ZM was referred to an endocrinologist by his GP at the request of the nursing home staff. Lantus is a peakless insulin without the associated rises and falls in actions and could stabilize blood glucose levels more effectively, markedly reduce the incidence of hypoglycemia, and have a positive effect on behavior.
After 6 months of education meetings, his lab values had reached target ranges. Her metformin was discontinued given her positive antibody studies and near-euglycemic blood glucose range.
Try to ensure that the dietician has a background with athletes. When should autoantibodies be measured? This may help him manage his diabetes with the current lifestyle he has.
The cases will be excerpts from the book are all real and are presented exactly as the information was received from the person making the referral.
It is very important that health professionals are aware of the language they use when educating and advising young people with diabetes. 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.
Young children require families to provide diabetes management and teenagers should not be expected to undertake all their care independently.
Studies have demonstrated higher rates of both anorexia and bulimia in young girls with type 1 diabetes Jones et al. In many cases, diabetes educators who are dietitians and those who are nurses are cross-trained to perform the same roles.
He has never seen a dietitian and has not been instructed in self-monitoring of blood glucose SMBG. ZM is given his morning insulin at 7. They may see clients either before or after their appointments with other members of the health care team, depending on appointment availability and their need for nutrition therapy and diabetes education.
You are the nurse assigned to Nick. At each clinic visit Jade should have her height and weight plotted on a growth chart, which is an excellent additional marker to her general health and metabolic control Silverstein et al.
He does not think he needs any diabetes education but would like help in losing 10 lb. Changing to Lantus is likely to reduce his hypoglycemia and may improve his glycemic control Janka et al.
Working together, they eventually discovered that problems with his pump sites required using a bent-needle set to resolve absorption issues. His medications include pravastatin Pravacol10 mg daily; NPH insulin, 34 units in the morning and 13 units at bedtime; and regular insulin at breakfast and dinner following a sliding-scale algorithm.
At this third visit, the RD reduced B. His normal dinners consist of 2 cups of cooked pasta with homemade sauce and three to four slices of Italian bread. N Engl J Med A dental check is indicated to determine whether he has any oral problems affecting his ability to eat.
Many studies have documented the effectiveness of advanced practice nurses in managing common primary care issues. The following case study illustrates the clinical role of advanced practice dietitians in the field of diabetes.
She discussed with B. This includes serving in a consultative role to other health care team members on issues regarding weight loss and risk factor reduction. ZM refuses to eat lunch, he is then at a very real risk of hypoglycemia. Where possible, Jade will be encouraged to undertake as much of her care as possible with the support and supervision of her family.Start studying Case Study Diabetes Type 1.
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Search. Create. Log in Sign up. Log in Sign up. 30 terms. What is priority nursing action. Check Lara's blood glucose. What action should the nurse take first.
Case Study #3 Diabetes Mellitus: Type I. Pathophysiology of Diabetes Mellitus Type 2 Case Study DM TYPE II. diabetes mellitus. DM Case Study. Diabetes Mellitus Nursing Care Plan. FINAL PPT of grand case presentation about CKD.
billsimas.com Nursing Care Plan Diabetes Mellitus Type 1 Case Study #3 Diabetes Mellitus: Type 1. Lindsey 5/5(5). Many diabetes health professionals encourage people with type 1 diabetes to use meters that also test blood ketone levels, especially during illness.
These meters are also useful in emergency departments to enable early diagnosis of ketoacidosis and faster treatment (Nauheim et al. ). Title: Knowledge required for decision making in adult nursing. Introduction. This essay is primarily about the impact of Type 1 diabetes on a particular patient.
This patient presented to the emergency department with acute-onset diabetes with classic symptoms of insulin deficiency compatible with a diagnosis of type 1 diabetes. Approximately 25% of patients that present with DKA have new onset of type 1 diabetes.
Presentation. R.M. is a year-old African-American girl with new-onset diabetes, presumed to be type 2 diabetes. She presented to her pediatrician during the winter months with the classic symptoms of polyuria and polydipsia.Download