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Diabetes type 1 nursing case study

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essay on self introduction for interview Examples List on Case Study Of A Patient With Diabetes Mellitus NursingMary is 19 old female as she just come for higher studies in university. She was diagnosed diabetes type 1 at the age of Her objective data shows the symptoms of uncontrolled diabetes. Diabetes have many complication include diabetic ketoacidosis, hyperglycemia, hyperosmotic non-ketotic state, and hypoglycaemia. In Australia % of female and % males reported having diabetes mellitus (Australian Bauru of statistics).  Nursing diagnosis for diabetic ketoacidosis are deficient of fluid volume, risk of infection, ineffective tissue perfusion, and deficient of knowledge. Interventions and rationales related to fluid volume deficient are monitor vital signs because hyperglycemia act as an osmotic diuretic which cause severe electrolyte and fluid loss which can lead to hypovolemic shock. You are going to email the following Case Study: A Patient With Uncontrolled Type 2 Diabetes and Complex Comorbidities Whose Diabetes Care Is Managed by an Advanced Practice Nurse. Message Subject (Your Name) has forwarded a page to you from Diabetes Spectrum. Message Body (Your Name) thought you would like to see this page from the Diabetes Spectrum web site. Medications used to treat diabetes include insulin. Everyone with type 1 diabetes and some people with type 2 diabetes must take insulin every day to replace what their pancreas is unable to produce. Unfortunately, insulin can’t be taken in pill form because enzymes in your stomach break it down so that it becomes ineffective. For that reason, many people inject themselves with insulin using a syringe or an insulin pen injector,a device that looks like a pen, except the cartridge is filled with insulin.  Tags: Diabetes Case Study. Next story Clinical Nurse Specialists. Previous story A Day in a Life of an ER Nurse.

diabetes type 1 nursing case study Gestational Diabetes Mellitus Case Study

The specialized role of nursing in the care and education of people with diabetes has been in existence for more than 30 years. Diabetes education carried out by nurses has moved beyond diabetes type 1 nursing case study studu bedside into a variety of health care settings. Among the disciplines involved in diabetes education, nursing has played a pivotal role in the diabetes team management concept.

This was well diabetes type 1 http://keiba-online.info/4/e-78.php case study in the Diabetes Control and Complications Trial DCCT by the effectiveness of nurse managers in coordinating and delivering diabetes self-management education. These nurse diabetes type 1 nursing case study not only performed administrative tasks crucial to the outcomes of the DCCT, but also participated directly in patient care.

The emergence and subsequent growth of advanced practice in nursing during the past 20 years has expanded the direct care component, incorporating aspects of both nursing and typpe care while maintaining the teaching and counseling roles. Both ddiabetes clinical nurse specialist CNS and nurse practitioner NP models, when applied to chronic disease management, create enhanced patient-provider relationships in which self-care education and counseling is provided within the context of disease state management.

Clement 2 commented in a review of diabetes self-management education issues that unless ongoing management is part of an education program, knowledge may increase but most clinical outcomes only minimally improve. Advanced practice nurses by the very nature of their scope of practice effectively combine both education and management into their delivery of care.

At the completion of assessments, advanced practice nurses, in conjunction with patients, identify management goals and determine appropriate plans of care. Many advanced practice nurses NPs, CNSs, nurse midwives, and nurse anesthetists may prescribe and adjust medication through prescriptive authority granted to them by their state nursing regulatory body.

Currently, all 50 states have some form of prescriptive authority for click to see more practice nurses. It is a crucial component in the care of people with type 1 diabetes type 1 nursing case study, and it becomes increasingly important in the care of patients with type 2 diabetes who have a constellation of comorbidities, all of which must be managed for successful disease outcomes.

Many studies have documented the effectiveness of advanced practice nurses in managing common primary care issues. In diabetes, the role of advanced practice nurses has significantly contributed to improved outcomes in the diabetes type 1 nursing diabetes type 1 nursing case study study of type 2 diabetes, 5 in specialized diabetes foot care programs, 6 nursijg the management of diabetes in pregnancy, 7 and in the care of pediatric type 1 diabetic patients and their parents.

The following case study illustrates the clinical role of advanced practice nurses in the management of a patient with type 2 diabetes.

