S2450C: Health Promotion: Case Study of Mr Ong

In this assignment, you are asked to analyse a case study and apply your knowledge learnt from module S2450C. This assignment aims to test your ability to integrate course concepts into real-world scenarios and demonstrate practical application of health promotion principles. Make sure your answers are personalized, reflecting your understanding of the course material and applying it specifically to the case study.

Case Study:

Mr Ong is a 61-year-old Singaporean man living with the “three highs” — Hypertension (high blood pressure), Diabetes Mellitus (high blood sugar), and Hyperlipidaemia (high cholesterol). These conditions place him at increased risk of cardiovascular disease, stroke, and kidney complications, which can significantly impact his long-term health and quality of life.

Mr Ong has been on long-term medication to manage his blood pressure and cholesterol, yet his readings often remain above target levels. Diagnosed with type 2 diabetes four years ago, he finds it challenging to keep his blood sugar stable due to irregular eating patterns and a lack of regular physical activity.

He works part-time as a delivery assistant and lives with his wife and adult son. Although his family provides emotional support, his modest household income limits access to regular medical reviews, medication adherence, and healthier dietary options. With a secondary school education, Mr Ong occasionally struggles to understand complex health information and relies on informal advice from peers.

Mr Ong frequently eats at hawker centres, drinks beer socially on weekends, and continues to smoke occasionally despite medical advice. As he grows older, the cumulative impact of his conditions and lifestyle habits pose increasing risks to his overall well-being and independence.

1) Explain any THREE social determinants of health from the Social Ecological Model of Health that affect Mr Ong’s health and quality of life. [6 marks]

2) Discuss any FOUR action areas of the Ottawa Charter that can help Mr Ong and his family to live healthier lifestyles. [16 marks]

Age Well SG is a national programme led by the Ministry of Health, Ministry of National Development and Ministry of Transport to support seniors to age well in their homes and their communities. It aims to support our seniors to age actively, stay socially connected, and be cared for within their communities. Read more about the initiative in this link:

https://www.agewellsg.gov.sg/about

3) Discuss THREE health promotion strategies being applied in Age Well SG initiative. [12 marks]

4) Explain and demonstrate how the 8Ps (Product, Price, Place, Promotion, Publics,

Partnership, Policy, and Purse-Strings) are applied within the Age Well SG initiative.

[16 marks]

Your writing should be clear, concise, and well organised with good sentence/paragraph construction. Ideas should flow smoothly from one to another and are linked to one another. Reliable sources of references should be cited to support your statement

Nursing Assignment Answers: Expert Answers on Above Community Health Case Study

Three social determinants of health

At the individual level, the lifestyle choices of Mr Ong such as alcohol consumption, smoking and poor diet have a direct level of impact on his health including hypertension, diabetes and cholesterol control. At the interpersonal level, Mr Ong gets positive support from the family but limited household income has a direct impact on maintaining a positive health behaviour. At the socio-economic level, limited access to healthier food options hinders effective disease management.

Four action areas of the Ottawa charter

The four action areas of the Ottawa charter include building a healthy public policy, creating a supportive environment, strengthening community action and developing personal skills. In the given scenario, the healthy public policy for Mr Ong is one that makes healthy foods affordable, and an environment that provides easy accessibility to health care can help Mr Ong to deal with the health conditions. Community programs can help Mr Ong to engage in group health activities and providing basic education materials to Mr Ong can help him in understanding his medication, diet and diabetes management.

Three Health Promotion Strategies in Age Well SG

The three Health Promotion strategies include health education, community engagement and supportive environment. Health education in the form of workshops and wellness activities can help in maintaining good health conditions, and neighbourhood networks can encourage social connection.

Application of the 8Ps in Age Well SG

The product can be in the form of programs including wellness activities which can be made available at subsidised rates to ensure affordability. In terms of place, such programs should be delivered within communities and adequate promotion through public campaigns via TV and social media should be performed. The target audience includes the families, seniors and healthcare providers and it should be in partnership with community organisations. 

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