R/T Diabetes Case Study

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Type Two Diabetes Knowledge deficit R/T diabetes management
New diagnosis of diabetes and addressing education needs should be a top priority in caring for this patient. Given her numerous health and related issues education will provide a basis for improved health outcomes. The limited window prior to dismissal warrants the education focus to be centered on critical skills that will allow the patient to begin care needs that will encourage health improvements.
Kolb and Lipman (2015) reported recommendation of Carolyn Jenkins DrPH, APRN, RD, CDE, RN, BC-AADM for providers to move from a paternalistic approach of single focus on one task, toward a broader scope, ensuring follow up of the hospitalized or newly diagnosed diabetic patient.
Furthermore, …show more content…
Information states she had been informed of abnormal glucose levels in the past. Most certainly her elevated glucose levels contribute to activity intolerance given she has confirmed increased thirst, headache and fatigue which are indicative of chronic hyperglycemia.
R/T increased weight gain of 45 pounds in one year contributing to inactivity, hypertension and increased glucose levels.
R/T increased home and work stress levels contributing to decreased time, willingness and ability to perform …show more content…
Tikkanen et al (2015) reported that approximately two thirds of diabetic patients have hypertension. Considering diabetes and hypertension are cardiac risk factors, Tikkanen et al (2015) emphasized the importance of glycemic and blood pressure control as key components in decreasing cardiac risk in addition to providing renal protection.
Obesity
R/T sedentary lifestyle, menopause, compounded by stress/inadequate coping skills and knowledge deficit regarding dietary practices.
As reported by Wahowiak (2016) according to Doctor Cynthia Stuenkel menopause contributes to not only weight gain, but to fluctuations of glucose levels, in addition to decreased coping due to deficient hormone production. However, Doctor Stuenkel pointed out lack of sufficient studies in this area of diabetes care. Despite, the increased risk associated with menopause recommendations to maintain good health include: eating healthy meals and snacks within caloric needs, engage in 30 minutes of exercise 5 days a week and manage glucose levels within safe target goals (Wahowiak, 2016).
Care Giver Role Strain Social Isolation
Increased Job
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