The purpose of this essay is to address the issues based on case study one, community nurses play a fundamental role, in many patients lives by managing and planning the multiple factors of people living with chronic and complex conditions. Nurses must have the ability to perform multiple tasks in order to manage complex conditions, which are often illnesses that are interconnected. Community nurse’s roles involves often having knowledge of these conditions in order to prioritise these illness to achieve practical goals for their patients. (Sines, Fanning, & Potter, 2013). In case study one, Peter is a 52 year old, morbidly obese, has type 2 diabetes with poorly controlled diabetes, suffers of obesity ventilation syndrome and sleep apnoea. …show more content…
Therefore, nurses must be aware of the interrelatedness of his current health issues and how they interact with each other. According to Schreiber, Nones, Reis, Chichorro, & Cunha (2015), metabolic disorders is mainly responsible for diabetic neuropathy. Diabetes, weight changes, smoking and physical inactivity are strong factors leading to long-term complications associated with Peter’s condition, such as, retinopathy, microvascular disease (nephropathy is a common reason for commencing dialysis on patients with T2DM) and macrovascular disease (Dunning, 2013). If Peter’s diabetes is properly controlled, becomes compliant with his medications, it will decrease any further deterioration as mentioned above, therefore his condition will improve. Effective controlled management of T2DM, will have positive effects on different aspects of his health. Gaining a personal sense of control, alleviating some of his depressive symptoms, which in turn increases his motivation to lose weight and socialise. Exercising can also reduce symptoms of neuropathic pain, which can contribute to Peter’s willingness to exercise and benefit from its effects (Van der Heijden, Pouwer, Romeijnders, & Pop, …show more content…
In Peter’s case, the nurse can examine the sliding scale insulin chart and discuss his experience with the intervention. The nurse can use the Morisky Medication Adherence Scale (MMAS), a reporting tool filled out by the patient before and after the intervention to identify obstacles to adherence and measure the efficacy of the strategy used (Wai, & Fresco, 2015). Encouraging Peter to reflect on his health behaviours and provide an opportunity for further collaboration between him and his nurse to improve his medication
Intellectual competencies and technical skills are developed in the nurse for the ability to assist individuals, who are ill or well, in coping with their health care needs (ENMU, 2015). We believe that the professional nurse functions in the roles of an educator, care provider, patient advocate, manager, researcher, and a leader (NMSU, 2013). We believe the nursing based knowledge of caring contributes to health and sovereignty of all individuals throughout their
Issues She has Type II diabetes. Due to her compromised immune system, it is more likely that her injuries will take her longer to heal. Daily stressors and financial responsibilities may cause health concerns to take second priority. As a result, health issues
Diabetes.co.uk- The global diabetes community [online]. (2016).This shows that Subject X’s reading is at a high risk of developing type 2 diabetes. There are many risk factors for diabetes, being overweight, having a large waist measurement, family history and a high asting Blood Glucose reading. Subject X has some of these risks and therefore increases his problems greatly. The practice nurse should refer Subject X to his GP for a Glucose Tolerance Test, this test will indicate if he has diabetes and therefore he can truly be
Per pulmonary function tests, his condition was stable. Degenerative disc disease lower back and neck, lower back pain. Degenerative joint disease right knee. Right and left knee scope in 2008, right knee scope in 07/2010, decreased range of motion bilateral knees. Independent with activities of daily living.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
AA adults have the highest mortality rate from DM in individuals less than seventy years of age than other ethnic groups (Tancredi, et al., 2015). In 2010, diabetes mellitus has caused the deaths of 69,071 people in the United States with total percentage deaths of all males (48.2%) and females (51.4%). In 2013, their mortality rate accounted for 21.2 deaths per 100,000 populations (CDC, 2015). This alarming statistics have proven that AA adults at risk for T2DM are in a greater need for EB interventions that will be championed by the advanced practice nurses
Introduction In 2010, 25.8 million Americans were diagnosed with diabetes. Two years later in 2012, the number of diabetic patients went form 25.8 million American to 29.1 million American diagnosed with diabetes (Overall Numbers, Diabetes and Prediabetes, 2014). The vast increase in diabetic cases in America is justifies a need for more educators to stir patients with the proper direction of managing this disease. In this information age, where the internet is our first option, computers and internet is our go to resource.
Obviously, there is a significant amount of psychological overlay in these patients. Patient has dynamic instability. He has radiculopathy. He has failed conservative treatment. He has attempted to lose weight and warrants a straightforward surgical
Case study of Mrs. A thought her admission to a acute ward, demonstrated the skills that are needed to care for her. 21312829 This assignment is a case study looking at a patient who has been admitted to an acute hospital following a fall. It will look at why the patient has been admitted and what skills are needed to deliver appropriate care.
The model type 2 diabetes is a non insulin dependent diabetes, it is also when the body cannot use insulin properly. Primary prevention goal is to prevent the disease before it starts. An approach to primary prevention of type 2 diabetes is through lifestyle changes that favorably influence insulin sensitivity like avoiding obesity, exercising and eating healthy. Secondary prevention goal is early detection followed by by prompt treatment. For this model secondary prevention is screening and prevention of other diabetic complications through treatment or avoiding of coexisting risk factors.
This is proving to be inefficient and costly to healthcare and society as a whole (Lupari, Coats, Adamson & Crealy, 2011). Many former hospital based services including management of newly diagnosed diabetes is managed in ambulatory care (Haughton & Stang, 2012). There is a policy that has recently developed will have a huge impact on primary care nursing.
Lifestyle changes such as diets low in sodium combined with exercise will help cope with and treat the disease (Lewis et all.,
The patient was diagnosed for polyps and multiple diverticula at the age of 68. The Patient suffers of painful osteoarthritis of both knees, shoulder hips. Patient?s mother deceased at the age of 79 from breast cancer and her father deceased at the age of 54 from heart attack. The patient noted with bilateral lower extremities edema, and claimed that she uses 2 pillows as a comfortable position to sleep,
The Census Bureau reports that almost 50 million Americans do not speak English well. That is 19% of the U.S population. Latinos and Asians make up the largest portion of this group. Parents of those children who speak English are more likely to take their children to the hospital than those who do not speak English. This can have serious effects on non-English speaking patients.
It includes the promotion of health, the prevention of illness, and the care of ill, disabled and dying people” (WHO, 2018). This means that nurses care for both those who are sick and unable to care for themselves, healthy people, and the dead. One of the duties of the nurse is to educate the patient and public. As such nurses also go into the communities to create awareness on recent developments and how to manage our environment to prevent the inhabitants from becoming sick. Nursing to me is showing that love; care and compassion to those in need.