A Patient Named Sherman ' Red ' Yoder

Diabetes has recently become a focal point of health care systems around the world due to its high prevalence and the severity of secondary complications caused by the disease. Over the course of my project on diabetes, I have had the opportunity to speak with a group of diabetics to understand from a patient’s perspective how diabetes is managed in a rural community. While I found that while some patients ignored treatment and refused to make any dietary changes, the majority of the patients I interviewed were well-informed and actively managing diabetes in their everyday life.

I know that you are trying to help, but I need you to know that my life is much more complicated than the aspects that I let you see. Diabetes can be a very degenerative disease. Insulin helps us survive, but it doesn’t cure us. If we don’t live the textbook (nearly impossible, saintly) life of a diabetic, the consequences can be devastating. One-third of our lives could be cut-off. We can lose circulation in our feet and hands. Our organs can slowly corrode, and blindness is an imminent dread for 1 in 10 diabetics who don’t keep their blood-sugar under constant control.

In regards to my concerns as a nurse for Red are his nutrition status which he is not eating a healthy meal, but instead he is living on packaged/processed food that are high in sodium, fat, and sugars and are not recommended for diabetic patients. Facilities for meal preparation and eating, transportation to grocery stores, physical limitations, reduced income,

This essay will inform readers about the best practices, published guidelines, and clinical pathways for management of diabetes. Diabetes is a serious issue that affects millions of people. Unrecognized pre diabetes is also a growing concern that is increasing dramatically. Diabetes is not diagnosed for most homeless people, because they do not do have a yearly physical check-up. Published guidelines are useful to patients and practitioners because they focus on the improvement of care. Clinical pathways are also important, because they focus on the outcome and assessment of their achievement.

He told me that he was diagnosed with type 2 diabetes in December 2010. Since his doctor prescribed rapid acting insulin for his diabetes, I asked him if it is acceptable to talk about his medical condition in front of his family. He gave me consent to talk about his medical problems in front of his wife and children. I suggested to him the need to take his insulin shot right before eating a meal. I informed him about the insulin medications that he was taking which was lispro. It has an onset of 10 to 30 minutes, peak time of 30 to 3 hours and a duration of 3 to 5 hours. Furthermore, I emphasized the need for him to eat a balanced diet, and the importance of exercise. I encouraged him to eat small amounts of carbohydrates during 30 minutes of exercise to prevent hypoglycemia. I also taught him that the signs and symptoms of hypoglycemia are tachycardia, irritation, excessive hunger, restless, diaphoretic and depression. He told me that he did not like to walk and do any activity besides going to his job. I brought some articles about how eating healthy, taking his medication, and regular exercise has shown to prevent, slow down the progressive process on type 2 diabetes. I suggested to him to start walking around his neighborhood, and later he could find a support group of friends can walk together with. For instance, Lewis, Sharon, Margaret Heitkemper, and Linda Bucher. "Medical-Surgical Nursing: Assessment and Management of Clinical

Mrs. J. is an African American 69years old retired teacher who was diagnosed with advanced type2 diabetes one year ago. She has been responding well to the interventions, including medications, dietary measures, and physical exercises, until recently. She was admitted into the emergency with muscle weakness, vomiting, fatigue, headache, and confusion. Physical examination revealed that her skin was dry and had lost its turgor, while an osmolality blood test revealed an elevated level of sodium in her blood. She confirmed that in the past week, she had breached the diet as was indicated by a dietician, and had been consuming less water. She further confirmed that she felt unfulfilled due to the disease, and the recognition that she was getting older ‘made’ her seek fulfillment by ‘living her life’. Mrs. J. saw diabetes as a limitation to the full enjoyment of her last days on earth, and said she has left it all to God.

Mrs. Jameson is an African American 69-year-old retired teacher who was diagnosed with advanced type 2 diabetes one year ago. She has been responding well to the interventions, including medications, dietary measures, and physical exercise, until recently. She was admitted into the emergency room with muscle weakness, vomiting, fatigue, headache, and confusion. Physical examination revealed that her skin was dry and had lost its turgor, while an osmolality blood test revealed an elevated level of sodium in her blood. She confirmed that in the past week, she had breached the diet as was indicated by a dietician, and had been consuming less water. She further confirmed that she felt unfulfilled due to the disease, and the recognition that she was getting older ‘made’ her seek fulfillment by ‘living her life’. Mrs. Jameson saw diabetes as a limitation to the full enjoyment of her last days on earth, and said she has left it all to God.

