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

Managing diabetes needs continuum of care to improve the health of the population, reduce per capita costs of care and improve the experience of care. Continuum of care is defined as a care system that guides and tracks the clients through a myriad of health services at all levels, stages and intensity of care (HIMSS.com, 2015). The provisions of Title II-Subtitle E provide new options for long-term services and support. The provision of community first choice allows the lower income diabetes patients to have access to long-term healthcare at an affordable cost (Obamacarefacts.com, 2013). Empowered by HIT, nurses can find community resources, develop patient

To maintain patient confidentiality any identifying features have been removed in keeping with the Nursing and Midwifery Council (NMC) Code of Professional Conduct (NMC, 2008) the patient will be referred to as Mr X.

For the purpose of this assignment the patient will be given the pseudonym Susan to protect her privacy and confidentiality in line with the guidelines set out by the Nursing and Midwifery Council (NMC) (2015).

In this assignment I will discuss the effectiveness of health and social care practitioners and agencies working together to deliver the care pathway for one of the chosen physiological disorders. The disorder I have chosen to evaluate is diabetes type 2 diabetes.

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.

Patrick is an elderly gentleman who is an insulin dependent Diabetic. Patrick has been living on his own since his wife died three years ago. However, he has become rather forgetful and has not been adhering to his diet or taking his medication

In Order to Maintain Confidentiality the client has been provided a pseudonym (Nursing and Midwifery Council 2008). Permission was also granted from this client to use

Initially to maintain confidentiality the patient will be referred to as Mr Brown. Mr Brown has given permission for his nursing notes and details to be referred to through out this assignment. He is also aware that is identity will remain unknown and that a false name was chosen for assignment purposes. This can be identified in the NMC Code in ‘respecting people’s right to

After reflecting on my own nursing practice, I decided to search the literature on the need for better education associated with DMI. Certain ethnic and cultural groups have an increased risk for DMI and educating those at risk is a key component in the management process. If nurses use more individualized teaching processes and meet their patients’ teaching needs, then their patients will feel more comfortable in taking care of themselves at home and in schools. By reviewing the literature on the need for enhanced diabetes

The Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008) states that a person’s right to confidentiality must be respected, therefore pseudonyms will be used to refer to

As a patient, coping with being newly diagnosed with diabetes mellitus, can be very stressful for the patient and family members involved in the patient plan of care. The patient will have to make drastic lifestyle changes in order to be in compliance with the recommended treatment by the members of the health care team. Being a patient, making the necessary lifestyle adjustment will assist with management of the newly diagnosed illness. This essay will discuss a family member who was recently diagnosed with diabetes mellitus type II and has to take insulin. The family member is trying to gain knowledge in order to have a clear understanding of this illness. A questionnaire has been created for the family member regarding being diagnosed with diabetes mellitus. The results from the questionnaire will be discussed and further analyzed. There will be a discussion on how the patient, family and friends are accepting and their impact on the patient being diagnosed with diabetes mellitus. Finally an analysis of the care plan developed for diabetes mellitus will be discussed. The purpose of this essay is to help facilitate the patient and family members involved in the patient plan of care with education and management of diabetes mellitus.

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,

X.X. has been a very easy going resident throughout the course of our encounter with letting me do whatever is needed to give him the care he needs. X.X. came to Bay County Medical Care Facility on January 30, 2013 due to right hip replacement surgery that he never really gained much mobility back in, along with recurring UTI’s from urinary retention. Besides the hip replacement and the UTI’s that he was admitted for he was previously diagnosed with type II diabetes mellitus, sleep apnea, and bipolar disorder. After 2 years of being admitted into Bay County Medical Facility, roughly in July of 2015, was diagnosed with stage II kidney disease, which lead to him developing anemia and hypertension (HTN). According to the American Diabetes Association, diabetes starts to cause damage to the renal system by exerting lots of extra stress on the filters of the kidneys. After many years of stress being put on the kidneys, red blood cells and proteins begin to leak through into the filtration system,

For the purpose of confidentiality and anonymity, I have changed the patients name and throughout of the reflection I will refer to them as Mrs Smith.

In order to adhere to the Health and Care Professions Council (HCPC) standards of conduct, performance and ethics (2008) all personal details of the patients have been altered or not disclosed in order to keep the patient 's identity confidential and safe, but also to keep the identity of the hospital in which the patient was treated confidential.