Mrs. Jameson : An African American 69 Year Old

In the case study of J.M., there are several barriers the patient is experiencing that affect the way she manages her disease. J.M. has not seen a dietician since her diagnosis and eats large size portions during meals and snacks. She also eats meals that are high in carbohydrates. She is stressed about her husband not working for the past 8 months and is worried about their finances. The lack of money has caused her to not take dance classes, which is something she enjoyed and was a form of stress relief and exercise. J.M values her Hispanic culture very much, and celebrates Mexican holidays, which again includes eating a lot of carbohydrates of tortillas, beans, and rice. J.M. has been receiving misleading information about diabetes from the

I learned many new things at my clinical rotation in Bentaub hospital this fall semester. At Bentaub, I was exposed to a diverse group of individuals from the community. It is very important to emphasize that, although, there were many different types of diseases in the hospital; there is one particular disease that I would like to expand on and that is diabetes. Diabetes was very common in many of the patients that I had the opportunity to interact with and care for. One specific patient that I would like to talk about is a 48-year-old Hispanic male with a history of diabetes who previously was only taking metformin oral medication at home before coming to the hospital’s emergency room. When I first meet him in the unit, he was scared and

In my family, diabetes plagues multiple people. For example, my late great-grandparents. Whenever I visited them, I remember them always pricking their fingers just to check on their glucose levels. Before they slept, they stuck a needle inside their abdominal area. For my great grandmother, the treatment halted the diabetes from taking her, but, unfortunately, my great grandfather was the opposite. He suffered from a massive, diabetic stroke. Despite this tragedy, my understanding of a diabetic person doesn’t stop there. Every day, for the past fourteen years, I have witnessed my father experiencing the horrid effects of diabetes. He wakes up to pain’s vicious voice. He limps around with his legs feeling as if they are on its last string, his back feeling as if someone placed an elephant on it, his hands feeling as if they aren’t

The cause of Mrs Walters not having her blood glucose levels reviewed is alarming as she may become hyperglycaemic resulting in inadequate amount of insulin to glucose thus, developing diabetic ketoacidosis. Stabilization of the fasting blood glucose reduces insulin resistance significantly reducing the risk of complications (Sheehan, 2004). However, inadequate blood glucose control over an extended period of time can result in significant continuing problems, such as complications of numerous organ systems, including the eyes, kidneys and nerves. Therefore, Mrs Walters requires an immediate blood sugar level reading prior to eating.

While in the care home Mrs M required medication for a sleep disorder during the night and through the day required medication for anxiety as Mrs M became very aggressive at times. Mrs M is a long term smoker of 10 cigarettes a day and has been for approximately 50 years along with excess alcohol consumption. Although smoking cessation visit to advise Mrs M on decreasing the number of cigarettes smoked each day or even stopping smoking it was decided by Mrs M that she was not likely nor was she ready to stop smoking. The NICE guidelines advise individuals to stop smoking and reduce their alcohol consumption as this is a risk factor with diabetes (NICE Guidelines 2011). Mrs M’s journey started when, based in the nursing home, the nurses suspected a TIA which lead to the diagnosis of diabetes as the patient had in fact had a hyperglycaemia episode. Urinalysis was done at this time to determine the cause for this episode, this lead Ketonuria, the the finding of keytones and high volumes of glucose found in her urine. Mrs M suffers from obesity and was said to have a fairly unhealthy diet as she liked food containing a high volume of sugar leading to poor dietary intake and the possible diagnosis of type 2 diabetes.

The usual sunny month of October turned cold and somber very quickly. The sun lost its shine. The fire red and orange trees lost their color and turned dull. In the year of 2003 I was diagnosed with diabetes at just three years old. Being diagnosed with diabetes at such a young age proved to be a very bewildering time for me, as I did not understand what was happening, or why my life went from being free and joyous to being restricted and bound.

Picture a little girl going about her life as she always has. Now imagine one day this girl becomes extremely thirsty and she did not feel hungry all day, which is unusual for her. This girl begins to lose her hair, wakes up in the middle of the night to urinate, and loses a significant amount of weight in a short period of time. Sooner than later, the girl and her family start to become concerned about her health and she finally decides to go to the doctor due to these weird symptoms. The doctor runs tests from her blood and finds out that she is a type 1 diabetic. He tells her that she has become dehydrated and he puts an IV in her. She must stay in the hospital until he tells her that she can return home. While in the hospital, she

When developing a care plan for Mr. Brownlee, it was crucial to not only incorporate numerous methods of diabetes and stress management, but also combine the nurse’s knowledge of diabetes management with Mr. Brownlee’s opinions and beliefs in regards to the goals he would like to meet during this health journey. These goals included checking blood glucose levels twice daily, finding more time for physical activity within his daily activities, healthy meal planning, avoiding unhealthy snacking, and implementing coping methods to assist with managing the various stressors in his life. In order to meet these goals, it was decided

She lives in a skilled nursing facility where her blood sugar is checked before meals and at bedtime. She is treated with Novalog Insulin in the morning and evening which keeps her blood sugars at a normal range between 80 and 100, and below 150. They encourage healthy meals and eating, though Mrs. Nowell admits to having family bring in snacks to her liking which are not always on the American Diabetic Association (ADA) food options. The nursing facility also goes to great lengths to ensure meticulous foot care is provided to all diabetics. They inspect their feet when assisting in dressing and showering, as well as, have podiatry perform toenail clipping. Mrs. Nowell does not see her diabetes as a disease, but rather a lifestyle and way of living.

Her cells had developed a condition call insulin resistance and her pancreas was producing insulin. The cells take the blood sugar. It was putting her at risk at having a heart disease, nerve damage, eye issues, and many more other problems that is putting her at risk. To help her cells absorb glucose she will have to need regular insulin injections. She followed the regimen and has kept her alive for 20 more years but insulin is not a cure even with with the regular rejections that she uses. With her condition she faced many more problems. She faces dramatic mood swings, and many more serious complications as glucose levels rise and

For the past few years, tiffany has been struggling with cancer. Chemotherapy was an on and off treatment. She only got treatment when she was able to afford it. Recently, she has won her battle with cancer, but fears it will return. Along with her battle with cancer she suffers from diabetes. Taking insulin shots along with dieting and exercise. With her recent stress she has not been feeling well. Frequent visits to the doctor has consumed a lot of tiffany’s time.

One morning I went to work i was assigned to be Mr. C nurse. Mr. C was admitted in the med-surg/ telemetry unit two days before I was assigned to care for him. He was a 52 year old male with a new diagnosed of type II diabetes. He had history of hypertension and hyperlipidemia. He was admitted for ketoacidosis. As per the emergency room report, his blood glucose was more than 450 mg/dl when he came there. He was placed on intravenous fluid normal saline at 125 ml/hour. He was also placed on long acting and short acting insulin coverage. His blood sugar remained in the400’s mg/dl and, despite medical intervention his blood sugar remained elevated.

As America’s 7th leading cause of death, Diabetes is steadily rising as a consequential result to the contagious sedentary lifestyle involving a very poor diet lacking in nutritional value and an increase in sugar or high fructose corn syrup. Many contributing risk factors are prevalent and attribute to the expanding number of the population who acquire diabetes. Signs and symptoms of Type I and Type II diabetes can be a distinguishing factor of the disease. Hyperglycemia and hypoglycemia can be compared and contrast in many different manners as can the differences of diabetic ketoacidosis (DKA) with hyperglycemic hyperosmolar non-ketotic coma (HHNKA). Thankfully, with medical technological advances, diabetic sufferers have many medications and treatments available to help control the symptoms. Complications may arise with this disease if the patient isn’t compliant in adhering with the nursing care plan given. Being diagnosed with diabetes is the first step into the right direction of a long-term care plan.

“I no longer considered myself a person with diabetes; I was a diabetic…the disease was all that I was.” Those are the words that I chose to describe the vortex that this disease had pulled me into as I relayed my story to a reporter in 2002. Why was I inclined to expose that which I had kept hidden from friends, family and business associates for so long? It was because my reality had changed dramatically due to groundbreaking Canadian research and I now had the energy to help people understand the desperation that diabetes can cast upon a family and offer a glimpse into the freedom that scientific investigation could someday provide to everyone. In 2002 I became one of the initial group of 35 research recipients to take part in human

Handley, J., Pullon, S., & Gifford, H. (2010). Living with type 2 diabetes: 'Putting the person in