18 Jul BLOOD GLUCOSE
CASE STUDY: DIABETES MELLITUS ANALYSIS
You admit GC, 48 yr. old obese Hispanic male with Type 2 Diabetes on your medical floor with a left heel ulceration. He completed Antibiotics and Prednisone for a severe respiratory infection 1 week ago. He is soft spoken unemployed cook. He conveys that he lives with Mama (she is present-speaks no English).He is unmarried and has no children. He appears depressed.
You scan his labs:
Blood glucose 275
BUN 32-Creatinine 2.5
Triglycerides, Total Cholesterol 270.
He states he was started on 25 units of NPH Insulin when he developed the foot ulcer several weeks ago.
He states his PCP said if he does not “straighten out he may end up on dialysis. You ask him if he maintains a dietary plan and he says; “sometimes”.
GC states his doctor told him to try to maintain a blood glucose level of 100-150.
The next day GC received his AM dose of insulin at 0645. Blood glucose check at 11:30 is 138. You note GC ate poorly at breakfast and very little at lunch because he wanted to rest. At 1430 You want to check on GC and are prepared to go change the dressing on his foot. When you enter GC’s room he says he has a headache. Assessment: GC Pale and diaphoretic.
Please use the case studying grading rubric below to respond to the case study.
Grading criteria
Content
Uses concept diagram to explain relationship of case study to the concept
Thoroughly explains the pathophysiology in the case study.
Thoroughly explains diagnostic tests and medical interventions used to treat the disease presented in the case study.
Incorporates and discusses medications that would be administered for the case study situation.
Critical Thinking
Demonstrates understanding of content and application of theory to the case study by answering all of the questions posed in the case study.
Presentation responses make informed references to unit material from the article submitted and textbook.
Nursing Process
Presents clustered data based on the pathophysiology in the case study.
Exhibits understanding of pathophysiology and identifies 5 priority nursing diagnosis that address the case study. Identifies the priority nursing diagnosis.
Identifies 1 goal that is measurable for the priority nursing diagnosis.
Identifies 5 priority interventions that are individualized and provides rationale.
Identifies what is needed for the outcome to be achieved.
Sources
Responses included source references in APA format.
Presentation style
– Logical sequence
– Effective transitions
– Factual content from unit outcomes of subject area
-Comprehensive summary of main points.
Submits a copy of one reference from a professional nursing journal. References must be less than 4 years old. Submits one copy of the grading rubric to instructor before presentation.
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