Clinical Process Case Study

Running head: CLINICAL PROCESS CASE STUDY
CLINICAL PROCESS CASE STUDY
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1CLINICAL PROCESS CASE STUDY
Introduction
The given case study, is about Marcel who is a 70 year old sugar cane farmer,
originally from Spain. However, now he is retired, and sold his farm. There can be
observable family history of hypertension along with type 1 and type 2 diabetes.
Furthermore, Marcel is obese and before retiring he was a heavy smoker. According to
Australian Government-Australian Institute of Health and Welfare (2019), excess obesity
could lead to complications of several other metabolic complications and chronic conditions.
There is contribution of 5% in terms of burden of disease due to obesity and overweight.
Collection of Information
There can be observable family history of hypertension along with type 1 and type 2
diabetes. Evidently diabetes as well as hypertension are strongly related with genetics and
inheritance, and can be possibly passed down from one generation to other (Groop & Pociot,
2014). Type 2 diabetes, or hyperglycaemia has been reported due to development of
increased insulin due which the pancreatic beta cells no longer could produce the insulin
required for the glucose metabolism. Furthermore, he has reported of getting fatigued and
tired, and getting up for toilet every night. In the given case study it can be understood that
Marcel has a sedentary lifestyle, as he has retired and proper diet is not established.
Background Information about Marcel
The lab findings suggest that Marcel has diabetes which is type 2. It has to be
understood that there are long term effects in case of this type of disorder and diabetes can
further complex the situation if right medication management is not adopted. There is an
impact of sedentary lifestyle, increased risk diabetes and therefore lifestyle plays an
important part in managing the treatment as well as maintaining the body weight (Rockette-
Wagner et al., 2015). In the given case study report it could be also identified Mr. Marcel has

2CLINICAL PROCESS CASE STUDY
suffered few episodes of hypoglycaemia while going out with his friends and stiffness or loss
of sensation in hands and legs.
Understanding Marcel’s Needs and priorities
Going by the psychosocial attributes of health and patient consideration it could be
understood that, Marcel felt embarrassed to express the reasons for hypoglycaemic episodes.
He expressed that he would feel embarrassed if he falls and, therefore, he disclosed that he
wanted keep the sugar level higher. Furthermore, he had difficulty while reading, and there
had been organised a meeting with an optometrist. It is important to understand the
psychological, emotional, hesitation needs and fears he might be having. Therefore, not just
with medication but incorporation of all the aspects of mind and body has to be assessed.
Marcel’s medication regime and self-Medication management
The establishment of Goals have to be alignment with patient informed consent,
monitoring of the patient’s health, along with incorporation of proper diet. According to
(Chew, Shariff-Ghazali & Fernandez, 2014), the people who have diabetes do not only need
medicinal arrangement or support but also psychological support throughout their life, from
the time the disease has been diagnosed. Hence, patient education is an important aspect for
establishing self-medication management as well as nursing intervention (Tannenbaum et. al,
2014). There are different metabolic conditions established with diabetes which can include
neurological effects, diabetic nephropathy as well as possible retinopathy. When it comes to
diabetes, medication of self-management is an important factor, as there are situations that
would require individual efforts. The knowledge of normal blood sugar level, and there
should be proper management of diet as well. According to National Diabetes Service
Scheme, (2019) there is a proper diabetic food plan for diabetic patient across Australia that
should be followed.