Diabetes Mellitus Management
Short answer response (600 words)
Short answer response (600 words)
Task description
This question is based on the case study (Nick). In the management of
Nick’s care, a nursing care plan has been developed by the Community
Diabetes Nurse and sent to the ward to be implemented. You note that the
care plan is for hyperglycaemia and Nick has experienced hypoglycaemia
this admission.
The Community Diabetes Nurse has asked you to adjust
the care plan as needed for the individual and ensure that any intervention
and education you provide is patient centred.
Questions:
Part 1: Identify the legal/ethical issue in relation to receiving the wrong
care plan.
Briefly identify the legal/ethical issue provided in the scenario above.
Your response here should be brief (maximum of 50 words).
Part 2: Provide a critical discussion on the education you would provide
Nick.
The discussion should focus on two of the following aspects of diabetes
mellitus management and include evidence based reasoning in relation to
contemporary and emerging research within the topics:
• Diet and nutrition
• Physical activities
• Insulin management
Structure and presentation:
The response should include a brief (one sentence) introduction,
followed by the case analysis (one paragraph for each of your chosen
topics) and a brief (one/two sentence/s) conclusion. Do not use dot
points, headings or tables.
Nick’s health is suffering as he starts to live life in
the ‘fast lane’
Nick begins university
Nick at uni
Nick, 18, has just begun his first semester in his first year of an engineering degree at
University of Sydney. He was diagnosed with type 1 diabetes mellitus at age six and prior
to his first semester at uni, Nick’s parents had helped Nick maintain strict control over his
blood glucose levels, insulin administration, diet, exercise and overall health. He is
currently prescribed Humulin R Twice a day. When Nick was in high school, several
teachers on staff were very supportive of his condition and encouraged Nick to maintain
regular eating schedules and inject insulin at regular intervals. For years, his diabetes
was managed well.
He is living away from his parents and siblings for the first time and lives in on-campus
dormitory university accommodation. Over the past several months, Nick has been
introduced to many stressors that he is challenged by. He is away from the support of his
family, he is responsible for his own meals and insulin management, he is involved in a
whole new social group, and he is struggling to keep up with the workload of his course.
In addition, Nick is on the university’s rugby team and feels peer pressure from his
teammates to engage in activities such as chasing girls, binge-drinking, late night fastfood
runs, skipping class, pulling all-nighters before exams and extreme training
schedules.
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