Mr. R J 24 Hour Diet

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.

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[ ].

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

[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.

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

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,

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

Mr. M, a 58 year old African American male, is diagnosed with peripheral vascular disease. He has a history of diabetes, hypertension, anxiety, depression, and is deaf. My preceptor and I received report from the night shift nurse about Mr. M. He cannot stand due to how bad his PVD had become and his legs were wrapped with wet to dry dressing because he has open wounds extending from below the knee down to his toes. She told us communicating with the patient was very difficult, stating he has a dry-erase board in his room for communication.

The document encourages good nutrition, physical activity, and a healthy body weight as essential components to decrease ones risk of developing serious health conditions such as diabetes. Its goal is to also educate and inform the public about this serious condition. The document focuses on the fact that this disease is on the rise throughout the U.S. and the world and provides suggestions to help reduce the health and economic burden. “Primary prevention: movement from no diabetes to diabetes, testing and early diagnosis: movement from unrecognized to recognized diabetes, access to care for all persons with diabetes: movement from no diabetes care to access to appropriate diabetes care, and Improved quality of care: movement from inadequate to adequate care” (Healthy People 2020,

Therefore, if you have already developed diabetes, you may wonder whether the lifestyle changes that could have prevented diabetes will gain you anything. The answer is yes: the same lifestyle changes that might have prevented your diabetes can help you to treat it. As important as lifestyle is in causing diabetes, it may be even more important in treating type diabetes, as well as diabetes. Diabetes is unique chronic disease, affected by virtually every aspect of lifestyle, including eating, physical activity, and school, work, and travel schedule. Conversely, all of these activities are affected by diabetes. While many diseases require attention to taking prescribed medications, diabetes demands constant attention and vigilance with regard no timing and content of meals and physical activity, glucose monitoring, administration of numerous medications including insulin, foot care, and a host of other self-care requirements. And diabetes can be a petulant, jealous companion; if you ignore your care, even for a little while, it will make you pay with uncomfortable and potentially dangerous hyperglycemia or hypoglycemia. And if you don't pay attention to the myriad details of care over a long period of time, the penalty can be much more severe with loss of vision, kidney failure, foot ulcers, amputations and heart disease. On the bright side, during the past two decades, clinical trials have shown us that persons with diabetes can live long, productive, and complication-free lives. Studies in diabetes have demonstrated how to achieve near-normal blood-glucose levels. In addition, we have developed effective interventions to lower blood pressure and cholesterol levels in people with diabetes. The consequence of such "tight" glucose, blood pressure, and cholesterol control is improved long term health. Blood-sugar levels maintained in the near normal range over

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.

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,