This assignment aims to present to stakeholders a concise, well-developed
unit HLTENN057 – Contribute to the nursing care of a person with diabetes. Case Study 1 A client aged 30 living with type 1 diabetes has presented to the emergency department with the following symptoms: feeling tired dizziness feeling hungry tingling lips feeling shaky or trembling. The client reported injecting his pre-lunch insulin Novorapid 10 units SC and undertook some strenuous exercise post lunch and realised that he did not have any carbohydrate foods with lunch, ‘just a salad.’ His BGL on presentation was 3.5 mmol/L. Name the acute short-term diabetes complication that the client is experiencing. Explain the steps to treat this complication. Include in your answer suggested education and prevention strategies for the client. List two (2) diabetes care services that the client could be referred to. Case Study 2 A client who is 26 weeks pregnant has been diagnosed with gestational diabetes mellitus (GDM), following a positive oral glucose tolerance test (OGTT). In one (1) paragraph, briefly describe the pathophysiology of GDM. GDM can pose multiple risks to the baby. List two (2). Case Study 3 A client aged 75 has been referred by their GP to the emergency department following a random BGL taken in GP practice of 18 mmol/L. Client reports: Polyuria, nocturia, polydipsia, fatigue, blurred vision, polyphagia Lives alone Smoking cigarettes “approx. 30 per day” Drinking sugary drinks and daily takeaway foods Sore feet Little or no physical activity Hard to relax, feeling stressed a lot. Clinical observations, signs and symptoms include: HbA1c 10% 86 (mmol/mol) (confirmed diagnosis type 2 diabetes) BMI 41 Weight 95kg BP 165/85, PR 102 regular, RR 24, SP02-98%, TEMP-36.9 Both feet dry cracked heels. a. Give one example of a lifestyle modification strategy under the following headings that the client could follow: Diet Weight Smoking b. List at least one diabetes care service referral for each of the following headings: A) Nutrition and dietary changes B) Weight loss C) Not Smoking D) Foot care c. The client is discharged once glycaemic profile improved with medical treatment. They are commenced on Metformin XR 500mg orally with evening meal, anti-hypertensives with GP follow up in place. What should the client know about the potential side effects of Metformin? How should Metformin be taken?
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