“Kerry is a 52 year old woman

“Kerry is a 52 year old woman of Aboriginal decent. She was diagnosed with type 2 diabetes at the age 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. Pathology BGL reading recorded 27 mmol/litre HbA1c of 13.1%. Positive for Ketones in her urinalysis 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 the acute 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 only child whom Kerry gave birth to at 17 was diagnosed with Type 1 diabetes at the age of 6 and died several 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 usually housebound. Kerry also has a mild learning disability and is stressed, she recently lost her job in a 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 regime. When she is feeling good she does adhere, however in light of her recent stressors she has not been adhering to her regime. Furthermore, over the past several weeks she has felt very depressed and said that when she feels 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 night before bed. Kerry has been under the care of the diabetic unit at the hospital for the past four years however her attendance at appointments is very erratic. She is to be seen by the hospital’s diabetes educator whist in hospital.” Look at the table and correct the answer Image transcription text 15. You are on your vocational placement and involved in the care of Kerry, your facilitator has asked that you evaluate and interpret Kerry’s blood tests within this case study and report your findings to her and the other students during reflection time at the end of the day. What would you tell them? The following points wi… Show more SCIENCE HEALTH SCIENCE NURSING HLT 54115

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