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List and explain four (4) issues related to diabetes care delivery and diabetes-related services.
Provide an example of how you have all would manage or adjust your nursing workload according to the needs of a patient or patient’s, something that should be done in consultation with the registered nurse. The answer should include details of the patient’s condition, the change which sees a reprioritisation of care activities, and changes to your activities or scheduling which result from this?
As a part of your practical tasks for this unit you will need to demonstrate the administration of prescribed emergency medication, and this activity what you need to do is demonstrate underpinning knowledge. Describe the emergency medication might you need to give to a diabetic?
Case study: Cane is 20 and was diagnosed with Type 1 Diabetes at age 7. He is an apprentice mechanic and has recently moved out of home and is living with his girlfriend Julia who is also 20. Julia is studying to be an Enrolled Nurse. You are the Enrolled Nurse working in the Outpatient Diabetes Clinic. Cane is here for his yearly review with the Endocrinologist. You have only worked here for 2 weeks and have just finished your orientation. You need to perform a holistic nursing assessment before Cane’s appointment with the Endocrinologist. Cane tells you that he sometimes doesn’t take his insulin at work because he “feels weird doing it” in front of other employees. He also has been avoiding taking his BSL through the day. Cane cannot answer questions about hypoglycaemia and does not know what to do if his BSL is 16 mmol. With Cane’s consent you invite Julia into the conversation. Julia tells you she doesn’t interfere with Cane and his diabetes because “that would just be too weird”.You have Cane check his BSL and you note that he takes his BSL from the middle of the pad of his thumb. The result is 19mmol. When you tell Cane that his BSL reading is high, he does not appear to understand. On further questioning he tells you that up until a month ago his mum managed his BSLs and his insulin dose and attended all appointments with him.
In what format would you provide the information on diabetes and diabetes funding?
Provide details of the types of organisations and services that may be involved in delivering care for Cane?
Provide examples of agencies and or community organisations in Australia from whom you might receive a referral and need to undertake consultation?
How will you determine Cane’s current understanding of his condition including any self-management and use of medications?
Identify the possible factors that impact on a person’s general health and their ability to self-manage their diabetes. Which of these factors to you think apply to Cane? Why? Please link back to Cane’s scenario i.e. health literacy, diet, finances etc. Why will these factors relate to Cane?
How would you identify the understanding of ongoing management of the person, their family or caregiver?i.e. BGL diary, what are you observing him do? What would you be assessing when he manages his insulin injections?
After you have evaluated and interpreted Cane’s blood and urine test results, how would you provide this information to interdisciplinary health team members?he BGL is 19 and Blood Ketones 1.8mmol (posted in webex – missing from case study) – is this urgent? If so what are you suspecting and need to highlight in your ISBAR.
Cane and Julia would not have been ready for education while he was unwell. When can/should you give education to patients? Provide three (3) examples of where an opportunity might present itself for you to provide information around diabetes and possible support services to Cane and Julia. Please provide another example in the hospital context of when you would provide information to Cane and Julia.

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