This was well illustrated in the Diabetes Control and Complications Trial DCCT by the effectiveness of nurse managers in coordinating and delivering diabetes self-management education.
At the completion of assessments, advanced practice nurses, in conjunction with patients, identify management goals and determine appropriate plans of care. He also eats eight to ten pieces of fresh fruit per day at meals and as snacks.
Although both his mother and father had type 2 diabetes, A. He had been started on glyburide Diabeta2. These nurse managers not only performed administrative tasks crucial to the outcomes of the DCCT, but also participated directly in patient care.
Advanced practice nurses by the very nature of their scope of practice effectively combine both education and management into their delivery of care. Although he was diagnosed inhe had symptoms indicating hyperglycemia for 2 years before diagnosis. PDF The specialized role of nursing in the care and education of people with diabetes has been in existence for more than 30 years.
It is a crucial component in the care of people with type 1 diabetes, and it becomes increasingly important in the care of patients with type 2 diabetes who have a constellation of comorbidities, all of which must be managed for successful disease outcomes.
In diabetes, the role of advanced practice nurses has significantly contributed to improved outcomes in the management of type 2 diabetes, 5 in specialized diabetes foot care programs, 6 in the management of diabetes in pregnancy, 7 and in the care of pediatric type 1 diabetic patients and their parents.
Clement 2 commented in a review of diabetes self-management education issues that unless ongoing management is part of an education program, knowledge may increase but most clinical outcomes only minimally improve.
However, his medical records also indicate that he has had no surgeries or hospitalizations, his immunizations are up to date, and, in general, he has been remarkably healthy for many years. Many advanced practice nurses NPs, CNSs, nurse midwives, and nurse anesthetists may prescribe and adjust medication through prescriptive authority granted to them by their state nursing regulatory body.
Among the disciplines involved in diabetes education, nursing has played a pivotal role in the diabetes team management concept. He has never seen a dietitian and has not been instructed in self-monitoring of blood glucose SMBG.
Many studies have documented the effectiveness of advanced practice nurses in managing common primary care issues.
Since retiring, he has been more physically active, playing golf once a week and gardening, but he has been unable to lose more than 2—3 lb.
Physical Exam A physical examination reveals the following: He prefers chicken and fish, but it is usually served with a tomato or cream sauce accompanied by pasta.Even more common in grown-ups, type 2 diabetes increasingly influences children as childhood weight problems increases.
There is no remedy for diabetes mellitus type 2, but you may well be able to manage the condition by eating well, training and maintaining a healthy weight.
Case Study about Type II Diabetes Mellitus - Free download as Word Doc .doc), PDF File .pdf), Text File .txt) or read online for free/5(13). Case Study Diabetes Ashley Wilkins 1 Introduction Pt was a year-old patient admitted to the Hospital in June due to a poor healing wound and was diagnosed upon admission with cellulitis and type 2 diabetes mellitus (T2DM).
Pt was earlier diagnosed with hypertension. Case Study #3 Diabetes Mellitus: Type 1. Lindsey French, Andrea Meiring, Katherine Mykytka, Jessica Oakley October 30, Diabetes Mellitus: Type 15/5(5).
Type 2 diabetes: Type 2 diabetes has strong genetic links, meaning that type 2 diabetes tends to run in families. Several genes have been identified and more are under study which may relate to. Type 1 diabetes or insulin dependent diabetes mellitus- Absolute deficiency of insulin is due to absence of Islet of langerhans in the pancreas.
2. Type 2 diabetes or Non-insulin dependent diabetes mellitus – with relative lack of insulin or resistancce to the action of the insulin;ussually insulin is sufficient too stabilized fat and protein metabolism but not to deal with carbohydrate 3.Download