Emily Smith Case Study - The Drainage of a Bakers Cyst - Nursing Assignment Help

Assignment Task:

Case scenario:
Emily Smith is a 53 year old woman who has been admitted to your surgical ward for the drainage of a Bakers Cyst. She is mother of five children and lives in a rural Victorian town. She has been married to Frank who is an electrician, for 28 years. They live on a farm, tending to be self-sufficient growing their veggies, some fruit and have chicken and cows.
She was diagnosed with Type 2 Diabetes Mellitus (T2DM) 6 months ago, during a routine workup for surgery. She takes no specific medication for her diabetes, and has been told by her GP to ‘watch what she eats’. She was devastated to discover her diagnosis of T2DM, as she was aware of the risks due to her family history. She has not returned to her GP since her initial diagnosis. She has no other past medical history of note. Emily says tearfully “I have been trying to eat right and exercise, but I can’t walk because of the pain in my knee and I was feeling down and eating ice cream. I have hardly eaten anything in the last week because I am trying to lose weight and get my blood sugar down.”
Her mother and older sister were both diagnosed with T2DM in their early 50’s. Emily tells you she has had the Bakers Cyst for about 2 years. It has been increasing in size over the last 8 months, restricting her movements. The planned surgery is drainage followed by two follow up cortisone injections.

Part 1 Questions (1000 words) Emily is distressed that her blood glucose level is elevated and asks you for help in understanding her diabetes. She tells you that she has a friend who is very overweight, eats lots of cake and hardly ever exercises, and he does not have diabetes. Include an introduction or prelude  

1.1. Describe the pathophysiology of T2DM with links to Emily’s case. Include in your answer risk factors for T2DM, the pathogenesis of T2DM, possible complications of T2DM and outline the 3 levels of treatment options for T2DM. (550 words)

1.2. Differentiate between T2DM and T1DM (at least 5 differences). 

1.3. Identify at least 2 reasons Emily’s BGL is high on admission. Discuss how each reason you identify affects BGLs. 

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