In the United States, 25.6 million adults age 20 years or older have diabetes (American Diabetes Association, 2011). If not properly treated and managed, these millions of diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness.
Proper treatment and management is the key for diabetic patients, and as the advanced practice nurse providing care for these patients, it is your responsibility to facilitate this process. Patient education is critical, as is working with patients to establish a regular pattern for daily activities such as eating and taking medications. When developing care plans for patients, you must keep the projected outcomes of treatment in mind, as well as patient preferences and other factors that might impact adherence to treatment and management plans. In this Discussion, you draw from your Practicum Experience and consider factors that impact the education and treatment of patients with diabetes.
To prepare:
Review Chapter 205 in Part 17 of the Buttaro et al. text.
Reflect on the clinical presentation of diabetes, as well as your Practicum Experiences and observations. Select a case from these experiences that involve a diabetic patient. When referring to the patient, make sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient.
Recall the medical details of the patient in the case that you selected including patient history, clinical presentation, physical exams, diagnostics, and the recommended treatment plan.
Select one of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how this factor might impact the treatment plan and patient education strategies.
Post on or before Day 3 a description of the case that you selected including the diabetic patient?s medical details. Then, explain how the factor that you selected might impact the treatment plan and patient education strategies.
Read a selection of your colleagues? responses.
Respond on or before Day 6 to at least two of your colleagues on two different days who selected different factors than you. Pose questions for your colleagues regarding their treatment plans and/or patient education strategies. Then, expand on your colleagues? postings by providing additional insights based on readings and evidence.
Response #1 to Enrique
Discussion: Diabetes
Mr. DP is a 45-years-old African-American male patient who visited the clinic for his six months follow-up check-up. He is concern that his diabetic medication is not working due to the persistently elevated finger stick ranging from 160 to 200 which he checks daily before breakfast. He admitted that he have a problem controlling his diet while at work but swore that he skips dinner most of the time to prevent raising his blood glucose level while sleeping. He is also complaining of always being thirsty, frequency of urination and occasional tingling sensations to his hands and feet.
Mr. DP has history of high blood pressure, high cholesterol, and obesity with BMI of 33.9. He is currently taking Metoprolol 50 mg PO daily, Simvastatin 20 mg PO daily at HS, and Metformin 1000mg PO daily. He does not have any surgery in the past and denies any allergies to medications.
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