Self-Management of COVID-19 at home: A case study of a patient with Diabetes and the community health policy on vulnerable groups

Introduction: The global COVID-19 pandemic has posed significant challenges to healthcare systems worldwide. Vulnerable populations, such as individuals with underlying health conditions, are particularly at risk. This study focuses on the self-management of COVID-19 at home among patients with diabetes, a high-risk group, and its alignment with community health policies aimed at protecting vulnerable populations. Aim: The aim of this case study was to explore the experiences of a patient with diabetes who self-managed COVID-19 symptoms at home and to analyze the extent to which community health policies address the needs of vulnerable groups in the context of the pandemic. Method: A qualitative case study design was employed to gain in-depth insights into the self-management journey of a patient with diabetes who contracted COVID-19. Semi-structured interviews were conducted with the patient, using a policy review approach. Thematic analysis was utilized to identify key themes in the patient's experience and policy documents. Results: The findings revealed that the patient faced unique challenges in managing both diabetes and COVID-19 symptoms at home. While the patient demonstrated resourcefulness and adaptability, several barriers emerged, including limited access to healthcare resources and the absence of specific guidelines for vulnerable groups. The analysis of community health policies highlighted the need for more targeted interventions to support vulnerable populations during the pandemic. Conclusions: Self-management of COVID-19 among individuals with diabetes requires tailored support and guidance. Existing community health policies should be updated to address the specific needs of vulnerable groups, ensuring equitable access to resources and information. This case study underscores the importance of a comprehensive and inclusive approach to pandemic response and highlights opportunities to enhance the resilience of healthcare systems in the face of similar challenges in the future.