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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, visits on occasion (very disruptive when he does visit)
Unknown social support and external interests
Has osteoarthritis in (L) knee
Reliant on his 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 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 the child and so she invited her Chinese mother to come to Australia to help out

1. Discuss the educational requirements for Mr McFarlane and his wife now that Mr McFarlane is requiring insulin injections and more frequent BGL monitoring. Consider in your answer:

a.Review of BGL monitoring technique and requirements

b.Storage of insulins and equipment including safe disposal of used products. 

c.How to safely administer subcutaneous insulin including rotation of sites

d.Review of possible complications including hypo/ hyperglycaemia

e.How would you ensure Mr McFarlane has understood your teaching?

2. Discuss possible self-esteem issues Mr McFarlane may experience when administering insulin and checking BGLs while on the road for his job. What information could you provide to assist Mr McFarlane to deal with these issues? Consider in your answer:

a.Privacy and dignity when checking BGLs and administering insulin

b. Risk of anxiety and depression

c. Safely administering insulin at prescribed times,  safe storage of medications and disposal of sharps

3. Plan two (2) health promotion goals for each of the following areas and their expected outcomes for Mr McFarlane and his wife to assist in improving his overall health and decreasing possible complications associated with his diabetes. Which other health professionals may be involved?  Consider the following areas in your answer:

Exercise
Healthy eating
Weight loss
Smoking cessation
Foot and eye care

 

4. Outline five (5) resources available for Mr McFarlane and his wife to assist with gaining information on his diagnosis of diabetes and how to develop a healthier lifestyle. Provide details on what the resource offers and how it can assist Mr McFarlane and his wife. You can consider in your answer online and community clinics in your area. You can include lifestyle resources such as weight loss programs, diabetes programs and other services available

5. Discuss possible issues related to diabetes care delivery and diabetes-related services in Australia. Consider in your answer: 

a.Prevention and awareness of diabetes

b.Resource availability including rural and remote settings

c.Cost of resources

d.Increase incidences of diabetes 

6. Discuss how environmental and social factors can affect a client’s increased risk of developing diabetes and their ability to safely monitor their condition and to be monitored. Consider in your answer:

a. Social factors such as alcohol use, lack of exercise and fatty diets

b.Cultural factors experienced by Aboriginal and Torres Strait Islander people 
 

 

SCIENCE
HEALTH SCIENCE
NURSING
DIPLOMA OF HLT54115

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