...Diabetes Case Study (Part 1) Elizabeth Tamayo, Melissa Gonzales, Eroshnie Singh NUR/427 January 15, 2014 Jeanette Moore Diabetes Case Study (Part 1) In the biography of Jenna Riley, Jenna is a fourteen-year-old female who lives in a single parent home with her younger brother and mother. Jenna’s mother works in the afternoon and Jenna is left to care for herself and her younger brother. With little adult supervision, Jenna’s eating habits fall out of control and there is a lack of physical activity. When Jenna is stressed, she binge eats and even becomes a closet eater hiding food under her bed. Jenna develops symptoms such as frequent urination and weight gain. During a visit to the school nurse, it is discovered that Jenna has dark pigmentation on the back of Jenna’s neck. The school nurse suggests a physical examination by her family doctor. After having an exam from her family practitioner, her lab work reveals that Jenna is diabetic and her physician diagnoses her with type II diabetes. It is also noted that Jenna’s father and grandmother have diabetes. Jenna and her mother meet with a certified diabetic educator. Nutrition, physical activity, monitoring of blood glucose, and drug therapy are discussed and monitored in follow up visits. According to the 2011 National Diabetes fact sheet reported by the Center for Disease Control (CDC) 25.8 million Americans have diabetes and 8.3% of the United States population do not know they have diabetes. The estimated...
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...Diabetes Mellitus is a common chronic disease of the endocrine system, specifically the pancreas, which beta cell destruction leads to insulin deficiency. Type 1 Diabetes Mellitus is an autoimmune disorder triggered by a viral infection in which beta cells are destroyed leading to absolute insulin deficiency and usually diagnosed in childhood. Type 2 Diabetes Mellitus is a progressive disorder in which the pancreas makes less insulin overtime; most cells reduce the ability to respond to insulin, poor control of liver glucose output, decreased beta cell function, and eventually beta cell failure. The specific cause of type 2 diabetes is unknown; however, it usually occurs in adulthood, heredity, obesity and sedentary lifestyle may play a major role in its development. For both types of diabetes the main feature is chronic high blood glucose levels (Ignatavicius & Workman, 2006) This disease process requires lifelong behavioral and lifestyle changes and complications from this disease can cause many devastating health problems. This paper will include an overview of the incidence of diabetes in the United States, typical presenting signs and symptoms, the potential chronic affects of diabetes on the body, teaching with measurable outcomes and the psycho-social challenges a patient may face. Incidence of Diabetes in the United States According to studies performed by the National Institute of Health (NIH), 13% of adults 20 and older in the United States have diabetes. ...
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...Diabetes Case Study Diana Gallardo, Karen Joy, Brianna Herrera, Svetlana Knyazeva NUR/427 5/6/2013 Sara Gerrie RN, MSN, CPNP Diabetes Mellitus is a chronic illness affecting the metabolic and endocrine function of the body. Type 1 diabetes affects 5% to 10% of people with the disease, whereas type 2 diabetes affects nearly 90% to 95% of people with the disease (Centers for Disease Control and Prevention [CDC], 2008). An overview of the incidence of diabetes in the United States, signs and symptoms, and effects of diabetes as a chronic disease will be provided. The case study of Angelo Reyes, a 40-year-old White male living with type 1 diabetes will be used to implement teaching requirements with measurable learning objectives from Bloom’s taxonomy of learning domains. The psychosocial challenges that Angelo Reyes encounters will also be discussed. According to Smeltzer, Bare, Hinkle, and Cheever (2010), the number of people with diabetes in the United States is 23 million with increasing rates of 1 million new diagnosed cases per year. This number is expected to exceed 30 million by 2030 (CDC, 2008). People older than 65 years old seem to have more intolerance to glucose and 40% of them account for the population with diabetes. Minority groups such as African Americans, Native Americans, Hispanics, Asian Americans, and Pacific Islanders are at higher risk for diabetes, complications associated with the disease, and high rates of disease related death (CDC, 2008)...
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...cured. Diabetes is a chronic disease in which the body has an inability to produce any or enough insulin which causes elevated levels of glucose in the blood. As stated in the University of Phoenix Online text, “Approximately 8% of all adults in the United States have diabetes” (Redman, 2007, p. 106). Spreading diabetes education is essential for all, but especially for patients who are at risk or have been diagnosed. According to Redman (2007), “Diabetes education is the most fully developed of all the fields of patient education practice” (p. 106). The goals established by the National Diabetes Education Program include enhancing public awareness about risk factors and prevention, encouraging operative self-management, refining knowledge about diabetes amid health professionals and finally, fostering policies that upgrade quality of diabetes care (Redman, 2007, p. 106). It is essential that patients have an established form of communication with their health professional to clarify any misunderstandings or any possible concerns regarding their chronic disease of diabetes. Revealing the Facts of Diabetes Incidence According to the National Diabetes Statistics Report (2014), the American population with diabetes increased by 3.3 million from 2010 to 2012. Out of the 29.1 million Americans who had diabetes in 2012, 95% had type 2 diabetes; only 5% consisting of Type 1 (American Diabetes Association). Even though statistics show a decrease of newly diagnosed cases, there is...
