Mr George McFarlane. Male, aged 53 years. Married for 5 years with 3 children. Mr McFarlane’s backgr

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Asked by pcha2397

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 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 first marriage who has severe depression and uses illicit drugs, visits on occasion (very disruptive when he does visit)
Unknown social support and external interests
Has osteoarthritis in (L) knee
Reliant on wife, Yu Yang, to complete 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 Australian 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 developmental disorder
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 child and so she invited her Chinese mother to come to Australia to help out
Needed help with raising child and invited Chinese mother to Australia to help out
Question 1

Outline the information you will need to provide to Mr McFarlane and his wife regarding the ongoing management of his diabetes. 

 

Include in your answer:

What specialist services and support organisations are available
What information you would provide to Mr McFarlane and his wife relating to his condition, risk factors, medications and self-management to avoid potential complications
Education on lifestyle changes that may need to occur to ensure Mr McFarlane’s diabetes remains stable and decrease the chances of potential complications.
Education on the assessment and monitoring Mr McFarlane will need to continue to ensure stabilisation of his diabetes
What Mr McFarlane and/ or his wife should do if they suspect there is a complication associated with his diabetes.
Question 2 

Mr McFarlane has been recently diagnosed with Type 2 Diabetes, with the risk factors of obesity, poor diet and lifestyle factors and a history of smoking.  He has now been commenced on Metformin 1 gm BD and Gliclazide MR 120 mgs daily. 

 

Using the template below, plan your care, within your Enrolled Nurse scope of practice, for Mr McFarlane. 

Include in your response:

Specify four (4) nursing diagnoses or risk factors associated with the client’s current health presentations.
Record at least two (2) nursing interventions that could be applied for each diagnosis.
Specify at least one (1) member of the multidisciplinary team who may be able to support your suggested interventions.
Clarify how your planned intervention reflect the client’s interests and physical, emotional and psychosocial needs
Note at least one (1) expected outcomes that you would hope for as a result of each intervention.

 

 

Response:  

 
Nursing diagnosis

Planning – (Nursing intervention)

Multidisciplinary member to provide support  

Expected Outcome

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
SCIENCE
HEALTH SCIENCE
NURSING
DIPLOMA OF HLT54115

 

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