Study Document
Diagnosis and Plan of Care
The patient’s blood pressure in this case (i.e. 148/92) could be described as elevated. Further, the patient’s blood sugar (at 154 mg/dl) is high. It has also been indicated that the patient in this particular case has a BMI of 37 and waist of 42 inches. In basic terms, a person with a BMI of above 30 is considered obese. According to the National Heart, Lung, and Blood Institute (2019), “the higher your BMI, the higher your risk for certain diseases such as heart disease, high blood pressure, type 2 diabetes.” Also, in as far as waist circumference is concerned, the patient’s waist size is 40 in this case. The National Heart, Lung, and Blood Institute (2019) points out that men who have a waist size exceeding 40 are at an increased risk of type 2 diabetes and heart disease. It is also important to note that as has been pointed out in the case, the patient is concerned about some skin chances in the axillary area. This is an indication of acanthosis nigricans (AN). According to Schilling and Crook (2014), “in obese patients, the presence of acanthosis nigricans is an indicator of insulin resistance or diabetes mellitus” (1064). Taking this into consideration, as well as the other issues highlighted above, the primary diagnosis in this case would be type 2 diabetes (and high blood pressure). The differential diagnosis (on the basis of skin changes in axillary area) could be inclusive of atopic dermatitis, candidiasis, Addison disease’s dermatologic aspects, etc.
It should also be noted that age is a…
…options to be considered could be inclusive of calcium channel blockers and angiotensin II receptor blockers (ARBs).
However, as it has been pointed out above, lifestyle changes are of great relevance in as far as the management and treatment of type 2 diabetes and high blood pressure is concerned. In both cases, it would be prudent to advocate the need for weight loss, regular exercises, as well as appropriate diet. Weight loss can help in the lowering of blood sugar level as well as blood pressure. When it comes to diet, the patient ought to minimize his consumption of saturated fats, refined carbs, as well as calories - as doing so would enable him achieve better control of his blood sugar. A diet with less salt would be good for his hypertension. Regular exercises…
References
National Heart, Lung, and Blood Institute (2019). Assessing Your Weight and Health Risk. Retrieved from https://www.nhlbi.nih.gov/health/educational/lose_wt/risk.htm
National Institute of Diabetes and Digestive and Kidney Diseases (2017). Type 2 Diabetes. Retrieved from https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/type-2-diabetes
Nordstrom, A., Hadrevi, J., Olsson, T., Franks, P.W. & Nordstrom, P. (2016). Higher Prevalence of Type 2 Diabetes in Men Than in Women Is Associated With Differences in Visceral Fat Mass. The Journal of Clinical Endocrinology & Metabolism, 101(10), 3740-3746.
Schilling W.H. & Crook M.A. (2014). Cutaneous Stigmata Associated With Insulin Resistance and Increased Cardiovascular Risk. Int J Dermatol, 53, 1062-1069.
Study Document
Nursing Diagnosis Plan Assessment Analysis- Patient, CM., is a 60-year-old female African-American, married and a factory worker. CM is complaining about difficulty breathing, dyspnea. She indicates she is completely compliant with her medication regimen, naps and sleeps 7 hours a day. She is active, has a positive attitude, and regularly exercises. She does admit that sometimes she waits to seek medical attention, believing she should trust in God for minor issue.
Study Document
Yet they gained tremendous benefits from the diabetes prevention program. It reduced the risks at 71% by choosing a moderate lifestyle. Good health could allow 20 more years to those over 65. It showed that lifestyle intervention dramatically decreased the risks of diabetes. Regular exercise was an important component of the management of Type II diabetes. It kept the weight down. The lack of exercise brought the weight up.
Study Document
Diabetes and Special Education in School Characteristics and Definition of Diabetes The Centers for Disease Control 2005 survey reports that 21 million individuals or 7% of the total U.S. population have Diabetes. Furthermore, it is reported that one in every four to six-hundred students under the age of 20 years will have diabetes. (Belson, 2010) Diabetes is a "chronic metabolic disorder that results from failure of the pancreas to produce insulin (Type
Study Document
Diabetes Among Middle Age Males: One of the major public health issues among middle age males is diabetes since they are twice as likely to suffer from the disease as compared to their female counterparts. Generally, the rate of diabetes has increased in the recent past to an extent that 8% of the American population have the disease, especially children and adults. The main reason for the increase of the rate
Study Document
Diabetes Management and Insulin Administration Summary of Teaching Plan In recent years, an increase in demand for expansion of education programs for diabetes patients as also for Federal Government or third party payers to support these programs has been observed. A survey by Veterans Administration Hospital conducted a survey to evaluate the capability of patient for diabetes management reported lack of formal training in over 35% of patients interviewed (Miller, Goldstein &
Study Document
Care for Diabetic Foot Ulcers in Long-Term Care Residents Diabetic foot ulcers are chronic wounds that negatively affect the morbidity, mortality and quality of life of diabetes patients. Diabetic patients who develop foot ulcers are at greater risk of heart attack, fatal stroke, and premature death. Unlike other types of chronic wounds, diabetic foot ulcers are more complicated and present unique treatment challenges especially when coupled with diminished tissue perfusion,