CPD115 - Care of Persons With Diabetes - Mr George Case Study - Nursing Assignment Help

Assignment Task

Case Scenario:
You are an Enrolled nurse working in primary health care. A new referral to your clinic, Mr McFarlane, has recently been diagnosed with Type 2 diabetes. As part of your role, you are working with a Registered Nurse to assess the client and to develop a plan of care appropriate for the client with both short and long term objectives and goals.

Character Briefs:
Mr George McFarlane. Male, aged 53 years. Married for 5 years with 3 children.
Mr McFarlane’s background includes:

• Second marriage – first wife died of cancer 8 years previously
• Occupation – Long haul truck driver
• Earns good money
• Away from home a lot - not there to support family
• Overweight - 135kg
• Hypertension
• Uses watching television and beer to cope with stress
• Smoker
• Diet preferences are Australian. Often has a poor diet when on the road for work including ‘fatty food from truck stops’
• Has a 26-year old son from first marriage who has severe depression and uses illicit drugs, visits on occasion (very disruptive when he does visit)
• Unknown social support and external interests
• Has osteoarthritis in (L) knee
• Reliant on wife, Yu Yang, to complete all domestic duties as he is not self-sufficient.

Question 1

Mr. McFarlane has recently been diagnosed with Type 2 diabetes. Discuss the pathophysiology of Type 2 diabetes. Include in your response:
a. Your understanding of Type 2 diabetes
b. Possible causes of Type 2 diabetes
c. Possible risk factors for Mr McFarlane

Question 2

Discuss the difference between Type 1, Type 2 and gestational diabetes. Include in your response:

• anatomy, physiology and pathophysiology of each type

Question 3

Consider each of the following potential problems associated with diabetes:
1. hypoglycaemia
2. hyperglycaemia
3. ketoacidosis
4. Hyperosmolar non-ketonic coma
Discuss your understanding of each of these potential problems. Include in your response:
a. Signs and symptoms of each potential problem
b. What assessments/ examinations would determine if the client is suffering with the potential problem
c. Possible treatment options including any emergency care required
d. nursing care of a client

Question 4

Mr McFarlane has been recently diagnosed with Type 2 Diabetes, with the risk factors of obesity, poor diet and lifestyle factors and a history of smoking. He has now been
commenced on Metformin 1 gm BD and Gliclazide MR 120 mgs daily. Using the template below, plan your care, within your Enrolled Nurse scope of practice, for Mr McFarlane. Include in your response:

• Specify four (4) nursing diagnoses or risk factors associated with the client’s current health presentations.
• Record at least two (2) nursing interventions that could be applied for each diagnosis.
• Specify at least one (1) member of the multidisciplinary team who may be able to support your suggested interventions.
• Clarify how your planned intervention reflect the client’s interests and physical, emotional and psychosocial needs
• Note at least one (1) expected outcomes that you would hope for as a result of each intervention.

Question 5

Mr McFarlane is complaining of feeling dizzy, nauseated and has a headache. On assessing Mr McFarlane, you note that he is pale and clammy and is tachycardic. You
check Mr McFarlane’s blood glucose level (BGL) and note that it is 3.4 mmol/L. Mrs McFarlane states that Mr McFarlane has not eaten since breakfast due to the
appointment time at the clinic. Lunch has been delayed due to today’s appointment. Outline your actions to this situation
Include in your answer:
a. Your immediate response to ensure the safety of your client
b. Who you would notify of the situation and what information you would handover (consider using ISBAR in your response)
c. How you would evaluate if the care provided was effective
d. What information you would provide to Mr and Mrs McFarlane about the situation and how this could be prevented in the future

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