Type 1 Diabetes Case Study

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.

On Tuesday July 7, 2015, at approximately 3:01 PM, Kiana Beekman, (MFCU Investigator) (Beekman) received a call on the state office telephone from HILL, Lucy (Service Facilitator of Lucy Hill Services (LHS). During the conversation, Beekman asked HILL to clarify her role and responsibilities as a service facilitator, in addition to the role and responsibilities of HARRIS, LaFrance as the Employer of Records (EOR) for Medicaid Recipient DANIEL, Rose and MCGHEE, Inocencia as DANIEL’s aide. She was also asked to provide any documentation of training on timesheet submission and approvals that she provided HARRIS and MCGHEE under the Department of Medicaid Services (DMAS) Consumer-Directed care aide program.

I arrived on time in full nursing uniform. I practiced HIPPA when I interviewed SB and his mother by providing privacy in the conference room. Moreover, when I reviewed the immunization records of SB and other children, I followed HIPPA regulations after reviewing their medical records by logging out the computer when I am done reviewing the medical records.

You were asked about a subsequent screening report made to the agency on June 4, 2017, which were assigned to you during the open assessment. There was no documentation in OR-Kids regarding diligent efforts regarding contact with the family until after DHS intervention, and no documentation in OR-Kids of how you addressed the additional screening report in your open assessment.

Pa stated that she don’t trust her family anymore because her grandchildren are crazy and no good. SC redirected Pa numerous times, but it was difficult for Pa to stay focused. Pa reported some anxiety and agreed to follow up with her physician regarding this (Pa stop taking Zoloft because she didn’t feel taking it anymore). Pa confirmed that she is received her services as specified in the ISP in the following type, scope, amount, frequency and duration: PAS Agency Model aide care for 2 hours on Monday, Tuesday, Wednesday, Thursday, and Saturday from 9am-11am and 3 hours on Sunday from 9:30am-12:30pm. Agency aide will supervise and assist with Pa with bathing ADL and IADLs of meal preparation, shopping, light housework and weekly errands. Pa receives an emergency response system which she uses as needed for emergencies. Pa receives 7 frozen Home delivered meals weekly from PCA which she heats in the microwave for

CM met with Thomas, Kevin/ Open Arms Case Manager and Amy/ ESP Staff to conduct Thomas's discharge, case management services and ID Waiver Intake. Thomas appeared tired as his eyes closed and head lowered for some of the Intake. He complained early during the meeting that he didn't want to answer a lot of questions, however with some verbal encouragement he went on with his responses. Thomas talked much about his medication and seemed at times to get his current medications confused with his old medications. Due to a history of overdosing and taking medications that weren't prescribed to him; his roommate makes sure Thomas is taking the correct medications. He has been living at current address for 2 months and Kevin feels the houses is in

Breathe in, breathe out. My lungs rattle as I gasp for air in the humid afternoon. The sun beats down on my forehead as sweat drips onto the blistering tar. My jersey sticks to my skin as I clench my fists. Breathe in, breathe out. My legs flood with lactic acid, but I march ahead. Coach’s voice interrupts the pounding of my feet, urging me to fight on. I feel a sudden burst of adrenaline rush through my body and I drive my legs up the hill. Breathe in, breathe out. Midway, my vision begins to blur. Numbness diffuses across my arms until I’m left paralyzed. I realize my blood glucose is dangerously low but I still push forward. My body stiffens and I collapse onto the dehydrated grass beneath me. I stare up at the sky and see the sun begin

CPSW did supervised visit for Mr. Stark on October 14th, October 18th, and October 27th. Ms. Mauer attended each supervised visit with her child Kaison and she has been very interactive and affectionate with her child Kasion. Currently, Ms. Mauer has been offered supervised visits by the FITS twice a week for two hours. FITS worker reported that Ms. Mauer is engaged and interactive with her child. Ms. Mauer had supervised visit with Kaison on November 1th, November 3th, November 8th, November 10th, and November 15th and all visit went well. The worker reported that Ms. Mauer participated each session and has not missed any supervised visits.