The charity that we researched was The Alberta Diabetes Foundation. We chose this agency because it affects both of us. I know four people who have had or have diabetes. My dad had type two diabetes, my partner's mom has type 1, so does my sister’s friend and my friend. My dad has managed to lose enough weight through exercise and dieting to get rid of his diabetes. My dad has lost over one hundred lbs and hasn’t had pop in over two and a half years. My sister’s friend has had type 1 diabetes for a long time and has many struggles with her diabetes like fainting. My friend has managed to still do the things she loves with her diabetes. Riley’s mom has type 1 diabetes and I know it has affected them a lot. Our charity helps many

R was initially diagnosed with Type two diabetes. Her doctor prescribed medication for Type two diabetic patients and provided pain pills to relieve her knee pain. The doctor recommended she improve her diet. She saw a diet program from TV (she didn’t provide a name) that was said to help individuals reverse Type two diabetes. The diet was quite restrictive, limiting intake to eggs, meat, fish, and vegetables. Fruit was heavily prohibited early in the trial. Only after two weeks can you relax the restriction and open up to more food options. Her one-month duration didn’t improve her problems – her condition continued to worsen, so she immediately halted the diet program in fear that the program further exacerbated her health

This is a diabetes case study of Mr. Charles D., a 45-year old male who is experiencing classic symptoms of hyperglycaemia. Recently divorced and living alone in a new home, Charles has complained of recent weight loss, excessive thirst, and frequent urination. He is a busy CEO for a major technological company. This case study for Charles will educate him as to what are the causes of diabetes: explain the presenting signs and symptoms emphasize the psycho-social impact to his amended life, and instruct him in the economic impact that he and millions share.

An age related condition that has affected one of my family members is Diabetes. My grandmother, has been suffering from Type-2 Diabetes since she was 48 years old. She was first diagnosed in 1991 when she went for a thorough check up to our family doctor, after having symptoms like dizziness, blurred visions, change in appetite for a few weeks. My grandmother, as told by my father, used to be a very active, cheerful and food loving person, but after been affected by Diabetes, she started getting fatigued, remained stressed and had to make a lot of effort to control her diet but some time later, she got used to the ways in which she could keep it well maintained. According to my grandmother, Diabetes is a condition where you have to be your own doctor and treat yourself very well.

The main concern that JB as well as this author identified as needing to be addressed to ensure JB’s health and well being for her and her children was the prevention of diabetes mellitus. JB’s genogram revealed that she had numerous family members on her mother’s side that suffered from the consequences of developing type 2 diabetes mellitus. Her maternal grandmother and four out of five of her grandmother’s children, including JB’s mother, acquired type 2 diabetes mellitus.

Diabetes is associated with wide range of complications such as chronic renal failure, blindness, amputations, heart disease, high blood pressure, stroke, and neuropathy (Alotabi, A., et al., 2016). There is no known cure for diabetes, but the disease can be controlled through health management that includes multiple perspectives of care such as medications, blood glucose monitoring, diet, nutrition, screening for long-term complications and regular physical activity (Alotabi, A., et al., 2016). Managing diabetes may be complicated and requires the knowledge and skills of both healthcare providers and the clients. Studies have shown that to prevent or delay diabetic complications due to diabetes, counseling and other lifestyle interventions are the effective therapy. Even with many policies set up for diabetes, 8.1 million Americans are undiagnosed with diabetes mellitus, and approximately 86 million Americans ages 20 and older have blood glucose levels that considerably increase their risk of developing Diabetes Mellitus in the next several years (CDC, 2015). For diabetes care to be successful there needs to be a good understanding of the disease and management by both patients and healthcare providers,

On November 15, 2017, I attended a professional meeting called “Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.” The sponsors for this meeting were SNDA and CVD. The speaker who presented at the meeting was Gary Scheiner Ms, CDE. He is an author of the book “Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.” The general objective for this meeting helped people gain more knowledge about diabetes, and learned more from author personal experiences with type I diabetes. After I attended this meeting, I become more knowledgeable about diabetes. I have a chance to learn more about diabetes nutrition, different type of medications, and many tools that are available for diabetes patients to keep track on the blood glucose.

Diabetes is a major problem in our society today. Many people have heard about the disease; however, they do not know too much about its complications. Diabetes is a chronic, progressive and lifelong condition that affects the body’s ability to use the energy found in food (WebMD, 2016). Many new cases are confirmed every year and unfortunately, many go undiagnosed for years. Diabetes is a serious disease and need to be taking seriously. The disease can lead to many other health problems such as blindness, nerve damage and kidney diseases. The more the community understand and made aware of the seriousness of the disease, the better it can be control and or prevented.