Start studying Case Study Diabetes Type 1. Learn vocabulary, terms and more with flashcards, games and other study tools.  Administer IV dextrose to a diabetic client with blood glucose level of 25 mg/dl. What action should the nurse take first. Ask the unit clerk to find out when the trays will be available. What is the best response by the nurse. Case Study Diabetes Type 1. What is the mechanism that results in Kussmaul respiration? To compensate for metabolic acidosis, the respiration are deep and rapid. To achieve the goal of restoring Lara’s fluid volume, the nurse would expect to implement which intervention? Maintain an infusion of normal saline solution. To restore Lara’s blood glucose to a normal level, what should the nurse prepare to administer? An IV solution containing regular insulin.  Administer IV dextrose to a diabetic client with blood glucose level of 25 mg/dl. What action should the nurse take first. Ask the unit clerk to find out when the trays will be available. What is the best response by the nurse. Diabetes Case Study | 5. Introduction. I have been living with insulin dependent diabetes (type 1) for 21 years. I was diagnosed at age 7. The reason that I have been an insulin dependent diabetic is in large part due to the fact that on initial diag-nosis the pediatric endocrinologists at a major hospital did not do two things: 1.A C-Peptide test. keiba-online.infoster antibiotics. I really have type 2 diabetes and that is what I had at age 7, just like older people who get type 2 diabetes.  I was still sniffling when I was in the hospital. A nurse noticed that. I remember my head feeling slightly feverish for a brief period. After they gave me the bad news, which I never believed was really that serious, I thought to myself, maybe I was still sick. Uncontrolled diabetes can also result in a delayed onset of puberty and skeletal maturation (Silverstein et al. ). Studies have demonstrated higher rates of both anorexia and bulimia in young girls with type 1 diabetes (Jones et al. ). It is very important that health professionals are aware of the language they use when educating and advising young people with diabetes. References to weight can have devastating results. Case study Nursing Paper Atkins Diet Man Case Studies Adaptation Syndrome Biometric Nursing Aspirin. Examples List on Case Study Of A Patient With Diabetes Mellitus Nursing. Filters. Including such words.  Diabetes A Case Study A Case Study Patient Details. The patient is a 57 year old man with type II diabetes which was diagnosed two years ago. He is obese at lbs and 5ft 8 inches and hypertensive with a blood pressure of /

Although he was diagnosed inhe had symptoms indicating hyperglycemia for 2 years before diagnosis. Referred by his family physician to the diabetes specialty clinic, A. He has been trying diabetes type 1 nursing case study lose weight and increase his exercise for click at this page past 6 months without success. He had been started on glyburide Diabets. Diabetes type 1 nursing case study has tolerated this medication and adheres to the daily schedule.

He stopped these supplements when he did not see any positive results. He does not test his blood glucose levels at home and expresses doubt that this procedure would help him improve his diabetes control. He lives with his wife of stud years and has two married children. Although both his mother and father had type 2 diabetes, A. In the past, his wife has encouraged him to treat his diabetes with herbal remedies and weight-loss supplements, and she frequently scans the Internet for the latest diabetess remedies.

During the past year, A. Since retiring, he click the following article source been more physically active, playing golf once a week diabetes type 1 nursing case study technological determinism, but he has been unable to lose more than 2—3 lb.

He has diabetes type 1 nursing case study seen a dietitian and has not been instructed in self-monitoring of blood glucose SMBG. His normal dinners consist of 2 cups of cooked pasta with homemade sauce and three to four slices of Italian bread. He also eats eight to ten pieces of fresh fruit per day at meals and as snacks. He prefers chicken and fish, but it is usually served with a tomato or cream sauce accompanied by pasta.

The medical dase that A. However, his medical records also diabetes type 1 nursing case study that he has had no surgeries or hospitalizations, his immunizations are up to date, and, in general, he has been remarkably healthy for many years. The first task of the NP who provided his care was to select the most pressing health care issues and prioritize his medical care to address them. The diabetes type 1 nursing case study and his wife agreed that a referral to a dietitian was their first priority.

Weight loss would also be an important first step in reducing his blood pressure. The NP contacted the registered dietitian RD by telephone and referred the patient for a studj nutrition therapy assessment with a focus on weight loss and improved diabetes control. The RD requested that during the intervening week, the patient keep a food journal recording his food intake at diabetes type 1 nursing case study and snacks.

She asked that the patient also try to estimate portion sizes. Although his physical activity had increased since his retirement, it was fairly sporadic and weather-dependent. After further discussion, he realized that a week or more would often pass without any significant form of exercise and that most of his exercise was seasonal. Whatever weight he had lost during the summer was regained in the winter, when he was again quite sedentary.

She also felt that a treadmill at home would be the best solution for getting sufficient exercise in inclement weather. After a short discussion about the positive effect exercise can have on glucose control, the patient and his wife agreed to walk 15—20 minutes each day between 9: A first-line medication for this patient had to be targeted to improving glucose control without contributing to diabetes type 1 nursing case study gain.

However, acarbose requires slow titration, diabetes type 1 nursing case study multiple gastrointestinal GI side effects, and reduces A1C by only 0.

Although GI side effects can occur, they are usually self-limiting and can be further reduced by slow titration to dose efficacy. After reviewing these options and discussing the need for improved glycemic control, the NP prescribed metformin, mg twice a day. Possible GI side effects and the need to avoid alcohol were of concern click here A.

The NP advised him to take the medication with food to reduce GI side effects. The NP also discussed sudy the patient a titration schedule that increased the dosage to diabetes type 1 nursing case study, mg twice a day over a 4-week period.

She wrote out this plan, including a date and time for diabftes contact and medication evaluation, and gave it to the patient. During the visit, A. The patient agreed to use the meter twice a day, at breakfast and dinner, while the metformin dose was being titrated.

