Imagine that you are working with Kevin Mills, 78 years old, who lives alone in
ID: 126407 • Letter: I
Question
Imagine that you are working with Kevin Mills, 78 years old, who lives alone in an independent living unit. Mills has type 1 diabetes. You visited Mills today to check his blood sugar and ensure that he maintains his health in his best possible way in relation to the agreed NCP. Mills’ daughter is at home now and she visits Mills two days a week to ensure his welfare.
1) Mills’ blood sugar is 10.2mmol/L at 10:00 am. He had his breakfast at 08:30am (2 toast, raspberry jam and tea with two sugars). Mills stated that he did not document the previous blood sugar values and doesn’t want to follow the diabetic diet plan as he feels the diabetic diet is ‘boring’. Provide 2 (two) examples of strategies you would implement as a nurse in promoting the health maintenance of Mills.
2) Identify and describe a community service/resource Mills and his daughter could access in promoting his health maintenance in relation to the identified issue in addition to the home nursing services.
1) Mills’ blood sugar is 10.2mmol/L at 10:00 am. He had his breakfast at 08:30am (2 toast, raspberry jam and tea with two sugars). Mills stated that he did not document the previous blood sugar values and doesn’t want to follow the diabetic diet plan as he feels the diabetic diet is ‘boring’. Provide 2 (two) examples of strategies you would implement as a nurse in promoting the health maintenance of Mills.
2) Identify and describe a community service/resource Mills and his daughter could access in promoting his health maintenance in relation to the identified issue in addition to the home nursing services.
3 Briefly describe in 40-60 words, how you could apply advocacy skills in relation to this scenario.Explanation / Answer
1.Diabetic patients need complex nursing care.TWO strategies that would be implemented is change in his diet and knowledge awareness regarding the process,risk factors and treatment.As he feels that the diet plan given is boring ,the nurse should assure to take care of the aspects including his interests.So a little changes in the diet plan can be made by a nutritionist in which his health is proper.Some interesting and tasty diet to be given which are free in glucose and can be monitored continously by the nurse.
Sometimes patient lack knowledge regarding disease process,treatment and risk factors that may occur if continous check is not done on blood glucose levels.Unfamiliarity with the consequences,lack of recall,improper follow up of instructions all these may affect the health a lot.So the patient should be given enough training and awareness should be created which helps in getting a desired outcomes.
2.Talking with others who have diabetes ,seek out a support group,find counsellors or social workers who could help,ask the healthcare provider where you can go for a help ,all these could assess in promoting his health maintenance,.