Diabetic Patient: Managing Type 2 Diabetes and Social Isolation

Running Head: DIABETIC PATIENT
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Diabetic Patient
Essay
student
4/14/2019

DIABETIC PATIENT
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Diabetic Patient
Diabetes type 2 is a form of diabetes in which blood glucose levels rise higher than the
normal. It is the most common type of diabetes. It is a lifelong disorder in which the pancreas
produces insulin hormone but the body cells are unable to use it or become insensitive to it. It
can be caused when the body does not produce enough insulin to work properly, which indicates
that the glucose remains in the blood and is not used by the body for energy. It is commonly
linked with obesity and tends to be identified in older people (Zinman, Wanner, Lachin, Fitchett,
Bluhmki, Hantel, & Broedl, (2015). In the given case study the patient was diagnosed with
diabetes type 2, obesity ventilation syndrome and sleep apnoea. Symptoms diabetes type 2
frequently develop gradually; over the progression of some years, and can be consequently mild
that the patient may not even identify them. Numerous persons have no indications. Certain
persons do not find out that they have the illness till they have the diabetes-linked health
difficulties, such as blurry vision or illness (Inzucchi, Bergenstal, Buse, Diamant, Ferrannini,
Nauck, & Matthews, 2015).
The two different priority of care in the case of Mr Peter Mitchell is his uncontrolled
diabetes and behaviour of social isolation. Socially isolated individuals might be more probable
to grow diabetes than grown-ups with nearer ties to family and friends (Liu, Brown, Folias,
Younge, Guzman, Close, & Wood, 2017). Aloneness has long been connected to a wide range of
bodily and psychological health difficulties, principally among recurrently ill and aging
individuals (Feng, & Astell-Burt, 2017). With diabetes in specific, close associates and family
can affect how diseased person eat, how much they work out, and how healthy they retain the
illness in check (Zinman et al., 2015). As discussed in the case study the patient is unable to

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manage his diabetes as he is unable to do physical activities and consume a healthy diet. The
patient is also recognised to be socially isolated due to his weight.
Nurses having effective clinical reasoning skills have positive impacts on the outcomes of
the patient (Inzucchi et al., 2015). Nurses are the core members of the health care team, and play
a key role in achieving the health goals already set for the patients with diabetes (Ley, Ardisson
Korat, Sun, Tobias, Zhang, Qi, & Hu, 2016). Nurses from crossways the nursing field counting
occupational wellbeing nurses, nurses employed in the public health sector are probable to come
into interaction with persons who are suffering from diabetes or are eligible to have tests to
identify diabetes. Nurses have a mainly dynamic part as they are frequently the persons who
carry out yearly diabetes and foot check. Practice nurses in specific play a medical role in testing,
upholding and supporting individuals with diabetes (Rushforth, McCrorie, Glidewell, Midgley,
& Foy, 2016). Clinical reasoning skills of the nurses can help them in identify the main health
issues of the patient that needs special focus. A clinical resining cycle can help the nurses to
identify each and every aspect of the care of the person (Ley et al., 2016). The clinical reasoning
cycle includes different phases such as consider the situation of the patient, collecting the
information, process the information, identifying the problems or issues, establishing goals, take
action, evaluating results, and reflecting on the process and new learning from the patient's case
(Kiragu, & Waiganjo, 2016).
The patient in the given case study is a 52 years old male suffering from type 2 diabetes
and admitted to the medical ward. Eh discharged from the hospital and sent to home with me as
the community nurse. Mr Peter Mitchell has a history of obesity (145 kg weight), type 2
diabetes, hypertension, sleep apnoea, and gastro-oesophageal reflux disorder. The symptoms