University of Phoenix
Amanda Brooks, FNP-BC
October 5, 2009
Diabetic Case Study In this case study, we are presented with a man who has Type II diabetes signs and symptoms. He has recently gone through several psycho-social adjustments and is a busy professional man. A plan needs to be developed to assess, teach, and evaluate the patient’s health care needs by covering topics such as incidence, signs and symptoms, potential effects of the disease, educational needs, and challenges presented by diabetes.
The Incidence of Diabetes in the United States Diabetes is a broad term covering three distinct types of this disease: Diabetes Mellitus is a disease that has two categories type I and type II, …show more content…
63) will provide a measurable starting point. Diabetic self care maybe established through evaluating Charles’ problem-solving skills; since, “Social problem solving has been identified as an important factor in psychological adjustment and effective functioning” (Hill-Briggs, 2003, p. 187). Dietary changes require carbohydrate control with added protein. Medications include Insulin or oral agents that stimulate insulin production and increase receptor sites. Instructions on blood glucose monitoring and keeping a log will lessen the incidents of hyperglycemia and hypoglycemia. Symptom recognition and treatment is important. Excessive carbohydrates or insufficient insulin cause hyperglycemia. Signs and symptoms progress slowly; frequent urination, excessive thirst, lack of energy, and a gradual slip into a coma. Hypoglycemia results from excess insulin, insufficient carbohydrates, or excessive exercise. Hypoglycemia occurs rapidly with sweating, light-headedness, and trembling that leads to coma if not treated quickly. Evaluation will include repeating the Diabetic Knowledge Questionnaire and comparing initial score, verbal recall, blood glucose monitoring, and checking the HbA1c within three months.
Psycho-Social Challenges of Diabetic Patients
The recent changes to Charles’ life may be the cause of his denial that there is a physical reason for the changes he has noticed. He is a busy professional man and obviously does not take the time