¶ … Care provider Ms. X was a pre-diabetic woman with a young teenage daughter. I was asked to treat Ms. X to help her stabilize her blood sugar to reduce the likelihood that she would be dependent upon insulin in the near future. Given Ms. X's unstable lifestyle, I was concerned about her ability to manage an insulin injection schedule. Also, non-drug intervention is always favored as an initial treatment for type II diabetes.

Health promoter

When working with Ms. X, I stressed the positive aspects of improving her health. I pointed out how weight loss would lessen the burden on her joints and make life easier. I also stressed how small steps in eating more healthfully and taking moderate exercise would improve her health incrementally.

Learner

Weight loss and lifestyle changes are difficult, so it is essential to understand the patient's lifestyle rather than merely give a generic prescription to move more and eat less. I learned how Ms. X's work schedule made it difficult to have time to shop for and...

X how change could be feasible for her. I discussed her taste preferences and suggested healthier options (such as cooking healthy meals on the weekend and freezing them rather than going for take-out). I also talked about her schedule and tried to find ways to integrate more movement into her day, such as taking a walk during her lunch hour, taking the stairs rather than the elevator, and getting up periodically to stretch her legs during her sedentary workday.
Manager

Working with other members involved in the treatment of Ms. X required me to be a manager in terms of 'keeping on top of things' regarding requests for information (such as her current laboratory work) and ensuring her records were kept up-to-date.

Research consumer

To better understand Ms. X's case, I read the most current EBP (evidence-based practice literature) on…