Case Study on a Hypertensive, Diabetic Obese Patient

Running head: CASE STUDY ON A HYPERTENSIVE, DIABETIC OBESE PATIENT
Case study on a hypertensive, diabetic obese patient
Name of the Student
Name of the University
Author’s Note

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CASE STUDY ON A HYPERTENSIVE, DIABETIC OBESE PATIENT
Executive Summary
This case report is to observe and study a 78 years old widower, Mr. Martin Chen, who
during a colonoscopic examination had presented signs of extreme hypertension and hence
was admitted to stabilize his blood pressure. He also had a medical history of
hypercholesterolemia and hyperglycemia along with recent instances of violent outbursts.
After five days of treatment, Mr. Chen is being discharged and a team of multidisciplinary
specialists is being assigned for his care. This medical team of registered nurse, dietician,
physiotherapist and psychiatrist would structure a special patient focused health care plan to
combat his complex chronic diseases along with introducing him to a balanced diet, guided
physical activities and anger management sessions. Therefore, in conclusion, by medically
controlling his hypertension and altering his diet to a well balanced KETO diet will help in
bringing about a positive change in Mr. Chen and pave the way for a healthier lifestyle.

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CASE STUDY ON A HYPERTENSIVE, DIABETIC OBESE PATIENT
Table of Contents
Introduction................................................................................................................................3
Discussion..................................................................................................................................4
Identification of patient needs................................................................................................4
Assignment of a multidisciplinary team................................................................................5
Strategies required to avoid hospitalization...........................................................................9
Potentialmedical barriers......................................................................................................10
Medical requirements...........................................................................................................10
Conclusion................................................................................................................................11
References................................................................................................................................12

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CASE STUDY ON A HYPERTENSIVE, DIABETIC OBESE PATIENT
Introduction
Complex diseases are caused by a combination of genetic, environmental,
and lifestyle factors which are yet been identified. Complex disease management requires
careful diagnosis, analysis of patient history and proper investigation of the diagnostics to
strategize ways in which the disease can be controlled. Mr. Martin Chen, aged 78, was
admitted for extremely high blood pressure level after his recent visit to the hospital for a
colonoscopy. He has a medical history ofhypertension, hypercholesterolemia, obesity with
his current weight at 110kgs, type 2 diabetes mellitus. He also had a trans-ischemic attack in
the year 2018. He is known to be medically allergic to sulphonamides and non-steroidal anti-
inflammatory medicines. For the last two years, he is showing signs of erratic and violent
behavior along with confusion. During his stay at the hospital, the nurses had called three
code blacks emergencies because of Martin’s aggressive behavior in the ward. After five days
of treatment at the hospital, his blood pressure and blood glucose levels had stabilized and he
was prompted to be discharged. On the day of his discharge, the medical staff assigned to his
care noticed a small ulcer on his left great toe. It was cleared, sterilizedand dressed
accordingly.Now, a strategy needs to be adopted that can combat his hypertensionalong with
checking his aggressive outbreaks and hypercholesterolemia.Amultidisciplinary team needs
to be assigned to his care to control the complex chronic needs and manage further
escalations.