Poorly Controlled Diabetes, Obesity Ventilation - Peter Mitchell Case Study Assignment Help

Internal Code:- 1AFABC

Peter Mitchell Case Study Assignment Help

Task: This case study is designed to demonstrate the integration of various principles of managing the care of patients with chronic conditions. Students will be expected to identify and discuss two PRIORITIES OF CARE and apply the clinical reasoning cycle to these as a means of justification. Please refer to the unit outline and marking rubric when answering this question. Scenario One: Peter Mitchell is a 52-year-old male with type 2 diabetes who was admitted to the medical ward with poorly controlled diabetes, obesity ventilation syndrome and sleep apnoea. Peter was referred by his GP after he presented with symptoms of shakiness, diaphoresis, increased hunger, high BGL levels, and difficulty breathing whilst sleeping. Peter has been a smoker for approximately 30 years and smokes approximately 20 cigarettes per day. On his previous admission, Peter was seen by a dietician and commenced on low energy, high protein diet (LEHP) to assist with weight reduction. His GP had previously discussed weight loss with Peter, however, he had never wanted to This Nursing Assignment has been solved by our Health-Care experts at My Uni Paper. Our Assignment Writing Experts are efficient to provide a fresh solution to this question. We are serving more than 10000+ Students in Australia, UK & US by helping them to score HD in their academics. Our Experts are well trained to follow all marking rubrics & referencing style. do anything about it as it seemed ‘too hard’. Peter was also reviewed by the physiotherapist and was commenced on light exercises which he was to continue at home on discharge. Peter has been discharged home with a referral to you as the community nurse for ongoing support and follows up, after four weeks in the medical ward to manage his weight and clinical comorbidities. Social History Peter is an unemployed male who receives government benefits. Peter lost his job three years ago as a forklift driver at the Moranbah coal mine in far North Queensland. Peter states that he has always been a ’biggish guy’ with his ‘normal weight’ sitting at around 105kg but since starting insulin and losing his job he has gained a significant amount of weight. Consequently, because of his weight issues, Peter has difficulty finding work due to fatigue and feeling generally ‘uncomfortable’ about his size. Peter is a divorcee who lives alone, his two sons live in the same state but live in different cities and rarely visit him. He has increasingly become socially isolated as he is embarrassed by his size. Peter is also finding it increasingly difficult to perform activities of daily living (ADLs). Peter realizes that he is in the prime of his middle age life and is motivated to lose weight and quit smoking but isn’t sure where to start. Medical History Obesity - weight 145kgs Type 2 diabetes (Diagnosed 9 years ago) Hypertension Sleep apnoea Gastro-oesophageal disease reflux disease Current Medications insulin Novomix 30 BD (34 units mane & 28 units note) metformin 1000mg BD lisinopril 10mg daily Nexium 20mg daily metoprolol 50mg BD pregabalin 50mg note Scenario Two: Jenny Peterson is a 23-year-old single parent with a two-year-old girl named Samara. Jenny was diagnosed with epilepsy 6 months ago and is attending the outpatients’ neurology clinic for stabilization of her epilepsy. Social History Jenny and her daughter live in an outer suburb of a major city. Jenny is a receptionist at a major hotel chain and works morning and afternoon shifts on a rotating roster. Samara’s father is not supportive emotionally or financially. Jenny’s parents live two suburbs away and are very supportive of their daughter and grand-daughter - they take care of Samara while Jenny is at work. Medical History Jenny sustained a head injury in a car accident when her car was hit by a drunk driver. Jenny spent three days in intensive care before being transferred to the rehabilitation unit where she spent one week. Upon discharge, she appeared to have no residual health issues. Three months after the accident however Jenny experienced a tonic-clonic seizure one night while visiting her parents. Jenny was initially hospitalized for investigation of the seizures. Whilst in hospital, Jenny’s seizures were controlled with medication (sodium valproate) and she was therefore discharged on sodium valproate with follow up appointments in the neurology clinic. Initially, it appeared that Jenny’s seizures were under control and so she returned to work, using public transport and taxi services as she was not allowed to drive. In the last few weeks, she has been having seizures again and she is currently on sick leave. She has almost no sick leave left, causing Jenny a great deal of financial distress. Both Jenny and Samara have had a few bouts of illness in the past month – mainly common colds and one episode of nausea and diarrhea. Samara is now well but Jenny feels tired, run-down and is still nauseous occasionally. She wants to ‘go off’ her medications to see if she feels better. She states that she is afraid of the future and how she would care for Samara. She is particularly concerned about having seizures while alone at home with Samara. Current Medications sodium valproate 200 mg daily lamotrigine 200 mg daily

This Nursing Assignment has been solved by our Health-Care experts at My Uni Paper. Our Assignment Writing Experts are efficient to provide a fresh solution to this question. We are serving more than 10000+ Students in Australia, UK & US by helping them to score HD in their academics. Our Experts are well trained to follow all marking rubrics & referencing style.