Diabetes II
Description of the Client Situation:
This case examines Type II Diabetes in a 45-year-old black woman, an immigrant from Africa and a high school graduate, whose husband died a year ago. She is a restaurant manager and has a health insurance plan as one of the benefits offered by her employer. Her vision is slightly impaired but that does not concern her much, because with glasses her sight is almost normal. However, she sometimes experiences blurred vision, most prevalent in the afternoon. This has been occurring for about 4 months. She has been in good health, believes she lives a healthy lifestyle all her life, and has had no concern about her health until recently. About two months ago she started to feel weak and noticed that she tires more rapidly than usual.
On questioning, she admitted to getting up two or three times per night to urinate. She also is often thirsty at those times and drinks a glass of water each time. Her weight has been average through high school, where she had been active on the basketball team. After leaving school however, she had gradually gained weight over the years. Her appetite has remained excellent but she now is losing weight and becoming weak.
Nursing care will be provided for this patient primarily out of her home and via out patient clinical visits. Counseling can also be offered the patient on an out-patient basis. No family members are involved in the client's treatment, however a dietician and exercise physiologist will be consulted regarding the nurses recommendation for health care. The dietician's role will be to provide nutritional guidance and counseling, and the exercise physiologist will assist in developing a moderate exercise regimen to assist in managing the patient's weight.
II. Priority Psychosocial Need
The primary psychosocial need for this patient is stress management and adaptation. Nursing interventions for this patient will include social and behavioral adjustments which are necessary to improve the psychological adjustment this patient will deal with living with diabetes (Knoll, 2003). Stress management techniques are necessary to help combat the fatigue and depression typically associated with diagnosis of long-term illness. Additionally, stress management education will likely assist the patient in realizing and identifying healthier lifestyle choices, which include appropriate nutrition, activity, social interaction and exercise.
Women coping with Type II diabetes typically experience more anxiety, social worry and a "decreased ability to cope with the disease" (Knoll, 2003), therefore stress management and coping techniques will be essential to improving the outlook of this patient. As a restaurant manager this woman is likely to experience an increased level of stress. Additionally, she lacks support from relatives, and is also still adjusting to the loss of her husband less than one year ago. All of these factors may contribute to increased feelings of anxiety, stress and depression. These factors may also contribute to an increased outlook for failure if not addressed adequately in treatment protocols.
Additionally the patient is struggling with necessary dietary and lifestyle changes which are often hard to cope with initially. It will be critical to assess her mental outlook and measure her stress level on a weekly basis, to assess how this affects her nutritional and lifestyle choices.
III. Priority Basic Human Need
The priority basic human need identified for the patient is nutrition. Appropriate interventions will include nutritional assessment, counseling and monitoring. The patient is presenting with classic Diabetes II symptoms. Diabetes II is commonly controlled through diet alone. Though the patient will also benefit from an activity and exercise routine, diet is the first mode of improvement.
Type 2 diabetes is a major form of diabetes very prevalent within the United States, and is characterized by abnormal insulin production (Knoll, 2003). Typically the treatment of the disorder includes alleviation of symptoms and securing of blood glucose control to promote an optimal "quality of life" (Knoll, 2003). Blood glucose control is often established through appropriate nutritional interventions. The patient currently has indicated that her diet includes many high fat and sugary foods. To control the symptoms of...
Yet they gained tremendous benefits from the diabetes prevention program. It reduced the risks at 71% by choosing a moderate lifestyle. Good health could allow 20 more years to those over 65. It showed that lifestyle intervention dramatically decreased the risks of diabetes. Regular exercise was an important component of the management of Type II diabetes. It kept the weight down. The lack of exercise brought the weight up.
Diabetes and Drug Treatments TYPE II DIABETES AND DRUG TREATMENTS Differences Type I Diabetes Diabetes mellitus type 1 result from autoimmune destruction of insulin-producing beta cells within the pancreas. Subsequent shortage of insulin translates to increased urine and blood glucose. The developed world is associated with increasingly variant type I diabetes with a large cause of kidney failure and non-traumatic blindness. The link is based on an increased dementia and cognitive dysfunction risk through
Type II Diabetes Lifelong Health: Achieving Optimum Well-Being with Type-II Diabetes Diabetes is a serious illness, and it is becoming more and more common in the United States. Obesity statistics are startling, and they are rising yearly; with increased overweight individuals, the risk of Type II diabetes especially, also increases, and few things are undertaken to curb these harmful side effects of the unhealthiness that is taking over this country. While diabetes includes
Medical Conditions -- There are a number of factors that can increase the likelyhood of type-2 diabetes: hypertension, eleveted cholesterol, and a condition called Symdrome X, or metabolic syndrome (combination of obesity, high cholesterol, sedentary lifestyle, stress, and poor diet). Cushing's syndrome, cortisol excess and testosterone deficiency are also associated with the disease. Often, it is a number of co-dependent conditions that seem to give rise to diabetes (Jack &
versus Type II Diabetes Mellitus in pregnancy and adverse pregnancy outcome This intention of this dissertation is to firstly provide an overview of the most recent research into the issue of Type 1 and Type 2 diabetes, with the aim of examining in detail specific aspects and differences between the two types and the impact of diabetes mellitus on pregnancy and pregnancy outcomes. A further focus of this study is
Diabetes Mellitus Type II Diabetes is described as a condition that results from a chronic problem of hyperglycaemia that is brought about by insulin inaction in the body system. Diabetes type II is a condition that fronts the case for a range of diabetic problems characterised by some pathophysiological symptoms, including increased insulin resistance and impaired insulin secretion. The problems observed in the cell function and the deteriorating pancreatic conditions
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now