Dominic Case Study - Abdominal Cramps Nausea and Occasional Diarrhea - Contraindications for Dominic - Nursing Assessment Answer

Dominic Case Study Nursing Assessment Answer

Assessment Task:

Instructions:

Read the scenario below and answer the attached questions. Check the marking criteria, noting where marks are allocated. You must address the marking criteria and search for evidence-based literature, and current guidelines to support your responses. Please conform to word limits or marks will be deducted. A minimum of
8 peer-reviewed references should be sought to support your answers.

Scenario:
Dominic, aged 32 years. Dominic has a strong family history of type 2 diabetes with his father and uncle diagnosed in their late fifties. Dominic attended a health expo
where he received a random blood glucose reading of 16 mmol/L. He reports gaining about 8 kilograms over the last 4 years, since starting his FIFO role. On returning home, Dominic has been to see his GP who has requested further blood tests, started him on metformin (500mg three times per day) and referred him
to a dietitian.

Lifestyle:
When at home, Dominic enjoys going out drinking with his friends. He reports drinking 8-10 beers per night, while he is home. As he only homes for a few days at
a time, he rarely cooks and eats at his parent's house or buys convenient meals. Hs worksite has a free gym but Dominic is often exhausted after a 12-hour shift. All
meals are provided onsite, with a wide range of foods in a buffet style.

Physical examination
I-Eight: 1.61m
Weight: 105kg
Waist circumference: 189cm
Ethnic background: Samoan
Occupation: FIFO (fly-in-fly-out) Truck Operator

Question 1
Explain how you would interpret the results in this case. What tests are recommended to confirm the type of diabetes? Include in your answer all the factors that can be
used to make the diagnosis e.g. clinical presentation, symptoms and history.

Question 2
Dominic has been prescribed metformin. Explain the mechanism of action and possible contraindications for Dominic.

Question 3
After 6 weeks, Dominic reports abdominal cramps, nausea and occasional diarrhea. This has caused him great stress and he is worried that his job is at risk. Provide an
explanation as to why Dominic may be experiencing these symptoms. Consider the other treatment options that be suitable.
 

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