Coping With Diabetes 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.
Identified Person Mrs T.R., a family member was just recently diagnosed with diabetes mellitus type II and she is required to take insulin. She is a thirty-five year old black female, married and has a four year
The communities that are hit most by Type-II diabetes are the low-income urban areas. The fact is that living in poverty can double or even triple the likelihood of developing the disease. Living conditions are linked to social determinants of health. For example the strain of being short on money, living in inadequate housing, and not having enough money to get the pre screenings required for treating the condition. Being born into a low-income family may mean worse health later in life. Simply put, the recommended fresh fruits and vegetables simply aren’t available to the low income. Forcing them to choose between paying rent and eating a healthful diet just doesn’t work.
In edition to acute complications of short term elevations of glucose, long term elevations of blood glucose lead to severe complications; microvascular damage resulting in heart attacks, strokes and gangrene, microvascular damage resulting in kidney damage and blindness due to retinopathy (peyrot 1999). For this reason the main goal of diabetes treatment is to maintain blood glucose as close to normal as possible. Medication is the theme of treating disease based on the biomedical outlook that disease is biological. Unfortunately, the biomedical model of medicine fails to take into consideration the social and psychological factors that play a role in the treatment of this illness. The biomedical approach fails to consider the psychologic and behavioral process involved in stress and coping with glucose control, as well as the interaction between biological and psychosocial factors and how this affects patient coherence with treatment. Studies have established that many people diagnosed with diabetes have difficulty in adapting to biomedical therapy; in order to improve health outcomes it is important to address the psychological and physical stresses of diabetes with specific adaptive and coping strategies (awah).
He told me that he was diagnosed with type 2 diabetes in December 2010. Since his doctor prescribed rapid acting insulin for his diabetes, I asked him if it is acceptable to talk about his medical condition in front of his family. He gave me consent to talk about his medical problems in front of his wife and children. I suggested to him the need to take his insulin shot right before eating a meal. I informed him about the insulin medications that he was taking which was lispro. It has an onset of 10 to 30 minutes, peak time of 30 to 3 hours and a duration of 3 to 5 hours. Furthermore, I emphasized the need for him to eat a balanced diet, and the importance of exercise. I encouraged him to eat small amounts of carbohydrates during 30 minutes of exercise to prevent hypoglycemia. I also taught him that the signs and symptoms of hypoglycemia are tachycardia, irritation, excessive hunger, restless, diaphoretic and depression. He told me that he did not like to walk and do any activity besides going to his job. I brought some articles about how eating healthy, taking his medication, and regular exercise has shown to prevent, slow down the progressive process on type 2 diabetes. I suggested to him to start walking around his neighborhood, and later he could find a support group of friends can walk together with. For instance, Lewis, Sharon, Margaret Heitkemper, and Linda Bucher. "Medical-Surgical Nursing: Assessment and Management of Clinical
Dominique presented on Population Health Management and Standardized Care in Type 2 Diabetes. The meeting was held November 1st at 3:00-4:00pm in the Corporate Auditorium at Centura Health Corporate Building. The concentration of her presentation was based on Figure 2 and Figure 2 maps. Figure 1 represents the increase shade of blue proportional to the increase of percentage being told they had diabetes (Centers for Disease Control and Prevention,
Your written answers to the questions below are to be available to be sighted by your lecturer (not submitted to the School Office) at the start of the tutorial session. To be recorded as attending the tutorial requires that the lecturer deems that the worksheet has been satisfactorily attempted.
It also shows that not having someone to help these patients manage their diabetes as an obstacle to good diabetes management. This study created a plan and this plan was able to be tested to show its effectiveness in 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.
Diabetes is a killer disease. By the time, you will get your body is thinner and each design you have to get the insulin injection and it is very pain. Stop to kill yourself because the doctors will not give you this secret. This is the Diabetes destroyer program. You will regret everything you had done before because it takes a lot of money, but not with this program. You need to explore more about this program. By this program, you do not get the trusted treatment, but you also will get the guideline of habit. You can change your dietary habit, and you will get the guideline of the snacks and meal for you.
This essay will discuss the nurse’s role in giving holistic care to patients and their family members and also promoting a healthy life style. It will give a brief description of the pathophysiology of type 2 diabetes and its impact on individual and their family across their lifespan. In addition the determinate factors that plays a major role, with increasing the risk of an individual to become type 2 diabetics will be addressed. A conclusion will follow summarizing with aids, especially form the governing body for nurses which advocates their role, contribution and the professional responsibilities to individual’s with type 2 diabetes and their family members/careers according to (NMC, 2008).
Before we started, I thanked Bob for agreeing to an interview. I also assured him that all the information he would share with me would be kept confidential and it would be used only for educational purposes.
Patients with Diabetes have very comprehensive learning needs. The learning needs arefocused on managing their glucose levels and preventing complications of diabetes. Learningneeds for managing diabetes are complex and include: monitoring blood glucose levels,menu/food planning, exercise, medications, skin care, management of co-existing disease processes, knowledge of medications, knowledge of the disease process and how to managehypo or hyperglycemic episodes. Many patients are diagnosed with diabetes every year andmany are unaware that it requires lifestyle changes, especially in the areas of nutrition and
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
During the care management of patients who are diabetic, the primary goal is to keep their blood glucose under control. Patient with diabetes can be managed by keeping them physically active. This is an important aspect that can help these patients from long-term complications or hospitalizations. Along with the physical activities, it is also important to teach these patients about the diet management. Diet modification is a must for diabetic management. The recommendation of the diet modification can be applied in the three levels of preventions. First, the primary prevention is important to apply to those who are prediabetes or at risk to become diabetic. Next level is the secondary prevention which can be applied to those who already developed the disease. Last level of prevention is the tertiary prevention to prevent diabetic complications. The goal of nutrition on the patient with the diabetic is to keep their glucose level within normal limit. After reviewing an over of diabetic disease, the systematic description will be
Diabetes has become an epidemic in today’s society. Diabetes affects almost every system in the body, and with an estimated 346 million people in the world with diabetes, healthcare has been heavily affected by the disease (Ramasamy, Shrivastava, P., & Shrivastava, S., 2013). One of the biggest issues for healthcare workers when it comes to diabetes, is that it is such a complicated disease. With so many different systems being affected, medical professionals have had to learn how the disease process works, what causes diabetes to work through the systems, and the best treatments to address all these issues. Through much research, the healthcare system has grown very knowledgeable on diabetes. One important aspect of treating diabetes has been in the introduction of diabetic education. In the past, nurses and dieticians had been responsible for educating patients on diabetes, but now that role is also extended to other people in the healthcare team, including the patient (Tomky, 2013). In fact, patients taking an active role in the education process, including learning to self-care has now become a priority in diabetes treatment. The following paper will discuss diabetic education, the importance of self-care and how this affects a patient’s compliance.
Patients diagnosed with diabetes and associated comorbidities often feel overwhelmed in accomplishing the daily self-care task required to control their diabetes. When these care task include the added burden of family, work, comorbidities, and limited income, the sense of being overwhelmed becomes magnified. Mrs. J.M a 43 year old Hispanic woman, diagnosed with type two diabetes 10 years past while pregnant with her last child, faces the potential need for insulin to be added to her care regimen. Pertinent details for consideration in planning diabetes educations/goal include: married, 3 children still living in the home, spouse is unemployed and patients’ mother lives in the home. Strong daily influence from Hispanic traditions, fairly sedentary