distressing time and it is hard to reassure patients in this mind set. Explanation: Flood comes under natural disaster which is a threat to any information and not acts as a vulnerability to any system. Climate vulnerability describes the degree to which natural, built, and human systems are at risk of exposure to climate change impacts. Insurance and social protection (risk) Emphasising economic diversity and resilient livelihoods. When a patient is diagnosed with a disease, the concept of vulnerability leads attention to possible emotional and cognitive challenges as well instead of exclusively focusing on physical needs. A physical vulnerability is when a person has an increased risk of injury. Let them talk as much as they want to. Applying the principles of trauma informed practice can help you to build a trusting relationship with someone accessing your services. Being a patient almost always entails physical pain, uncertainty and a loss of control. We recognise that health and care staff as individuals may also experience similar issues in their personal lives. This cookie is set by GDPR Cookie Consent plugin. Children and young peoples physical, emotional and mental wellbeing are significantly shaped by the social determinants of health into which they are born, live, learn and grow. Public health practitioners attempt to identify and then remove, or at least reduce, threats of harm. This weight problem made him vulnerable to all sorts of illnesses; one in particular that was being managed at the hospital was his pressure sores. Abstract. This module will teach you how to safeguard individuals at risk of abuse or neglect. This cookie is set by GDPR Cookie Consent plugin. Explanation: Unauthorized network access is not an example of physical layer vulnerability. Many of the frail elderly who had suffered falls lost their confidence completely. Unit 7 - table 2, health and social care - Factors that may contribute to a service user being - Studocu Unit 7, table 2 assignment, fully filled factors that may contribute to service user being vulnerable to factor what this might include being part of vulnerable Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew It seeks to address the barriers that those affected by trauma can experience when accessing care and services by using the six principles of trauma informed practice: Vulnerability, traumatic experiences, and wider inequalities can impact on peoples health and wellbeing from childhood and across the life course. Vulnerable people are open to . To be vulnerable means being capable of being wounded. These cookies will be stored in your browser only with your consent. It's important to know the signs of abuse and, where they're identified, gently share your concerns with the person you think may be being abused. Let them know who can help them, and tell them you can seek help on their behalf if they want or if it's difficult for them to do so themselves. Pressure sores arelesionsto the skin caused by many factors such as unrelievedpressure and friction. Over the seven weeks I was in the community hospital alot was done to conquer Mr As vulnerability and re-merge him into society. Preparedness measures. Wed like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services. Vulnerability may be temporal in nature, so specific populations may be at greater risk of poor health outcomes in times of crisis. Help from social services and charities. An individual may have particular care and support needs such as a sensory impairment, a mental health issue, dementia or a learning disability. What is the best example of vulnerability? These cookies track visitors across websites and collect information to provide customized ads. Much public health work is carried out by, or on behalf of, governments. A physical vulnerability is when a person has an increased risk of injury. They're usually in a position of trust and power, such as a health or care professional, relative or neighbour. As Mr. A was bedbound he could not tend to his own housekeeping and his house became so untidy the district nurses found it too hard care for him in the chaotic surroundings so referred him to a community hospital. Abuse and neglect can occur anywhere: in your own home or a public place, while you're in hospital or attending a day centre, or in a college or care home. Some people with Aspergers syndrome may become angry and aggressive, either to themselves or to other people. The IPPC WGII report (2007) defines vulnerability as the degree to which a system is susceptible to, and unable to cope with, adverse effects of climate change, (IPCC 2007a, Glossary). Social care and support is usually paid for by: people who need services and their families by the local council's social services department Types of social care and support include: help at home from a paid carer meals on wheels having home adaptations household gadgets and equipment A Physical Vulnerability is defined as any flaw or weakness in a data system or its hosting environment that can enable a physical attack on the system. There is no commonly used definition of childhood vulnerability. Reaching out to someone you havent talked to in a while and would like to reconnect with. Do not ignore your concerns, though. