CPD115  Case Scenario:   You are an Enrolled nurse working in primary health care.  A new referra

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CPD115 

Case Scenario:

You are an Enrolled nurse working in primary health care. 

A new referral to your clinic, Mr. McFarlane, has recently been diagnosed with Type 2 diabetes.

As part of your role, you are working with a Registered Nurse to assess the client and develop a care plan appropriate for the client with both short- and long-term objectives and goals.

Character Briefs:

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 the 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 his first marriage who has severe depression and uses illicit drugs, he visits on occasion (very disruptive when he does visit)
Unknown social support and external interests
Has osteoarthritis in (L) knee
Reliant on their wife, Yu Yang does 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 Australia 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 a developmental disorder
The 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 a child and so she invited her Chinese mother to come to Australia to help out
Needed help with raising a child and invited a Chinese mother to Australia to help out

Questions. 

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

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

Include in your response:

anatomy, physiology, and pathophysiology of each type

3. Consider each of the following potential problems associated with diabetes:

hypoglycemia
hyperglycemia
ketoacidosis
Hyperosmolar non-ketonic coma

4.  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 from the potential problem
Possible treatment options including any emergency care required
nursing care of a client

SCIENCE
HEALTH SCIENCE
NURSING
NURS HLTENN001

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