1. Chronic Care In Lifespan B Student’s Name:Institutio

Running head: 1
Chronic Care In Lifespan B
Student’s Name:-
Institutional Affiliation:-

Chronic Care In Lifespan B 2
Introduction
The Clinical Reasoning Cycle is the backbone of good quality nursing. Patients spend
most of their time with nurses in wards and mainly engage in self-centred interactions. Patients
come from varying backgrounds and nurses are expected to provide good quality care without
any stigmatization or preconception. Nurses therefore need to employ the Clinical Reasoning
Cycle to ensure the problems of patients are solved to the best of their ability (Gruppen L. D.
2016). This essay seeks to describe how the Clinical Reasoning Cycle is applied in the diagnosis
of an individual patient known as Marcel Lever.
Marcel Lever is a 70-year old male who suffers from type 2 diabetes mellitus. He is 180.5
cm tall, weighing 116kg with a BMI of 35.6. He is regarded as obese. Since he retired, his
weight has been on the increase since he has attained 14kg within 9 months. He has a medical
history of hypertension and lineage history of Type 1 and II diabetes. Results from lab analyses
of his blood has indicated hyperglycaemia.
Hyperglycaemia is caused by reduced insulin production by beta cells of the liver which
brings about increased concentration of glucose in the blood. Body cells become less sensitive to
blood-borne glucose and fail to effectively utilize it in ordinary activities of the body. Marcel
experiences unordinary fatigue. His knowledge about Diabetes is reduced thus he fails to
understand his condition and cannot manage the disease well.
Priorities of Marcel’s medication management including his self-management.
According to Crasto & Pecker (2015), antihyperglycemic agents include insulin
secretagogues, insulin sensitizers together with drugs that slow down the absorption rate of
carbohydrate from the gut. Metformin is prescribed for Type 2 diabetes patients. It down-
regulates the production of glucose in the liver and pumps up the system’s sensitivity to insulin.