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...Symptoms of diabetes are polydipsia, polyphagia, and polyuria. The normal blood sugar in a person should be 70-110 mg/dl. Type 2 diabetes causes hyperglycemia which is a blood sugar over 110mg/dl. Type 2 diabetes is hereditary and caused by obesity. Insulin resistance, increased glucose production by the liver, and impaired secretion of insulin by the pancreatic cells are abnormal metabolic factors that happen in type 2 diabetes. Insulin resistance occurs when the bodies does not respond to insulin properly. After a person eats a meal the body uses insulin to help use glucose as energy. Since the body does not use insulin properly the body’s blood glucose is elevated. Since the liver does not respond to insulin, the liver causes a greater amount of glucose production causing hyperglycemia. Insulin helps store sugar in the liver. In type 2 diabetes, the body does not use the insulin causing the liver to push more glucose into the bloodstream. When the secretion of pancreatic beta cells are destroyed, hyperglycemia may occur. “Destruction of beta cells are caused by genetic factors, increased apoptosis, decreased regeneration of beta cells, or beta cell exhaustion due to long-standing insulin resistance”. The body cannot release insulin when there is less beta cells in the body causing an increase in blood sugar. These factors of metabolism in type 2 diabetes will cause...
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...“Diabetes mellitus is a chronic metabolic condition characterized by insufficient production of insulin or inability to use the insulin that the body produces, resulting in problems regulating blood sugar (Danna, 2016).” Depression is a feeling of consistent of sadness and an individual loses interest in everyday life activities. “Depression and diabetes are independent risk factors for one another, and both are associated with increased risk of cognitive decline (Danna, 2016).” Still the connection between diabetes and depression is not completely understood. It is known that lower cognitive abilities usually lead to poor health outcomes. Depression has been shown to increase the risk of diabetes, this may be because self-care decreases when...
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...Kristen Holstege A Case of Diabetes Insipidus (modified) Case Presentation Morgan Richards is a 20-year-old junior in college. She is majoring in nursing and hopes someday to be a nurse practitioner. Beginning about a month ago, Morgan noticed that she was waking up once, sometimes twice a night, by the need to go to the bathroom. More recently, she has noticed that she needs to go to the bathroom during her day much more frequently than before, sometimes as often as once every hour. At first Morgan thought that her increased frequency of urination was due to the coffee she drank, but when she reduced her coffee consumption to one cup in the morning, she still needed to go to the bathroom just as often. In addition, Morgan was buying bottled...
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...There are many situations in the case study of Juan Duran that can be compared to the related theories in which were presented this week. The two theories in which will be most useful in meeting the needs for the patient Juan Duran are Dorothea Orem’s Model in which will look at self care as well as Betty Neuman’s Theory in which will present with the stressors in life and their effects. Mr. Duran has many obstacles to overcome including poor vision, loss of a daughter, wife not able to speak fluent English, and a chronic disease of diabetes to manage. In order to manage all of the many stress and obstacles Mr. Duran is currently facing the two theories mentioned will help in planning care and assisting the family. Presented in the case study is Mr. Juan Duran a Mexican American from Chula Vista, California. The patient is married and a navy veteran who has been diagnosed with diabetes. Due to his limited eye sight, Mr. Duran has had a difficult time performing self-care by injecting insulin himself. After meeting with the doctor, Mr. Duran was assigned a diabetic counselor at the VA (Veterans Affair Medical Building) to learn how to give himself the medication. His wife was not present in the case study in which would be necessary if she were going to be the person injecting the medication. Also at home Mr. and Mrs. Duran speak Spanish due to Mrs. Duran’s limited English. If the patient and wife were present and the counselor spoke Spanish or had a medical translator...
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...Case Study BSHS/325 December 8, 2014 Maria Perrotta Case Study Human services provide help to many in need. Human service professionals need to be able to be provided with general information, the case information, about an individual, and understand the needs of the client. This case study involves Michael and his relationships, his roles, and the effects of his unhealthy habits. Michael’s Basic Information and Relationships Michael is a single 45 year old male with no children and he is a practicing attorney. He volunteers for a youth mentoring program for male youths. He is currently dating Tina, whom he is considering marrying. Tina has three adult children. He seems to be unable to confront Tina about whether or not she loves him and would accept an offer of engagement. Michael is 200 pounds overweight, eats high-fat and high calorie foods, and is currently on high blood pressure medication. His recent visit to his physician has encouraged slight and immediate changes to his diet. Michael has no desire to go to the gym or to exercise. Exercising would allow him to feel better and may help with the psychological problems of not talking with Tina or Taylor, his sister. He lives with his sister, who is HIV positive. They are very close. Taylor does not work, although she is physically capable of working. She does help Michael with cooking and cleaning. Michael and Taylor no longer discuss each other’s health issues because of the problems it...
