Image transcription text Assessment 2 – Total 1200 words Question

unit HLTENN057 – Contribute to the nursing care of a person with diabetes. Case Study 4 You are nursing a client in the medical ward who was diagnosed with type 2 diabetes (Case Study 3) 6 months ago. He has been transferred to your ward from the emergency department where he presented with: Persistent high BGLs, above 15.0 mmol/L Nausea, vomiting, abdominal pain and states he has been experiencing extreme thirst and he states going to the toilet more than usual. Infected right heel wound. Vital signs: PR- 74 regular, BP-110/64, RR-22, SPO2-97%, TEMP- 37.2 BGL-18.4mmol/L Ketones-Nil Detected Client reports: Feeling “stressed” No longer able to get about related to his “sore foot.” Sense of failure despite trying to do all the right things Feeling “depressed” Prior to being admitted to your ward, the client was treated in the emergency department for Hyperglycaemic Hyperosmolar Nonketotic Syndrome (HHNS). Describe the pathophysiology of Hyperglycaemic Hyperosmolar Nonketotic Syndrome (HHNS). Explain the link between diabetes and depression? How might depression reduce this client’s health outcomes? List two (2) factors that may be affecting the self-esteem of the client. Explain a paragraph why people with diabetes are more prone to infection. The client has been commenced on a sulfonylurea (Gliclazide) and the Metformin dose has been increased. The diabetes educator has educated client on self-monitoring blood glucose levels and hypoglycaemia prevention and management. Registration with the National Diabetes Services Scheme (NDSS) has also been completed.W hat are the BGL targets for this client? What services does National Diabetes Services Scheme (NDSS) provide and how can the client purchase blood glucose testing strips? Case Study 5 You are completing a nursing assessment for a client undergoing laser treatment for diabetic retinopathy with the ophthalmologist in the public hospital outpatient clinic. The client was diagnosed with type 2 diabetes 5 years ago and has identified as Aboriginal. Describe in a paragraph: the pathophysiology of diabetic retinopathy, and the importance of eye care. 2. Aboriginal and Torres Strait Islander people face a higher risk of Type 2 diabetes than non-Indigenous Australians. Explain two reasons for this.

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