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Care Unlimited Home Health Case Study

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Mr. Mendivil was referred to the STAR CAST on January 1, 2018, by SGPRC due to his noncompliance with treatment and medical appointments. He is diagnosed with type 2 diabetes and is prescribed insulin four times a day. Nursing staff from Care Unlimited Home Health come to the house every day to check his blood sugar, check his blood pressure, and administer insulin as ordered. However, Jesus is reported to often refuse to have blood sugar checked and to have insulin shots. This noncompliant behavior to treatment poses a high risk for complications from poorly controlled diabetes. According to direct care staff, Jesus is seen by 2 nurses from the Care Unlimited Home Health around 4 times a day to check his blood sugar, check vital signs, and administer insulin. He is reported to be more compliant with one nurse and always have issues with the other. When asked why he refused his blood sugar check and treatment, he said the treatment was painful. However, through an interview with Ms. Ebony Allen, the administrative assistant, she states that his noncompliance is due to …show more content…

He loves to ear and would often ignore the staffs’ advice or directions to choose healthy food that is appropriate for a carbohydrate-controlled diet. One incident report took place on the morning of February 4, 2018, when staff from the house offered his breakfast but he insisted on cooking his own food. He cooked tortillas mixed with eggs, prompting the staff to encourage him to make healthier meals and substitute tortillas with nonstarchy vegetables and whole grains, but he declined. Then, staff advised him to eat smaller portions, but he also declined the staffs’ advice. He instead ate a large portion during his breakfast. As a result, his blood sugar was elevated to 593 on the finger stick. Furthermore, the police were called and he was admitted into Pomona Valley Emergency Room that day for

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