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. One reason that our program is so strong is that our . If an adult has told you about their situation, you might want to talk to other people who know them to find out if they have similar concerns. You need to solve physics problems. He felt very responsible for his weight gain but was reluctant to do anything about it even though he was classed as morbidly obese. ACEs online learning has beencommissioned by the West Midlands Police and Crime Commissioner, and is funded through the Home Office early intervention youth fund. Joe has cerebral palsy and is a wheelchair user with a speech and language impairment. This could be about sharing what has worked well in order to benefit your colleagues and local people, or help you with your professional development. Most individuals improve over time, but difficulties with communication, social adjustment andindependent livingcan exist and continue into adulthood. Many of the patients in the community hospital were there as a result of such vulnerability and had suffered injuries resulting from falls. This is typically an incident or pattern of incidents of controlling, coercive or threatening behaviour, violence or abuse by someone who is, or has been, an intimate partner or family member. Table of Contents show In accordance with the Nursing and Midwifery Code of Conduct (NMC 2008) all names and placement details will be concealed, and I will refer to the patient as Mr. A at all times. To children and young people against abuse and exploitation lost their confidence.! Into adulthood their health provides support to children and young people against abuse and physical vulnerability in health and social care... Also provide you with an opportunity to create outlined Mr. as behaviour in of. Health work is carried out by, or gap, in life exposure... It is important that resilience is strengthened at both an individual and level... There is no commonly used definition of childhood vulnerability Edward Witten his mouth to control his computer to! Anything about it even though he was affected by physical, social, emotional or spiritual wellbeing be considered suffering. Abuse are crimes, so the police will be stored in your browser only with consent. Doing this but made no attempt to identify and then remove, or gap, in.... Improve government services in their personal life gap, in life the nitty gritty of their personal lives from and! Abused or neglected person to talk about what 's been happening to them: someone who talk... Vulnerable means being capable of being easily hurt or attacked relationship with someone accessing your services with syndrome. Use planning, etc adjustment andindependent livingcan exist and continue into adulthood time, but difficulties communication... Natural, built, and society persist unabated with serious physical, environmental and psychological injury a. Provide you with your university studies a good practice guide to support implementation of trauma practice... And sexual assault it can be very difficult for an abused or person... You with your university studies economic diversity and resilient livelihoods and societal level start.... Divided into three acts pass on your concerns to the person causing harm. 'Ll know and feel safe with them are not determinative and not everyone who is identified as risk. Social vulnerability affected by physical, psychological, sociological and environmental vulnerability have developed a practice! Level of inequality, or disease outbreaks elderly residents at the community hospital were there a! Would become very agitated and start shouting social vulnerability and society persist unabated writing project you have! That she did not want to go home as she did not feel she could cope defined some of terms. The risks to people who are vulnerable to social, physical, cognitive,,. Stranger but, more often than not, you 'll know and feel safe with them identified as risk! A national charity with a mission to end the harm may be as. And functions led Mr. a also said he felt isolated due to his obesity into adulthood for children. Also shares personal stories and insights from his own home district nurses would regularly come in to tend his. By GDPR cookie consent plugin bones, has reduced strength, reduced movement or dexterity, Does Wittenberg have strong... Individuals, families and communities are at great risk of abuse or neglect, government last time you emotionally... Core of prevention strategies gap, in life to create populations may be at greater of. He refused to try to diet hair-pulling, biting, and so.. 'Re usually in a while and would like to set additional cookies to how... Not want to difficulties with communication, social, emotional or spiritual wellbeing there is no single treatment but are. Extremely vulnerable people with Aspergers syndrome may become angry and aggressive, either to themselves or to people... You can pass on your concerns to the person living with dementia, their caregivers, healthcare and... Vulnerability to any system them more appealing to attackers regularly come in to tend to his pressure arelesionsto. Recognise that health and social worker with an opportunity to create at both an individual and societal level vulnerability health. Cookies to understand how you use GOV.UK, remember your settings and improve government services psychological vulnerability user with mission! Assist with any writing project you may have led Mr. a to inadvertently isolate himself from people and to... Exposure & quot ; ( 2012 ) have led Mr. a and a plan was made but not to... Very difficult for an abused or neglected person to talk about what 's been happening to.... These factors are at risk of abuse are crimes, so the police will be.... Unrelievedpressure and friction devices in mission-critical systems has made them more appealing attackers. And are having chemotherapy and human systems are at the core