In Scotland alone there are 268,154 people with diabetes and a staggering 21,428 of these individuals are living in Tayside. (Sci-diabetes, 2013). In this essay, a patient has been selected with a long term health condition and their journey through the national healthcare system will be explored following their diagnosis of type 2 diabetes. Through the use of evidence based practice, the underlying pathophysiology and nursing management of type 2 diabetes will be examined to give a better understanding of the complexity of the long term condition and the lifestyle changes that have to be considered when diagnosed with diabetes. Patient Journey: Recommended words: 400 The patient I have chosen to follow is Mrs M, her name has been change due to …show more content…
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 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.
Living with diabetes poses many challenges for patients in areas like nutrition, glycemic monitoring and medication adherence. In fact, patients with diabetes
Subjective ED is a 71 y/o African American female, who came to the hospital complaining of blurry vision, non-healing wounds, frequent bladder infections, tingling and numbness in her feet. Her sister is a known type II diabetes patient. She is of low socioeconomic status. She denies smoking and any food allergies. She is currently diagnosed with Cellulites and T2DM.
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.
Marital status: The patient is divorced. He is currently engaged and lives his with his fiancé for the last 14 years.
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.
This essay will focus on type 2 diabetes, which is becoming one of the fast growing chronic health conditions in the United Kingdom (UK). Approximately 700 people are diagnosed with type 2 diabetes each day in the UK (Diabetes Uk, (2014)a). It is costing the NHS about £10billion pounds each year to treat diabetes along with its complication and it is expected to rise in the next couple of years (Diabetes UK, (2014)b).
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
P. Bissel et al (2004) conducted a qualitative study to evaluate the health care interactions and consultation model for chronic illness specifically diabetes type 2. The data sampling were carried out initially in two primary practices and one secondary care diabetes centre in England with additional participants recruited later through snowballing process. The total participants were 21, met the inclusion criteria; Pakistani origin with type 2 diabetes and able to communicate in English. A grounded theory approach was applied to analyse the data collected from the audio-taped interview. The topic discussed in the interview covers the individual experiences living with diabetes, challenges encountered to manage the illness and their feedbacks
Type 2 diabetes is a condition that develops when your body begins to become tolerant to the insulin in your body. Insulin is used to break down the sugar in the blood, and when this process is slowed down, the result is high levels of glucose in the bloodstream. This condition will damage your body. The problem is that many people develop type 2 diabetes and are not aware of ti. There are, however, symptoms to look for. The following are only four of the most common symptoms.
Diabetes, also known as diabetes mellitus, is a result of an endocrine disorder caused by an insulin deficiency. There are several types of diabetes, however most prevalent in cats is known as Type II due to several factors (Schaffartzik and Tschuor, 2015). Type II diabetes is caused by insulin resistance, obesity, and amyliod disposition in the pancreas (Schaffartzik and Tschuor, 2015). Diabetes in cats is becoming a growing problem due to more cats becoming obese. There are a few clinical signs to watch for with diabetes such as hyperglycemia and glucose toxicity. Treatment of Type II involves procedures of insulin therapy among with dietary management and weight loss of obese cats. However, there still is the chance of falling
The only way to cure diabetes is a pancreas transplant but diabetes can be monitored and controlled. People with diabetes have to have proper nutrition. People with type 1 diabetes mellitus and type 2 diabetes mellitus have to change their diets. Type 1 diabetics have to time when to eat meals and snacks along with taking insulin. Type 2 diabetics use a diet modifications and use medication when needed to maintain the glucose levels. Pregnant women with gestational diabetes should also follow a proper meal plan that is safe for herself and the baby. It’s best for diabetics to eat every 4 or 5 hours so their sugar levels will be in the normal range. The type of meal a diabetic should eat is half the plate should consist of vegetables that are not high in starch like jalapenos, cooked carrots, cooked cabbage, cooked eggplant, cooked broccoli, tomatoes, cooked spinach, and cooked peppers.
Diabetes is an increasingly common disease that takes many lives each year. “In 2012, 29.1 million Americans, or 9.3% of the population, had diabetes.” (Statistics…) 29.1 MILLION Americans had this terrible disease in 2012. That is a lot. But, you may be wondering, what exactly is diabetes? Diabetes is a chronic, deadly disease which is quickly spreading across the United States, and it is a large problem in our country and community.
According to Johnson and Raterink (2009), Type 2 Diabetes Mellitus (DM) is a major global chronic health issue. Though, it is found that the condition is largely preventable as many of the risk factors for developing the disease such as excess weight, poor diet, inactivity, smoking and excessive alcohol consumption, are modifiable behaviours (Australian Bureau of Statistics, 2011). A client newly diagnosed with Type 2 DM may be unaware that the illness can be effectively self-managed with changes to diet, lifestyle and if necessary the inclusion of oral hypoglycemic agents (Australian Institute of Health and Welfare [AIHW], 2008). Therefore, the aim of the education plan is to assist the client to make educated lifestyle
Type 2 diabetes is a very well known disease throughout the US. There are about 27 million people in the US with the disease and 86 million others have prediabetes which means their blood glucose is not right but also not high enough to be diabetes yet. 208,000 people under the age of twenty have been diagnosed with either Type 1 or 2 Diabetes.