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(PDF) Depression in people with type 2 diabetes

   

Added on  2021-04-17

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Running head: NURSING NursingName of the StudentName of the UniversityAuthor note

1NURSING Answer one The case scenario of Susan illustrates a case of poorly controlled type 2 diabetes withobesity and symptoms of depression. The high insulin doses contributed to her weight gain, thesimilarity of symptoms of hyperglycaemia and depression, combination of therapy in type 2diabetes. After she presented with poorly controlled diabetes, she was advised to intake insulinand lose weight. However, with increase in insulin dosage for hyperglycemia correction, shegained weigh from glycosuria cessation, increase in fat synthesis and fluid retention. WhenSusan tried to decrease her calorie intake, there was mismatch of insulin to her food consumptionthat resulted in symptoms of hypoglycaemia and low blood glucose levels (Inzucchi et al. 2015). Considering Susan’s condition, the poor access to healthcare and cost of care has seriousimplications for her health and wellbeing. The poor management of diabetes is associated withlack of access to healthcare services. The diminished access to healthcare and relative isolationis linked to “missed patient” with diabetes in Susan’s case (Grabovschi, Loignon and Fortin2013). The inaccessibility to healthcare services and lack of insurance coverage has an impact onher overall diabetes care and course of treatment. She has shifted to a community where there isno access to healthcare centres resulting in worse diabetes care and poor health outcomes. Thereis no diabetes educator to teach her about hypoglycaemic symptoms and manage it throughlifestyle modifications. As a result, she is at greater risk for diabetic complications (Syed, Gerberand Sharp 2013).Susan is unable to visit a diabetes educator or diabetologist in healthcare services whocan assist her in managing diabetes. She is medically uninsured with limited healthcareservices that make it difficult for her to manage her diabetes condition. The cost of treatment and

2NURSING need for lifelong diabetic medications coupled with limited access to anti-diabetic medications inthe community are the major issues for treatment and management compliance (Sanders, Solbergand Gauger 2013). As she is uninsured with no access to healthcare coverage, it is less likely forher receive the proper standards of care that includes regular glucose checkups and monitoring,preventative measures for her eyes and feet. Apart from access to healthcare and cost implications, poor numeracy skills andlowhealth literacy about diabetes is also associated with poor glycemic control. Health literacy actsas a part of routine care for the optimal diabetic management. Susan and her husband, Paul hasinadequate knowledge about diabetes, its symptoms and control and as a result, they are unableto obtain, understand and communicate diabetic related information for making informed healthdecisions (Mackey et al. 2016). The family is unable to manage the situation and there is overallpressure on the relationship. There is lack of awareness about understanding of diabetes and thatis resulting in delayed complications recognition. The overall implications of poor diabeticmanagement are serious and can progress towards potential complications of diabetes. It cancause life-threatening conditions like neuropathy, eye and foot damage, heart and blood vesseldisease, hearing impairments and psychological complications. Depression, obesity and highblood pressure are co-morbid conditions that are affecting her quality of life. Therefore, access tohealthcare, patient education and empowerment are important for encouraging Susan and herfamily in healthcare participation and better disease management. Answer twoFor a registered nurse, it is important to encourage Susan and her husband to access,participate in making healthcare decisions, and manage their needs requiring healthcare. The

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