Do Type 2 diabetics (P) achieve better glycaemic control (O)

V urse, caring for a patient with a diagnosis of acute depression hospitalized with suicidal ideations with a lethal plan, is reviewing the patient’s health history and medical record. Click to highlight the findings that would require follow-up. A 26-year-old recently discharged from the military was admitted 4 days ago for psychiatric evaluation after expressing suicidal ideation, supported by a highly lethal plan. The patient was diagnosed with acute depression, and treatment with antidepressants and therapy was initiated. After several telephone calls to his parents on the first 2 days of his hospitalization, the patient appears pleased that they have agreed to visit. They arrive for their first visit on the evening of the third hospitalization day. The patient’s mother is tearful and expresses concern over how the patient is “being treated” and asks “if he is eating well.” The patient’s father paces with crossed arms and makes little conversation or eye contact with the patient. The visit lasts a little less 30 minutes, with the mother promising to call and send a package of clothes and snacks. The father tells his son that they will visit again “sometime” and states, “Son, stop acting this way, because it really hurts your mother.” After the visit, when the nurse asks the patient to discuss the visit, he tells the nurse, “It’s hopeless, nothing changes. I’m tired; I’m going to lay down.”

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