Case Scenario:     Mr George McFarlane. Male, aged 53 years. Married for 5 years with 3 children.

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Asked by pcha2397

Case Scenario:

Mr George McFarlane. Male, aged 53 years. Married for 5 years with 3 children.

Mr McFarlane’s background includes:

Second marriage – first wife died of cancer 8 years previously
Occupation – Long haul truck driver
Earns good money
Away from home a lot – not there to support family
Overweight – 135kg
Hypertension
Uses watching television and beer to cope with stress
Smoker
Diet preferences are Australian. Often has a poor diet when on the road for work including ‘fatty food from truck stops’
Has a 26-year old son from first marriage who has severe depression and uses illicit drugs, visits on occasion (very disruptive when he does visit)
Unknown social support and external interests
Has osteoarthritis in (L) knee
Reliant on wife, Yu Yang, to do all domestic duties as he is not self-sufficient.

Mrs Yu Yang McFarlane is Mr McFarlane’s wife. She is 38 years old. 

Mrs McFarlane’s background includes:

Came to Australian as a university student
Fell pregnant at the age of 19 – did not marry
Married George 5 years ago
Has 3-year old twins at home
One twin has developmental disorder
English language is good
Was/Is isolated with no extended family
Her issues will be those of isolated immigrant
Prefers to cook Asian food
Needed help with raising child and so she invited her Chinese mother to come to Australia to help out
Needed help with raising child and invited Chinese mother to Australia to help out
Question 1

Mr. McFarlane has recently been diagnosed with Type 2 diabetes. Discuss the pathophysiology of Type 2 diabetes. 

Include in your response: 

Your understanding of Type 2 diabetes
Possible causes of Type 2 diabetes
Possible risk factors for Mr McFarlane

Question 2

Discuss the difference between Type 1, Type 2 and gestational diabetes.

Include in your response:

anatomy, physiology and pathophysiology of each type

Question 3

Consider each of the following potential problems associated with diabetes:

hypoglycaemia
hyperglycaemia
ketoacidosis
Hyperosmolar non-ketonic coma

Discuss your understanding of each of these potential problems. 

Include in your response:

Signs and symptoms of each potential problem
What assessments/ examinations would determine if the client is suffering with the potential problem
Possible treatment options including any emergency care required
nursing care of a client

Question 4

Mr McFarlane is complaining of feeling dizzy, nauseated and has a headache. On assessing Mr McFarlane, you note that he is pale and clammy and is tachycardic.  You check Mr McFarlane’s blood glucose level (BGL) and note that it is 3.4 mmol/L. Mrs McFarlane states that Mr McFarlane has not eaten since breakfast due to the appointment time at the clinic. Lunch has been delayed due to today’s appointment. 

Outline your actions to this situation

Include in your answer:

Your immediate response to ensure the safety of your client
Who you would notify of the situation and what information you would handover (consider using ISBAR in your response)
How you would evaluate if the care provided was effective
What information you would provide to Mr and Mrs McFarlane about the situation and how this could be prevented in the future

SCIENCE
HEALTH SCIENCE
NURSING
DIPLOMA OF HLT54115

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