{"id":437415,"date":"2018-08-29T07:22:31","date_gmt":"2018-08-29T07:22:31","guid":{"rendered":"https:\/\/essaypaper.org\/assessment-task-2-case-scenario\/"},"modified":"2018-10-24T09:13:34","modified_gmt":"2018-10-24T09:13:34","slug":"assessment-task-2-case-scenario","status":"publish","type":"post","link":"https:\/\/www.benedictsol.com\/blogs\/assessment-task-2-case-scenario\/","title":{"rendered":"Assessment Task 2: Case Scenario"},"content":{"rendered":"\n
\n

Assessment Task 2: Case Scenario<\/strong><\/p>\n

Melanie Johnson is a 63 year old woman who has been admitted to your surgical ward for the drainage of a<\/p>\n

Bakers Cyst. She was diagnosed with Type 2 Diabetes Mellitus (T2DM) 6 months ago, during a routine workup<\/p>\n

for surgery. She takes no specific medication for her diabetes, and has been told by her GP to \u2018watch what she<\/p>\n

eats\u2019. She was devastated to discover her diagnosis of T2DM, as she was aware of the risks due to her family<\/p>\n

history. She has not returned to her GP since her initial diagnosis. She has no other past medical history of<\/p>\n

note. Melanie says tearfully \u201cI have been trying to eat right and exercise, but I can\u2019t walk because of the pain in<\/p>\n

my knee and I was feeling down and eating ice cream. I have hardly eaten anything in the last week because I<\/p>\n

am trying to lose weight and get my blood sugar down\u201d.<\/p>\n

Her mother and older sister were both diagnosed with T2DM in their early 50\u2019s.<\/p>\n

Melanie tells you she has had the Bakers Cyst for about 2 years. It has been increasing in size over the last 8<\/p>\n

months, restricting her movements. The planned surgery is drainage followed by two follow up cortisone<\/p>\n

injections.<\/p>\n

On Admission at 0800 \u2013 her blood glucose level (BGL) was 22.9 mmol\/L; HbA1c: 11%. She has been fasting<\/p>\n

since midnight. She notes that she is feeling quite \u201cstressed\u201d about the surgery. On admission the following<\/p>\n

were recorded:<\/p>\n

Height: 167cm<\/p>\n

Weight: 105kg<\/p>\n

Blood Pressure: 140\/80 mmHg<\/p>\n

Pulse rate: 95 beats\/min<\/p>\n

Respiratory Rate: 22 breaths\/minute<\/p>\n

Temperature: 36.7 \u00baC<\/p>\n

SpO2: 97%<\/p>\n

Page 2 of 2<\/p>\n

NURBN2016 2018<\/p>\n

Assignment<\/p>\n

Part 1 Questions (1000 words)<\/p>\n

Melanie is distressed that her blood glucose level is elevated and asks you for help in understanding her<\/p>\n

diabetes. She tells you that she has a friend who is very overweight, eats lots of cake and hardly ever<\/p>\n

exercises, and he does not have diabetes.<\/p>\n

1. Describe the pathophysiology of T2DM with links to Melanie\u2019s case. Include in your answer<\/p>\n

risk factors for T2DM, the pathogenesis of T2DM, possible complications of T2DM and<\/p>\n

outline the 3 levels of treatment options for T2DM. (600)<\/p>\n

2. Differentiate between T2DM and T1DM (at least 6 differences). (100)<\/p>\n

3. Identify at least 2 reasons Melanie\u2019s BGL is high on admission. Discuss how each reason you identify effects<\/p>\n

BGLs. (300)<\/p>\n

Part 2 Questions (700 words)<\/p>\n

The surgery is successful and Melanie comes to see you in the outpatient clinic for cortisone injections<\/p>\n

(Kenacort-A 40). She has been commenced on metformin (APO-Metformin Tablets) and glipizide (Minidiab<\/p>\n

Tablets) to help control her diabetes. Her blood test on this visit were BGL 8.8 mmol\/L; HbA1c: 8%.<\/p>\n

1. Discuss the three medications Melanie is on. Include in your answer the action, complications\/side<\/p>\n

effects and nursing considerations linked to Melanie\u2019s situation. (500)<\/p>\n

2. Discuss the two blood results, one from prior to surgery and one from the clinic visit of Melanie\u2019s BGL<\/p>\n

and HbA1c. What are they? What do they measure and why have they changed? (200)<\/p>\n

Part 3 Questions (300 words)<\/p>\n

While Melanie is waiting to see the doctor, she starts talking to you about her condition. She asks if she has<\/p>\n

insulin dependent diabetes or early onset diabetes. She is also unsure of how to use her BGL machine and BGL<\/p>\n

strips.<\/p>\n

1 Discuss why the terms insulin dependent diabetes mellitus\/ non insulin dependent diabetes<\/p>\n

mellitus and early onset\/mature onset are misleading. (100)<\/p>\n

2 You need to teach Melanie how to use her BGL machine. Discuss the \u201cteach back\u201d method<\/p>\n

for patient education (include evidence from peer reviewed sources). Discuss how you<\/p>\n

\u00a0<\/p>\n

would use this method to teach Melanie how to use her BGL machine. (200)<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Assessment Task 2: Case Scenario Melanie Johnson is a 63 year old woman who has been admitted to your surgical ward for the drainage of a Bakers Cyst. She was diagnosed with Type 2 Diabetes Mellitus (T2DM) 6 months ago, Read More …<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15,1],"tags":[],"class_list":["post-437415","post","type-post","status-publish","format-standard","hentry","category-essay-paper-writing","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/437415","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/comments?post=437415"}],"version-history":[{"count":0,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/437415\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/media?parent=437415"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/categories?post=437415"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/tags?post=437415"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}