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...SOCI221 – Interpersonal Skills of the Helper Case Study and Critique NAME: Rui ZHANG STUDENT NUMBER: 244730 DATE: 5 April 2015 WORD COUNT: 841+780 Part 1 – personal learning In part 1, I will describe what I have learnt from Egan model stage ǀ and stage II, and all my personal feeling observations from working with class client. According on the book, Egan model stage 1 is to help the helper address a main question which is 'what is going on?' (Egan 1994, p. 200). But before the helper and patient start any virtual consult, a healthy trust should be built up between with them. In the class, when I try to approach to Costa, he came into conflict with all my questions straight away. As a practitioner I would like to expect a perfect clinic patient, who was easy to talk with and carried less wariness. But Costa is kind of difficult to deal with. He is 50 years old Greek male, married, has 2 children in the college. His wife brought him into the clinic. She was quite worried about him, because he has prostate problems, over weight issue, hypertension and type 2 diabetes. In the first consultation, Costa seemed does not want to talk much about his illness state. I knew most guys refuse to talk about prostate cause it releases to genitals. He maybe feel shame and embarrassed about this kind of topic. In the Egan model stage I what I should do is to make him to trust me. As long as...
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...CASE STUDY Viola Johnson Vioosl Viola Identifying Information: Viola Johnson is a 65 year old African-American women who currently residing alone in her own home. Previously she has been the primary caregiver for her nine-year-old grandson, Walter. Viola has been referred by her family. Presenting Problem /Chief Complaint: Viola reports that she provided care for Walter from the time he was three years old, until his placement in the Vista Ridge Treatment Center one month ago. Since the time of his placement she states “I feel extremely guilty for putting him in that home”. She also reports experiencing anxiety and worries over Walter’s well-being. Family members referred Ms. Johnson to the Senior Support Center due to concern regarding her present condition. History of Presenting Problems: Mrs. Johnson has been a widow for twenty years. Her husband, James Johnson, died following a long illness. She had two children from this union. Her son, Walter’s father, died six years ago due to liver damage and complications associated with diabetes. She reports that she made a promise to her son on his deathbed that she would take care of Walter. Mrs. Johnson reports she became both mother and father to Walter and that her relationship with him is very close. She takes pride in the fact that she contributed to helping him make great strides in his development since he has been with her. Mrs. Johnson reports that when...
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...GEOG 1 Essays (15 marks) Exam date | Rivers | Coasts | Population | Health | Specimen | Describe and explain the development of meanders. | With reference to one or more case study of coastal management, discuss whether the benefits outweigh the costs. | With reference to a named country, evaluate attempts to manage population change.Name of country: | Discuss how the United Kingdom’s changing population structure is likely to affect employment in the health and care services over the next 25 years or so. | June 09 | Describe and explain the formation of landforms resulting from rejuvenation. | With specific reference to a case study of coastal erosion, assess the relative importance of its physical and socio-economic consequences. | Outline and comment on the economic and political consequences of populationchange | Describe and suggest reasons for regional variations in morbidity in the UK. | Jan 10 | Discuss the advantages and disadvantages of hard engineering as a floodmanagement strategy | Explain the causes of sea level change and the formation of resultant coastal landforms. | For any two of the following types of area, summarise the contrasts between themand explain the implications of these contrasts for social welfare: * inner city * suburban * rural–urban fringe * rural settlement.Chosen areas: | Discuss the impact of obesity on people’s health and the strategies adopted to care for people with obesity | June 10 | Compare and comment on the economic...
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...1.1 Causes and Risk factors of Diabetes Mellitus 1.1.1 Causes of Diabetes Mellitus (Pasqualotto, Alberton, & Frigeri, 2012), (HR, R Nagratna, 2013) Heredity Overweight or obese Age Autoimmunity 1.1.2 Risk factors of Diabetes Mellitus (Bauters et al., 2003) Stress Diet 1.2 Sign and Symptoms of Diabetes Mellitus The signs and symptoms of Diabetes Mellitus are given as follows. 1.3 Classic symptoms of DM (Golbidi & Laher, 2010) Polyuria Polydipsia Polyphagia 1.3.1 Clinical Symptoms of Diabetes Mellitus(Bos & Agyemang, 2013),(Timper & Donath, 2012) Lethargy, Stupor(Numbness), Weight loss; Eat much and not grow Smell of acetone(Lack of Emotion), Nausea and Vomiting, Abdominal pain as well as cramping Kussmaul...
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...During the course of my daily schedule as a registered nurse certified diabetes educator (RNCDE), I provide education for patients of varied racial, ethnic, and cultural backgrounds. Throughout the past 12 years the success or failure of patients understanding lies in my ability to communicate effectively. Certain barriers such as language, diet and health care beliefs are foremost in my mind when providing education. A recent patient provided a reminder to consider the diverse backgrounds of my patients. My patient, from Vietnam presented to the office for follow up diabetes education and assessment of treatment for hypertension. During appointments her sister-in-law serves as translator, however the patient does speak and understand limited English. After allowing the patient to rest for 15 minutes in the exam room her blood pressure was found to be 200/120. Further inquiry revealed she had not taken her blood pressure medications for three weeks, as she had ran out and could not navigate the pharmacy refills system, either by phone call or automation program. Additionally, she did not want to further burden her family asking for assistance in the refill process. Consequently, the patient suffered a shower emboli some four to five days prior to appointment, she presented with mild weakness of the right hand and complaints of...
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