National Health Priorities of Diabetes And Cardiovascular Health - Mr Jiemba Smith Case Study & Essay Writing - Nursing Assignment Help

Assignment Task

The National Health Priorities of Diabetes And Cardiovascular Health

The purpose of this assessment is to explore the national health priorities of diabetes and cardiovascular health. The essay will explore the epidemiology, pathophysiology and  pharmacotherapy for diabetes mellitus type 2 and associated hypertension.  

Background information  

Mr Jiemba Smith is a 48 year old Indigenous Australian male with type 2 diabetes mellitus diagnosed  1 year ago. Jiemba presents for a review of his blood glucose levels and when conducting general  observations his blood pressure is 165/101 mmHg.  

Past medical history Type 2 Diabetes Hypercholesterolemia  

Current Medications  

Metformin (500 mg PO tds) Atorvastatin (20 mg PO daily)  

Social history  

Lives alone on a rural property 50 km out of town  

Current smoker (5-6 cigarettes per day) with a past history of heavy alcohol intake 

Subjective data:  

Jiemba tells you:  

 he is feeling lethargic and tired and stated “my big toes on both feet feel numb at times”.  

Significant objective data noted  

Height: 164 cm Weight: 105 kg  

BGL: 12.4 mmol/L 

Urinalysis: trace protein on urinalysis and glucose

Jiemba’s is commenced on an oral antihypertensive Captopril (Sandoz) 25 milligrams twice daily.

  Your essay must cover the following:  

•  Provide a short introduction and overview of the epidemiology associated with Mr Smith’s  current health conditions  
•  Describe the pathophysiology for type 2 diabetes mellitus and links to Mr Smith’s medical  history and social determinants of health  
•  Describe the pharmacodynamics for all oral medications prescribed for Mr Smith and  discuss any benefits or considerations with the introduction of Captopril to manage Mr Smith’s  health issues. 

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