When I arrived DH was up taking her medication. Staff informed me she had not eaten. I informed DH that she has a doctors appointment at the Springs at 7:15 and we would be leaving at 7 AM. DH took her medication and went back to sleep. I woke DH up at 7 AM to get her ready for her doctor's appointment. DH and I arrived at the Springs at 7:15 AM. DH had her ultrasound at 7:30 AM until 8:30 AM. After the ultrasound, DH asked if she could go and buy a long john doughnut. I redirected DH to healthier breakfast options such as eggs. DH purchased and order her own long john doughnuts at The Rolling Pin, along with a chocolate milk. DH ate her doughnuts and chocolate milk and went back to bed. DH has been well behaved and was polite to the ultrasound

Type I Diabetes, (T1D) is an autoimmune attack on insulin-producing (beta) cells and glucagon-producing cells, both located in the pancreas. Insulin is a vital hormone secreted from the pancreas that regulates the amount of glucose allowed in the bloodstream. Without insulin, cells are not signaled to soak up the glucose available for energy causing sugar to concentrate in the blood. Closely related to insulin is another vital hormone called glucagon. Glucagon is responsible for the liver-released storage of glucose molecules when sugar levels are too low for efficiency in the bloodstream. Persons diagnosed with T1D are susceptible to symptoms and complications for their entire lifetime.

Sarah and her husband attended the intake but, did not complete the second part of the intake. They do not want their children to receive any immunization. Our program requires that all children receive immunization. I spoke with the family regarding our program policy Charles was trying to find away to change the policy so that we could accommodate his family. I let him know that it was part of our programs rules that all children must receive their immunization and, that we respect his wish not to immunize his children. He started to complete the application for property management. When I returned him and his wife had left without meeting with property management.

Question 1: Are college students who are diagnosed with type 1 diabetes mellitus during freshman and sophomore years more likely to have difficulties coping than individuals diagnosed prior to college attendance?

E-Report stated the following: Koltyn’s parents were supposed to bring him to the pediatrician’s office for a follow up appointment due to failure to thrive. His parents missed the appointment. He was admitted to the hospital for almost 2 weeks prior to this and had weight gain in the hospital. They went home and are back in the hospital for the same reason and respiratory distress. They failed to follow up after discharge from the hospital and he still has no vaccines. This has been an issue with the parents repeatedly. Yesterday, I reported this to Alabama because the only address we had was an Alabama address. Alabama DHR came to the hospital immediately. I received a call from the worker, Ariel Brown stating she knows

From a global perspective, promoting nutrition education at all levels, from public schools to medical schools, and enhancing nutrition awareness at the consumer level is a future possibility. Industry should not focus on of satisfying consumer expectations for taste, quality, and price but instead focus on developing healthier products by partnering with science-based communities and the government. To help fight the battle against diabetes, the food industry must team up with the government, academia, and the medical community to help inform consumers, strengthen nutrition education, and develop healthier product choices. Giving consumers the best nutrition information and the best nutritional food options may empower them to make lifestyle changes that will help overcome energy imbalance and, in the long term, may help curb our struggle with type II diabetes.

A power point presentation was first provided to the medical staff that takes care of the labor and delivery department’s induction scheduling. After that, they were given a handout and educated on how to log-in and access prenatal records from the Greenway Intergy EHR program. After they were educated on the material they were then each asked to give a demonstration on logging in and accessing a test patient’s prenatal record. I then asked them to provide me with any information that they may find helpful pertaining to this project. The staff expressed enthusiasm toward this project and how the Greenway program was easily accessed and navigated. The staff voiced how they found this program to be beneficial and didn’t see any changes that needed to take place. It was then up to the manager of the unit to ensure that each staff member’s computer was provided with the EHR program. As I visited with and observed the involved staff throughout the week, I observed them first hand utilizing what had been taught to them during my proposal. I checked with the staff on the unit making sure that all the computers had all been provided access to this program and if not I would follow up on it for them. As the new inductions of labor have been scheduled, it was clear that the education provided had already started being implemented reflecting the induction scheduling procedure. Since the proposal, each time that an induction has been scheduled on