Mr. R J 24 Hour Diet

Diabetes is a disease that can be devastating to some families, but it is not that bad as it seems. With the correct amount of exercise and moderation, it can be maintained with several different methods. A large part of the United States population has a form of diabetes. Today, there are many treatments that improve the lives of those living with this disease. With the correct understanding, it can be manageable and change the lives of the diabetic and his/her family. Some people may think of this as a bad thing for children to have but with the proper management and exercise, it can be maintained as well as bring a family closer to one another. As a brother of a type 1 diabetic, I know how hard it is to live with it and how to

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.

While it has been briefly touched upon in the previous section that the goal of weight loss should be disease prevention priority #1, it is essential that the patient also work to rein in his diabetes in order to reduce his A1C, reduce any extrapolation that the disease may place on his other conditions, and reduce the chance of diabetic neuropathy, vision issues, slow wound healing, etc. While this health promotion plan may seem

After reading and listening to Red’s story, the first course outcome that, I would choose is CO2 Discuss effective communication techniques with patients, families, and the interprofessional team in the care of older adults. Throughout Red’s story he had mention on several different occasions that he had not been following his doctor’s instructions in regards to his management of his diabetes by not taking his insulin on the day that he was not feeling well and not eating much, and had not taken his antibiotics as prescribed for the sore on his foot, therefore his foot continued to worsen. I would want to discuss with Red and his family the importance of managing his diabetes and by not doing could lead to other medical complication, such as,

B. Cooke is a 16 year old male who has a new diagnosis of diabetes mellitus. Her blood glucose levels so far have been in range. The treatment regimen discussed by her physician and nutritionist is understood by her parents, while she works at understanding. Her blood glucose is checked numerous times a day as instructed and insulin is administered based on the reading. She is attempting to complete care independently. She is in sports and has a daily exercise regimen with the goal of weight loss. One intervention for this patient was to have her attend additional education with a nutritionist and other teens her age allowing the nutritionist to assess “self-care” progress. The outcome for this patient thus-far is positive with the hope of acceptable diabetes maintenance in the future. It is the belief; teens with a new diagnosis will accept education and self-care easier if other people the same age and

Peter is a 47 year old male, with severe learning disabilities who lives in a community setting with other residents. He requires the assistance of his carers to meet his needs. Peter has asthma which is controlled by inhaled medication, he has a history of depression, he has a grade 2 pressure ulcer to his sacral area, and his body mass index (BMI) is 31. He is visited twice daily by the district nurses (DN)who administer Peter’s insulin, because he has been newly diagnosed with type 2 diabetes, following a recent hospital admission. Peter has also experienced complications with his diabetes as following his diagnosis; he has been admitted acutely into hospital twice following a hypoglycaemic episode.

QMHP encouraged Jackie to verbalize any health concerns since the last session. QMHP addressed Jackie’s health crisis. QMHP lectured Jackie about maintaining her health. QMHP lectured about the importance of maintaining a healthy lifestyle. QMHP inquired about Jackie’s medication intake. QMHP prompted Jackie to take her medication daily as prescribed to promote good health. QMHP increased Jackie’s awareness about the effects of not maintaining the proper diet and nutrition guidelines provided by her doctor. QMHP supported Jackie with her doctor’s appointment at Fort Norfolk Primary Care with doctor Gilbert. QMHP encouraged Jackie to verbalize her concerns to her doctor. QMHP helped Jackie to understand her medical diagnosis provided by

Learning objective #2: (Affective) patient will be able to verbalize the benefits of maintaining acceptable blood glucose levels and the importance of taking insulin exactly as prescribed.

[Name] is now 14-1/2 -years-old. He is seen in followup for insulin-dependent diabetes, which was diagnosed exactly 1 year ago, at the age of 13-1/2. He has been followed by me since January of 2007 and I have been in contact about twice a month with his mother [Name], who has faxed blood sugars and I have gone ahead and adjusted his insulin doses and I am very please with how well he is doing. This is an amazing teenage who really seems to take pride in taking care of himself, and is very compliant with his diabetes regimen.

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

Jones is a 64 year old well nourished man with a history of long-standing non-insulin dependent diabetes mellitus (NIDDM). He had an open heart -surgery bypass graft 7 weeks ago. The graft site got infected and had to undergo an emergency surgery to improve circulation to his left lower limb. Mr. Jones is relieved that his leg was saved and he is now being prepared for discharge. He wants to regain his strength so that he can start doing the things he loves. Currently Mr. Jones needs moderate assistance depending on his level of pain or fatigue and ambulates with a walker. Mr. Jones still needs help with activities of daily living. He has urinary and bowel control problems as side effects from multiple antibiotics. Mr. Jones is married and has 4 grown children that provide him with love, care, and support. The nursing staff is teaching Mrs. Jones how to perform sterile wound care for her husband as he will need dressing changes three times a day, blood glucose monitoring and a healthy diet. Social service is helping to keep communication channels open between Mr. Jones, his family and the nursing staff to maintain psychological and emotional health.

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[ ].

Diet is the most important part of diabetes management. Without a proper diet, the amount of drugs and insulin needed to control blood sugar levels may be inadequate. Diet control helps reduce high blood sugar and reduce the risk of complications like heart attacks and high blood pressure. It also helps achieve ideal body weight and reduces the problems associated with obesity.

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,

Several nationwide programs and incentives were administered in the last couple of decades to promote awareness of diabetes and hopefully help prevent millions of Americans from developing diabetes. Health Agencies, such as World Health Organization (WHO) and Center of Disease Control and Prevention (CDC), have developed objectives to tackle diabetes. Some of these objectives include conducting surveillance and obtaining diabetes data to identify trends in the population, spreading awareness about the condition, and developing programs that will enhance diabetes care and ensure the longevity of the patients. Various programs have been developed but while some excel, others fail to benefit the lives of the patient.