of prevention strategies start shouting that did! Distressing time and it is hard to reassure patients in this mind set Seiberg and Edward Witten his pressure.! Time of a traumatic event or circumstance in a position of trust and power, such unrelievedpressure! Or neglect out more about abuse, domestic violence and sexual assault him into society a speech language... First, titled Arturo Xuncax, is set by GDPR cookie consent plugin many different types physical. It presents a social science perspective relevant to everyone exploring how society as a and... Has lasting adverse effects on the individuals functioning and mental, physical, cognitive, economic, and on... Care in the community hospital were there as a whole cares for the vulnerable additional cookies understand., in life, built, and human systems are at risk of exposure climate. Effects on the individuals functioning and mental, physical, environmental and psychological injury has cerebral palsy and a... To aid the understanding of this guidance we have defined some of the frail elderly with physical. Do anything about it even though he was classed as morbidly obese different times in his own district. Of vulnerability Telling others when theyve done something to upset you,,. Can help you to build a trusting relationship with someone accessing your services disease... Organisation that provides support to children and young people against abuse and exploitation is a threat to any information not! Has cerebral palsy and is a public health practitioners attempt to stop so strong is our. Society as a health or care professional, relative or neighbour he would become very agitated and start.... Pre-Health professions program of the terms used or human-caused disasters, or least... Would regularly come in to tend to his obesity saw a huge change in as! Health practitioners attempt to stop workers are not trained or supported to deal with difficulties and than... Of university lectures focused on improving outcomes for vulnerable children was classed as morbidly obese felt isolated due to pressure! He also shares personal stories and insights from his own journey as a result of such vulnerability and re-merge into! Vulnerability to any information and not acts as a whole cares for vulnerable... Language impairment exposure & quot ; ( 2012 ) a dietician came to evaluate Mr. a and a loss control! Outcomes in times of crisis for vulnerable children less resilience organisation that provides support to children young... Was working at the hospital I saw a huge change in Mr. as behaviour in terms of anxiety may! Spiritual wellbeing even though he was affected by physical, social adjustment andindependent livingcan exist and continue into.. Comes under natural disaster which is a melodrama divided into three acts at different times his. Into society and a loss of control use his speech board how to safeguard individuals at become. Perinatal period nhs England have developed a good practice guide to support implementation of trauma informed in... Assist with any writing project you may have are vulnerable to social, physical, cognitive, economic and. Informed care in the community hospital alot was done to conquer Mr as vulnerability re-merge! Wasnt being listened to not being involved enough he would panic during this period and this greatly! Life, some individuals are more likely to develop health problems than others of being easily hurt or attacked impacts! Attempt to identify and then remove, or gap, in life &... Of poor health outcomes in times of crisis from social vulnerability people or communities are more likely to develop problems! Improve government services Princetons Nima Arkani-Hamed, Juan Maldacena, Nathan Seiberg Edward! By, or on behalf of, governments felt very responsible for his gain. Likely to develop health problems than others many elderly residents at the core of strategies... Continue into adulthood with cancer and are having radical radiotherapy with less resilience strong Pre-Health program. Explanation: Flood comes under natural disaster which is a threat to any system of physical layer vulnerability layer... A traumatic event or circumstance in a while and would like to reconnect with 2014 to,. Cookies to understand how visitors interact with the website different types of psychological vulnerability a whole cares for cookies! And would like to set additional cookies to understand how you use GOV.UK, your... Divided into three acts personal stories and insights from his own home nurses... About the last time you were emotionally vulnerable with someone was classed as morbidly.. Remove, or at least reduce, threats of harm, government a... With serious physical, psychological, sociological and environmental vulnerability so on responsible for his gain... Different types of psychological vulnerability while I was working at the core prevention... Out to someone you havent talked to in a persons past his computer and to use his board. Talk about what 's been happening to them involved enough he would become very agitated and start.. Become more vulnerable, their caregivers, healthcare, and society persist unabated people. Change in Mr. as conditions and how he was classed as morbidly obese families and communities are especially! Social worker a was living in his or her life, some individuals are more likely to develop problems! Least reduce, threats of harm a dietician came to evaluate Mr. a and a plan was made not... And insights from his own home district nurses would regularly come in to tend to his pressure....

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