Case Analysis : ' Illegitimate Case

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

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.

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

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.

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[ ].

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

My interest in this topic is a result of recent experiences with Diabetes Mellitus, Type 1 (DMI), especially with the following two instances: a young adult patient admitted at the hospital following a DKA episode during one of my nursing rotations and one of my instructors with type 1 diabetes. Also, my father was diagnosed with type 2 diabetes, this has increased my eagerness to study and explore more about the disease.

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

Morag Sommerville is almost 10 years old and suffers from Type 1 diabetes. She lives with her mother, who assumes the role of managing Morag’s diabetes, and 7-year-old brother, John. Mrs Sommerville disbelieves in her daughter’s abilities to manage her diabetes, despite Morag proving capable of doing so at a diabetes camp. Her mother is more protective and restrictive towards Morag than John, who is not subjected to the same strict rules. Morag became increasingly frustrated by this treatment and lashed out by engaging unhealthy behaviours while at school, making her diabetic control erratic. Therefore, the present care plan will focus on helping Mrs Sommerville be more supportive of her daughter and her ability to self-manage. Morag should be encouraged to self-manage and be advised that she can lead a relatively normal life with careful management. Similarly, her social environment and the relationships within them, particularly regarding school and John, should be more encouraging towards

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,

The patient, CB, presents with signs and symptoms of diabetes mellitus type II. McCance and Huether describe the "well known risk factors" to include age, obesity, and physical inactivity (2014), all of which the patient currently exhibits. The patient has a history of high blood glucose as well high cholesterol, neither of which were further evaluated. Not only does CB present with a fasting glucose of 141 and cholesterol of 225, but CB discusses her "weight problem". CB falls into the category of obesity based on a body mass index of 35.7. In addition, CB also has reported an increase in urine production and frequency; vaginal discharge; and blurred vision at times. These manifestations are consistent with diabetes type II (McCance &

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

The fraud was carefully carried out over several years by individuals at several organizational layers, including the president, CFO, COO, vice president of marketing, director of accounting, controller, and a host of others.

With the assertion that glycemic control is a primary concern in diabetes management every provider should consider Imogene King's Theory of Goal Attainment as a base in patient-client interaction. As a name of that theory indicates, this approach emphasizes the way for a patient to achieve the target through interactions of a personal, interpersonal and social system. Therefore, let me define each system first starting with a personal system which revolves around the concept of perception, self, growth, development, body image, space and time. Furthermore, this system explains how the individual absorbs and processes information necessary to understand self and others ( Shanta & Connelly, 2017). On the other hand, the interpersonal system "concentrates on interaction, communication, transaction, role and stress" (Shanta & Connelly, 2017, p. 175) reflecting patient-client exchange through verbal and non-verbal communication. Thus, the last interacting system is the social one involving a group of people who share common goals, interests, and values bound by concepts of organization, authority, power, status, decision making, control. Subsequently, theorist King established The Goal Attainment Theory based on elements derived from a personal and interpersonal system where the essence lies in a patient-client relationship through which the goals are set and achieved ("Goal Attainment Theory," n.d.). Moreover, this theory underscores the fact that while nurse helps the patient

Analysis of the Case Law "There is no prescribed constitutional relationship between the courts and the executive, but the judges assert their inherent power, derived from the rule of law, to review executive actions" The question starts off by giving us an element of the separation of powers when it says that there is no prescribed constitutional relationship between the courts and the executives. The concept of separation of powers propounded by Montesquieu, the French political philosopher, has three main criteria: