The Complex Care Needs Of A Service User With Type 2 Diabetes Mellitus

3000 WordsMar 15, 201512 Pages
This assignment is a case study which critically examines the complex care needs, of a service user with type 2 diabetes mellitus. The selected key pathological processes involved will be discussed. The nursing assessment and interventions, required to provide holistic person centred care will also be considered, in order to examine the wider context of care management for a patient with complex circumstances. To adhere with the Nursing and Midwifery Council, Code of Conduct (NMC, 2008) all patient details have been changed, to protect their identity from being revealed. 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. The British Institute of Learning Disabilities (BILD, 2015) defines someone with a severe learning disability, as having a reduced ability to understand new information, therefore being unable to cope

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