Diabetes, a chronic disease, affects all systems within the body. Therefore a thorough, comprehensive exam and patient interview, provides insight for the provider to order required diagnostic testing, assess for comorbidities associated with diabetes, establish diagnosis and develop the plan of care. The aim of this paper will provide step by step recommendations to complete a comprehensive physical exam and patient interview of the diabetic patient.
Often providers may feel overwhelmed in conducting a head to toe physical exam for patients diagnosed with diabetes. Without doubt, the potential for associated comorbidities add to this burden during the physical exam. In consideration for the exam itself, providers may find it useful to focus
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Specifically inquire about exercise for type, frequency and duration and any complaints of physical limitation for exercise. Equally important, perform a visual inspection of the foot and shoes, coupled with an inquiry as to history of neuropathy or its symptoms, and presence or history of foot ulcerations. As a result, this portion of the exam offers an opportunity for education regarding proper foot care and type of shoes suitable for the diabetic patient. Of great concern, neuropathy development is directly linked to glycemic control and presents as the leading cause for disability due to foot ulceration, amputation gait disturbances and fall related injuries in diabetic patients (Juster-Switlyk, & Smith, 2016). ADA 2017 standards require completion of a comprehensive foot examination and inspection, to include palpation of dorsalis pedis and posterior tibial pulses, assessment for the presence/absence of patellar and Achilles reflexes and determination of proprioception, vibration, and monofilament …show more content…
Pointing out the multiple team approach for diabetes care which may include referrals and future testing dependent upon findings. Examples of possible referral and future testing includes: education referral to certified diabetes educator for comprehensive diabetes education, with focus centered on the impact of diabetes and glycemic control upon the development of comorbidities and multiple body systems. Referral may consist of podiatry/orthopedic/neurology/surgical intervention in the event of peripheral neuropathy and associated complications. Most importantly emphasizing the impact of glycemic control as a primary prevention in the development of micro and macro vascular comorbidities which affect the entire body systems and the overall health of the patient. Referral for comprehensive dental exam, dilated eye exam and dietitian for medical nutrition therapy education and mental health as needed (ADA, 2017). Referral for family planning needs with females considering pregnancy who have not met glycemic control should for extensive education and initiation of self-glucose monitoring. Of importance, in the event of pregnancy, oral agents deemed teratogenic must be stopped and replaced with insulin therapy (Childs, Cypress, & Spollet,
Throughout the whole of the United Kingdom, between 2 and 3 of every 100 people have a
Patients are usually given a blood test to show if diabetes is present, the test may be given because of questionable symptoms one has had or from genetic history. If after testing hemoglobin levels in your blood, and diagnosed with diabetes, insulin will then be a part of a patients’ daily routine (Insel, Deecher, & Brewer, 2012).Tests are taken to determine whether or not hyperglycemia or hypoglycemia is present. When this is discovered, the tests become more frequent. A variety of tests are done in order to keep one in good health. If diagnosed in time, and with proper care, many complications can be prevented. JDRF will be supporting
The Characteristics of the diabetes are very distinctive and in some cases they are unnoticed. The Center for Disease Control and Prevention (2014), recommends individuals contact their physician if they
Individuals that have been diagnosed with type 2 diabetes are cared for by a variety of people like podiatrist, district nurses, DSNs, GPs, and practice nurses. Good communication between these professionals and the person with type 2 diabetes can lead to better insight into the individual’s life, therefore helping to plan and provide the best care for that person. This can reduce repetition, improve quality of care for people with diabetes type 2 and
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.
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[ ].
Assessment Purpose: The purpose of the quiz is to assess each student’s knowledge about diabetes. The quiz results will allow the instructor to discern what students already know from previous learning experiences and what voids need to be filled. The constructed response portion of the quiz will provide evidence on what students have already learned. Due to the nature of the quiz, the instructor will be provided with qualitative data about each student’s knowledge. The assessment is formative and low stakes because its sole purpose is to provide immediate feedback to the instructor to further guide instructional time. The pre-assessment quiz was chosen because the course is offered to the public.
For this assignment, I interviewed a thirty-two year old African American male with type-one diabetes. I learned having this particular disease is difficult to manage; nutritious eating, exercise, watching their disorder, taking medication and reducing their risk for problems are usually part of your their day-to-day routine. It seems that all of this is pretty overwhelming and there are two main types of diabetes (type-one and type-two). This particular illness distresses your body’s capability to generate or use insulin. Insulin is a hormone. When your body turns the food you eat into energy, it’s usually referred to as glucose or sugar. If you produce little or no insulin, or are insulin resistant, too much sugar rests in your blood. Blood glucose levels are greater than standard for individuals with diabetes. The cause of diabetes is unknown. Genetics, diet, obesity and lack of exercise may play a role in developing diabetes, specifically in cases of type-two diabetes.
The early diagnosis of neuropathy is crucial to stop progression to advanced stages, and further complications. (Toopchizadeh V., et al.2016) Early intervention can protect diabetic patients from a risk of foot ulcers and amputation, improve the quality of life (Vlckova-Moravcova E, et al 2008.Van Schie CH. 2008, Ismail K, et al 2007) and mitigate the socioeconomic consequences of diabetic foot disease. (Davis WA,et al 2006,Lavery LA,et al 2007,Gordois A,et al 2003 )
Living with diabetes poses many challenges for patients in areas like nutrition, glycemic monitoring and medication adherence. In fact, patients with diabetes
It was the end of my first year of medical school, as I sat beside my grandmother I realized a lot had changed from my last visit. My grandmother, the woman who came to Canada to help raise me, who was once strong and full of energy, was now frail, with blisters all over her skin and unable to sit upright without help. Reading about Diabetes is one aspect of learning, but actually seeing its effects gave me a whole new perspective about what it means to be a doctor.
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,
Diabetes is little or no ability to move glucose out of the blood into the red blood cells. Nearly 16 million people have diabetes in the United States, which narrows it down to about 1 out of every seventeen people. About 2,150 new cases are diagnosed each day. Many of us do not clearly know what diabetes is and the different categories that it is classified in. The first type of diabetes that will be discussed is type 1 diabetes and steps that can be taken to diagnose diabetes. The second type of diabetes that will be talked about will be type 2 diabetes and how it effects patients. The third type of diabetes is gestational diabetes and how exercise can help control diabetes. This paper discusses type 1
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.