Mr. R J Is A 70-Year-Old Mexican American Male With A History

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

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

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.

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.

In order to gain insight on the most frequently seen healthcare problem, I chose to interview a registered nurse from Georgia Regents Medical Center, Mrs. Denead Buoy RN, MSN. I chose this medical provider because she has had experience in her field for 17 years. During the interview, I gained valuable information about a disease that she stated she sees commonly in her in patient unit. The disease she noted was diabetes mellitus. During the interview she gave me information about the disease in terms of its causes, its frequency, and the reason she decided to identity these disease.

In order to gain insight on the most frequently seen healthcare problem, I chose to interview a registered nurse from Georgia Regents Medical Center, Mrs. Denead Buoy RN, MSN. I chose this medical provider because she has had experience in her field for seventeen years. During the interview, I gained valuable information about a disease that she mentioned she sees commonly in her in-patient unit. The disease she noted was diabetes mellitus. During the interview, she gave me information about the disease in terms of its causes, its frequency, and the reason she decided to identity this disease.

When my mother was BLANK years old she was diagnosed with Diabetes. Insert more about the emotionally scarring backstory to how she found out about her diagnosis. About five years ago my father was diagnosed with Type 2 Diabetes. My dad has to watch what he eats, he has also been cutting back on his portions of food, to hopefully get his pancreas back into regular habits after he losses weight. A few years ago my mother’s brothers were both diagnosed with Type 2 Diabetes. Her older brother, Kelly, was recently diagnosed, and their younger brother, Tom, was diagnosed a couple years after my dad was. After my uncles found out they both went to my parents to ask how to handle it better, and as far as I know they have been watching how much glucose they consume, which has greatly reduced the levels of insulin produced by their bodies. From what I remember my grandparents on my father’s side were diagnosed just a few months before my dad was. When my grandpa was still living at home with my grandma, my grandma was always so careful to make sure my grandpa did not eat too much glucose, as well as making sure she did not either. My uncles, father, and grandparents have been trying to reduce their insulin creation, which is somewhat of a “cure” to Type

My paternal grandmother, Lucille, has many chronic conditions, yet we decided to focus on her diabetes for the majority of questions concerning her health and wellness. When asked, Lucille could not remember when she was first diagnosed with diabetes, but does remember when she “switched from taking pills to taking insulin.” She began taking insulin the spring of 2009 after her doctor decided it was time to switch. She has had two incidences where her blood sugar was so low that she could not even call out for help. Both times were in the night and thankfully at that time her husband (my grandfather) found her and was able to get the necessary help. After these incidences, she switched to taking her insulin in the morning instead of before bed.

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

1. Client does not like western medicine; she prefers homeopathic remedies to medications and exhibits distrust of some medications. She takes her insulin daily because she thinks it does not harm her body because her body makes it. However she believes that even with the severity of her pain

Assessing the importance of the behavior changes in the patients diagnosed with diabetes was an objective met during the patients interaction. During clinical hours the patients were evaluating for the readiness in behavior changes by identifying the stage the patients were at the time of the visit. Agenda setting was an approach chosen to help a diabetic patient to identify behaviors to change (physical exercise or diet) and set a realistic goal to achieve. BATHE technique helped to identify a new problem during the interview like losing weight in a patient with diabetes. PLISSIT model implemented for helping a transgender individual help to express sexual problems and providing integrated care.

Some of the health conditions that he has been suffering from include type 2 diabetes mellitus, retinopathy, peripheral vascular disease and coronary artery disease. One of the team that will be selected for the study is the nursing team. The nursing team is concerned with Mr. Ames’ welfare. Mr. Ames has recently been admitted to the care facility with a non-healing foot ulcer. This condition was caused by Mr. Ames driving 800 miles to attend his sister’s funeral.

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,

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.