Use case of student to complete the

Use case of student to complete the question below of 40. She is obese with a BMI of 32.5; she has a history of complications which include a prior myocardial infarction a year ago with the introduction of a stent, mild retinopathy and previous foot ulcers. Kerry has had multiple admissions to a large public hospital for episodes of both hypo and hyperglycaemia due to poor blood glucose control. Her current admission to an acute medical ward was due to hyperglycaemia. She arrived at emergency feeling nauseous, with a severe headache and confused. Her current medication regime was Mixtard 30/70 twice daily. She was given NovoRapid whilst in emergency and then transferred once she was stable to medical ward for further review. Kerry has a IV cannula insitu, therefore she is on a fluid balance chart. Kerry is allowed to mobilise with supervision. Kerry’s condition is further complicated by several social, financial and physical factors. Her o whom Kerry gave birth to at 17 was diagnosed with Type 1 diabetes at the age of 6 and died : years ago from a serious metabolic condition related to diabetes Kerry does not know if it was DKA or HHS She lives alone in a rented flat and has no immediate family close by to assist her, so is usuall housebound. Kerry also has a mild learning disability and is stressed, she recently lost her job in the call centre which she states occurred because of workplace bullying. Shortly after losing her job she had a car accident which resulted in the loss of her car because she was not insured. Kerry’s mild learning disability impacts on her ability to self-care and adhere to a regular medication reaime. When she is feeling good she does adhere. however in liaht of her recent stressors she had not been adhering to her regime Furthermore, over the past several weeks she has felt very depressed and said that when she f sad she no longer bothers with her medications or recording her BGL’s. Whilst in hospital Kerry was started on NovoRapid 3 times per day prior to meals and Lantus at r before bed. Kerry has been under the care of the diabetic unit at the hospital for the past four years however attendance at appointments is very erratic. She is to be seen by the hospital’s diabetes educator whist in hospital. Image transcription text 6. Kerry’s situation raises many concerns regarding her health. In the table below outline the potential problems for each of the following conditions and 2 nursing interventions for prevention Health issues Potential problems related to … Show more

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