Type 1 and Type 2 DiabetesCase Study QuestionsWhat kept Ann in the nursing home after her blood sugars were again normal? 7. The nurse identifies that Lara has experienced classic symptoms of diabetes, which are: B) Polyuria, polyphagia, and polydipsia. This preview has intentionally blurred sections. Sign up to view the full version.  Diabetes type I. 21 pages. Spinal Cord Injury.  {[ keiba-online.inforkTime ]}. NURS Diabetes 1 Case Study Hesi. Viewing now. Interested in Diabetes 1 Case Study Hesi.? Bookmark it to view later. Bookmark Diabetes 1 Case Study Hesi. Bookmarked! No bookmarked documents. Start studying Case Study Diabetes Type 1. Learn vocabulary, terms and more with flashcards, games and other study tools.  Administer IV dextrose to a diabetic client with blood glucose level of 25 mg/dl. What action should the nurse take first. Ask the unit clerk to find out when the trays will be available. What is the best response by the nurse. D. Obtain a type and cross-match for 2 units of packed RBCs. Diabetes: Type 1 3. To restore Lara's blood glucose to a normal level, what should the nurse prepare to administer? A. An IV infusion containing regular insulin. B. Humulin- N insulin SC before meals. Diabetes Case Study | 5. Introduction. I have been living with insulin dependent diabetes (type 1) for 21 years. I was diagnosed at age 7. The reason that I have been an insulin dependent diabetic is in large part due to the fact that on initial diag-nosis the pediatric endocrinologists at a major hospital did not do two things: 1.A C-Peptide test. keiba-online.infoster antibiotics. I really have type 2 diabetes and that is what I had at age 7, just like older people who get type 2 diabetes.  I was still sniffling when I was in the hospital. A nurse noticed that. I remember my head feeling slightly feverish for a brief period. After they gave me the bad news, which I never believed was really that serious, I thought to myself, maybe I was still sick.

The NP reviewed glycemic goals with the patient and his wife and assisted them in deciding on stjdy short-term goals for weight loss, exercise, and medication. Glucose monitoring would serve as a guide and assist the patient in modifying his lifestyle.

Although the use of an ACE inhibitor was indicated both by the diabetes type 1 nursing case study of hypertension and by the presence of microalbuminuria, the decision to wait this web page the next diabetes type 1 nursing case study visit to further evaluate the need for antihypertensive medication afforded the patient and his wife time diabetea consider the importance of adding this pharmacotherapy.

They were quite willing to read any materials that addressed the prevention of diabetes complications. Nursibg, both the patient and his wife voiced a strong desire to focus their energies http://keiba-online.info/4/f-23-1.php changes in food and physical activity.

The NP expressed support for their decision. In her role as diabetes educator, the NP taught A. She explained that the loss of protective sensation from peripheral neuropathy means that he will need to be more vigilant in checking his feet for any skin lesions caused by poorly fitting footwear worn during exercise.

At the conclusion of the visit, the NP assured A. She would also work in partnership with the RD to reinforce medical nutrition therapies and improve his glucose control. Here this way, the NP would facilitate the continuity of care and keep vital pathways of communication open.

Advanced practice nurses are ideally suited to play an integral role in the education and medical management of people with diabetes. Inherent in the diabetes type 1 nursing case study of advanced practice nurses is the understanding of shared responsibility for health care diabetes type 1 nursing case study. She is an associate editor of Diabetes Spectrum.

Spollett has received honoraria for speaking engagements from Novo Nordisk Pharmaceuticals, Inc. Both companies produce products and devices for the treatment of diabetes.

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We only request your email address so that the person you are recommending the page diabetes type 1 nursing case study knows casw you wanted them to see it, and that it is not junk read article. We do not capture any email address. Skip to main content. Diabetes Spectrum Jan; 16 1: Physical Exam A physical examination reveals the following: Rate and rhythm regular, no murmurs or gallops Vascular assessment: Summary Advanced practice nurses are ideally suited to play questions 2013 ucla anderson essay integral role in the education and medical management of people with diabetes.

Fourteenth annual legislative update: Primary diabeets outcomes in patients treated by nurse practitioners or physicians: Management of patients with diabetes by nurses with support of subspecialists. Nurse Pract Diabetes type 1 nursing case study 9: Nagusky D, Bell-Hart M: Role of the nurse practitioner in diabetes persuasive disagreement essay pregnancy management.

Nurse Pract Forum 2: Using a primary nurse manager to nrsing DCCT recommendations in a large pediatric program. Caring for studj child with diabetes: J Adv Nurs Diabetes in urban African Americans.

Management of type II diabetes in a municipal hospital setting. Am J Med Standards of medical care for patients with diabetes mellitus Position Statement. Diabetes Care 25 Suppl. Oral antihyperglycemic therapy for type 2 diabetes. In Medical Management of Diabetes Mellitus.

New York, Marcel Dekker, Inc. Current oral agents for type 2 diabetes. Post Grad Med A practical approach to type 2 diabetes.

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