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Mr. R J 24 Hour Diet

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Mr. R J is a 70 year old male Mexican American with a history of type 2 diabetes and hypertension who came to the emergency room with a left lower extremities blanching erythema, mild swelling and warmth from dorsum of his foot to lateral calf. He is 5’5’’ tall, and his body mass index (BMI) is 36.6. After he had been admitted to the Medical/Surgical Unit, I walked into his room and introduced myself to him that I would be his student nurse for the shift, and I would like to talk about his current medical problem, diabetes. During my interviewed about Mr. R J 24 hour diet. He discussed that he did not have any environmental factors that stop him from walking, but he chose not to walk. He preferred to do grocery shopping with his car. He…show more content…
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 about 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 and have 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 amount 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 work and do any activity besides going to his job. I brought some articles about how eating healthy, taking his medication, and how regular exercise has shown to prevent, and slow down the progressive process on type two diabetes. I suggested to him to start to work around his neighborhood, and later he could find a support group of friends can walk together with. Mr. Lewis states that “the goals of diabetes management are to reduce symptoms, promote well-being,
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