Diabetes Mellitus Disease Write an imaginary case study for your hypothetical pa
ID: 125111 • Letter: D
Question
Diabetes Mellitus Disease
Write an imaginary case study for your hypothetical patient.
Explain how the patient moved through the healthcare delivery system.
With respect to the costs you calculated last week, describe how the patient will pay for the cost of treatment.
Analyze the healthcare delivery system as illustrated in this case. What problems did you notice? Would some people find it difficult to pay for treatment? Are there areas where treatment for this illness is unavailable or unaffordable to the common person?
Explanation / Answer
Diabetes mellitus is a group of diseases that affects the blood glucose level. Pancreas does not produces enough insulin for metabolis of glucose and hence glucose level increases.
Mr xyz 65 years old admitted in the medical ward in the view of diabetes . He has the complaint of weakness , unexplained weight gain since 2 months, iiritability, frequent urination and skin infection on right leg. He has the significant family history of having diabetes to his own brother.patient has the significant history of smoking habit.
Physical examination reveals:
Vitals signs: increased blood pressure, decreased pulse rate
General appearance: obese
Skin: sign of infection redness on right leg, wound is present, decreased wound healing
Mood : anxious, irritable
Vision: blurred
Weight: 75 kg
BMI: 32 kg / m2
Investigations:
1) random blood sugar test: >200 mg/dl
2) fasting blood sugar test: > 120 mg/dl
3) glycated haemoglobin ( A1C) test: > 6%
4) oral glucose tolerance test
Treatment:
1) insulin therapy 8 units
2) tablet metformin BD
Nursing management:
1) Assessment: General condition, vital signs, skin integrity, blood glucose level
2) Nursing Diagnosis:
3) outcome goal: To improve blood glucose level
4) Nursing interventions:
5) Evaluation: blood glucose level, wound healing, medications dosage.
6) follow up care: consult the physician for review of medication, for any abnormal signs and symptoms.
Surgical debridment is necessary for the client who are having necrosis and sometimes berriatric surgery is needed in obese and this cost high clinical health expenditure. By using evidence based practices , improving doctor patient communication, adhering to drugs strategy, various national diabetes control program in primary health care can improve the care delivery in diabetes patient.