Effectiveness Of Standardized Nursing Care Assessment Answer

The understanding of Mr. X pertaining to diabetes had been sketchy in the beginning by his own admission. He did not feel motivated to stick to the diet, exercise and motivation prescribed by the doctor. As a result of his failure to stick to the routine, he reported high blood sugar on several occasions. His symptoms of blurred vision, thirst and fatigue continued. On the recommendation of his doctor he decided to attend an education program designed specifically for diabetes patients. (García-Pérez, Álvarez, Dilla, Gil-Guillén, & Orozco-Beltrán, 2013). Following the program, his blood sugar levels showed tremendous improvement. The tips and suggestions given by the diabetes educator were not difficult to follow. As someone who liked to walk, Mr. X started walking to work and back, his diet improved and he learnt to remember the oral medication prescribed by the doctor. He noticed improvements because the symptoms of thirst, fatigue and blurred vision vanished. He got extensive support from his family and friends. His family stopped using sugar and having desserts, which helped Mr. X to resist temptation of eating sugar laden foods (Miller & DiMatteo, 2013).

Some patients find the tasks of taking medicines, watching their diet constantly, checking blood sugar levels and visiting the doctor regularly difficult to perform. The diagnosis of diabetes means that they have to change the way they live. Some patients are more likely to develop depression and anxiety because they live in fear of not being able to live a healthy life. They also fear the several health complications that can result from uncontrolled blood sugar levels. While some patients are open about the sadness they feel, others may have to be probed to find out whether they are feeling stress because of the disease or are afraid of the risks of morbidity (Chew, Shariff-Ghazali, & Fernandez, 2014).

At the physical level, some patients find it difficult to cope with the need to exercise because they are not used to much physical effort.

Diabetes management by the patient requires that the patient be empowered to manage the disease successfully and improve quality of life. Self-management of diabetes through the development of a plan of care is important in achieving the desired outcomes for patients who find it difficult to cope with the changed requirements. The process of behaviour change involves informing the patient, shared decision making, forming strategies of self care and providing assistance to facilitate change (Cárdenas-Valladolid, et al., 2012). A care plan should include the following steps:

• Tests for serum glucose and serum acetones
• Tests to check lipids, triglycerides and cholesterol
• Tests to check glucagon levels
• Glycosylated hemoglobin (Hb1Ac)
• Serum insulin
• Electrolytes: sodium, potassium and phosphorus
• Arterial blood gases
• Serum amylase
• Urine tests for glucose, ketones and specfic gravity
• Thyroid function tests.
• Cultures and sensitivities: Possible respiratory, wound or urinary tract infection

Regular checks and adherence to the diet, exercise and medication regimen can improve the health of diabetes patients and keep them safe from the complications associated with high blood sugar. A care plan incorporates testing for all the risks that are associated with diabetes. Early detection of complications can reduce morbidity and mortality to a great extent.

Since the interviewed patient is a resident of Perth,

web address, street address, telephone contact of three diabetes-care facilities:

Perth Diabetes Care

website: https://perthdiabetescare.com.au/

Street address: 968B, Albany Hwy,East Victoria Park, WA 6101.

Telephone: 0861100570,

Fax: 0893555718

Diabeteswa

website: https://diabeteswa.com.au

Street address: Level 3/322, Hay Street, Subiaco, 6008

Telephone: 1300 136 588  

Fax: (08) 94750485

Emslies floreat pharmacy

website: https://emsliespharmacy.com.au/services/medscheckdiabetes-medscheck/

Street address: 445, Cambridge Street, Floreat, WA 6014.

Telephone: 08 9387 1803

Fax: 08 9284 1215

References

Cárdenas-Valladolid, J., Salinero-Fort, M., Gómez-Campelo, P., de Burgos-Lunar, C., Abánades-Herranz, J., Arnal-Selfa, R., & López- Andrés, A. (2012). Effectiveness of Standardized Nursing Care Plans in Health Outcomes in Patients with Type 2 Diabetes Mellitus: A Two-Year Prospective Follow-Up Study. PLoS One, 7(8), e43870.

Chew, B.-H., Shariff-Ghazali, S., & Fernandez, A. (2014). Psychological aspects of diabetes care: Effecting behavioral change in patients. World Journal of Diabetes, 5(6), 796–808.

García-Pérez, L.-E., Álvarez, M., Dilla, T., Gil-Guillén, V., & Orozco-Beltrán, D. (2013). Adherence to Therapies in Patients with Type 2 Diabetes. Diabetes Therapy, 4(2), 175–194.

Guyton, A., & Hall, J. (2006). Textbook of Medical Physiology. Elselvier Saunders.

McCuloch, D. K. (2015, March 19). clinical-presentation-and-diagnosis-of-diabetes-mellitus-in-adults. Retrieved from https://www.uptodate.com: https://www.uptodate.com/contents/clinical-presentation-and-diagnosis-of-diabetes-mellitus-in-adults

Miller, T., & DiMatteo, M. R. (2013). Importance of family/social support and impact on adherence to diabetic therapy. Diabetes, Metabolic Syndrome and Obesity, 6, 421–426.

Ozougwu, J. C., Obimba, K. C., Belonwu, C. D., & Unakalamba, C. B. (2013). The pathogenesis and pathophysiology of type 1 and type 2 diabetes mellitus. Journal of Physiology and Pathophysiology, 4(4), 46-57.