Case Analysis : ' Illegitimate Case

Diabetes has become an epidemic in today’s society. Diabetes affects almost every system in the body, and with an estimated 346 million people in the world with diabetes, healthcare has been heavily affected by the disease (Ramasamy, Shrivastava, P., & Shrivastava, S., 2013). One of the biggest issues for healthcare workers when it comes to diabetes, is that it is such a complicated disease. With so many different systems being affected, medical professionals have had to learn how the disease process works, what causes diabetes to work through the systems, and the best treatments to address all these issues. Through much research, the healthcare system has grown very knowledgeable on diabetes. One important aspect of treating diabetes has been in the introduction of diabetic education. In the past, nurses and dieticians had been responsible for educating patients on diabetes, but now that role is also extended to other people in the healthcare team, including the patient (Tomky, 2013). In fact, patients taking an active role in the education process, including learning to self-care has now become a priority in diabetes treatment. The following paper will discuss diabetic education, the importance of self-care and how this affects a patient’s compliance.

Diabetes is a chronic illness that requires continuous medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications[ ].

Diabetes substantially limits the life function of eating, and it also negatively impacts the life function of learning. Support to manage diabetes and a schedule to check blood sugar levels during non-instructional times of the day or the opportunity to make up any work missed during blood sugar checks are accommodations that would be in this student’s 504 plan. The 504 plan might also require all staff to be trained to recognize and handle any complications related to diabetes to ensure the child’s

Over this last week, I have received a patient named Sherman “Red” Yoder. He is an 80-year-old male farmer, who lives alone in the farmhouse that he had grown up in. Red was married for 50 years and has been a widow now for 10 years. Red has one son, Jon, who takes care of the farmhouse and the land. He has one daughter-in-law, Judy, who is in involved with his care. Red was diagnosed with diabetes six months ago. Diabetes mellitus is a chronic condition that affects your body 's ability to use the energy found in food. As of only a few weeks ago, Red has been managing his diabetes with insulin. Insulin is a hormone that controls blood sugar. Before he began using insulin, he managed his diabetes with oral medication. After carefully assessing Red’s chronic illness, diabetes, many red flags were presented that could interfere with his management. In turn, this would cause further complications.

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

There are proposals to enlighten people with diabetes and healthcare providers realize the benefits of nutritional intervention. The strategies to attain such goals, and changes individuals with diabetes. Achieving nutrition-related goals requires a team effort that is in sync with people who have diabetes and also involve them in the decision making process. By engaging with team members who play a key role in providing care for a healthy diet. Usually for people who have diabetes their therapeutic nutrien is determined or have been recommended by doctors to helps improving their health. This practice can be done with several different approaches for creating a diabetic diet that able to maintain the level of glucose in the blood within normal

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.

The purpose of this discussion will be to review Hannah’s case and to go over what course of action will be best for her. In review, Hannah is a 10-year-old girl who has recently been diagnosed with Type 1 Diabetes Mellitus. She is a 4th grade student at Hendricks Elementary School. Prior to her diagnosis, Hannah was very involved in sports and played on the girls’ volleyball team. Her mom is concerned with how this diagnosis is going to affect Hannah’s life. This paper will explain the diagnostic testing that is performed on a usual basis to formally diagnose the disease. We will also be looking at some of the Complementary and Alternative treatments that may be beneficial to Hannah. A plan will be looked at to find what treatment is most appropriate for her. Once the prognosis is also discussed we can go over any potential barriers that may exist for Hannah.

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,

For teenagers learning how to manage their diabetes can be tough. When at the same time sports, pressure in school and their peers seem more important to them than managing their health. Understanding Erickson Psychosocial stages of development during assessment along with the child’s physical limitations and financial needs of the family allows the Case Manager to prioritize identified problems and take the best course of action. After educating the family the one piece of additional data would be to have them stay involved with their son’s care. Making sure to repeat the importance of monitoring his blood sugars daily and hold him responsible by setting phone reminders and alarms as a reminder. Afterwards require him to write it down

For the mock trial I was assigned to be one of the prosecuting attorneys. After being presented with case materials which included facts of the case, statements from both prosecuting and defense witnesses, penal code for the alleged charges, and map of the crime scene, we as a group decided to create one Google Drive document. There we would upload our parts of the case and help other group members with their assignments.

Diabetes is a disease that affects many people all over the world. In America it affects approximately 26 million people. According to the Juvenile Diabetes Research Foundation (JDRF) approximately fifteen percent of people living with diabetes are children (2014). It is on the rise, especially in young children (Ruder, 2011). Diabetes in children can have a severe impact not only on their health, but in their ability to participate in other activities, like school. R. Scroggs believes that when a child has diabetes they are at great risk of complications from the disease and there is a significant impact on their instruction time as well as the instruction time of their classmates (personal communication, October 30, 2014). It should be noted that the disease is manageable through diet, exercise and medication (Ruder, 2011).

Tanya is a 21-year-old African American female who was referred by Southern Psychiatric Unit after she called 911 as a result of beings annoyed with her family and co-workers. She complained that her employer puts her in places to do paperwork and not giving her 70 hours a week. They were cutting her hours from 10 to 6 a day. She reported that she was feeling suicidal when she called 911. Prior to calling 911, Tanya reported that her baby father Derrick is in her brain singing and rapping all of the time. She reported that Derrick works at Taco Bell. She reports that she had to have sex with Derrick in order to quiet down his voice; however, if she has sex with others, the voices would get louder.

Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of