Individual Case Study

Individual case study

INDIVIDUAL CASE STUDY
1
Scenario One: Peter Mitchell
According to the provided scenario, Peter Mitchell is a 52-year-old male who is
diagnosed with type 2 diabetes and obesity. Peter was admitted to the medical community in
order to reduce the issue of diabetes and other chronic disorders. This essay aim is to identify
the issues and diseased faced by Peter and determine two priorities of care for improving the
health of Peter Mitchell. The case study provided enough information about Peter and their
health issues and this essay focus on the clinical reasoning cycle for reducing diabetes and
other health issues. This essay is divided into major two sections such as priorities of cares
and applies clinical reasoning cycle to peter.
As per the given case study, Peter was referred by his GP after he presented with
signs of shakiness, diaphoresis and difficulty breathing whilst sleeping. Peter has been a
smoker from the last 30 years and it smokes around 20 cigarettes per day that lead the issue
of type 2 diabetes and obesity. At the time of his admission doctors provided numbers of
medicine for improving their health which involves, insulin novomix 30 BD, metformin
1000mg BD, lisinopril 10mg, Nexium 20mg, and so on. It is analysed that Peter was an
unemployed individual who receives association advantages and he lost their job three years
ago.
The overall weight of Peter is around 145kg that indicate that he has signs and
symptoms of the obesity disorder because their BMI level exceeds the level of obesity. Type
2 diabetes is one of the common chronic diseases that affect the function of the human body
and Peter has this health issue due to which he is also suffering another health disease like
obesity. From this case study, it is evaluated that Peter does not eat healthy foods and follow
the exercise plan due to which he is diagnosed with obesity. provided scenario explained the
medical history of peter which indicates that Peter is diagnosed with type 2 diabetes 9 years
ago and also face other diseases such as hypertension, sleep apnoea, gastro-oesophageal
disorder.
According to Peter lack of motivation is one of the major key factors that increase the
health-related issues and he was not able to reduce their weight and reduce the level of
smoking. There are various key elements that increase the problems of obesity and type 2
diabetes, for example, the use of unhealthy foods, lack of exercise and physical activities and
utilization of large sugar. Moreover, smoking is another key point that leads to type 2

INDIVIDUAL CASE STUDY
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diabetes in peter and it affects the functions of their body system (Guilherme, Virbasius, Puri,
& Czech, 2008). According to Hamilton, Hamilton, & Zderic, (2007) the obesity is defined as
the health infection that occurs when the consumer eats unhealthy foods and oily items.
However, Peter was also reviewed by the physiotherapist and he was commenced on light
exercise in order to reduce the impact of chronic diseases. According to the world health
organization smoking effect, the lungs of the human body and it also increases the problem of
type 2 diabetes in consumers (Youn, et al., 2008).
Peter is a smoker which is a key point that impact on their body and increases health-
related issues. For reducing the level of smoking previous physiotherapist suggested some
medicine but he did not follow them on a regular basis. From this case study, it is analysed
that lack of motivation, high level of smoking and large weight all these are very major
factors that lead to health-related issues in Peter Mitchell. Exercise and physical activities
play a significant role in the reduction of type 2 diabetes and obesity and Peter does not
follow any exercise plan due to which he faced the over-weight problem (McCarthy, 2010).
In order to control and manage chronic conditions world health organization provided
several strategies in which they provided first priority to a healthy diet and physical activities.
The priorities of care help patients for identifying the better option and process for reduction
of health diseases (Hu, & Malik, 2010). In this modern era, it is very important that the care
given is prioritised based on both clinical and patient requirements (Malik, Popkin, Bray,
Després, & Hu, 2010). It is suggested that prioritisation of the peter needs for care is integral
to daily nursing practice and also help them for improving their help more effectively. After
analysing and evaluating chronic condition faced by peter it is argued that priorities of care
support patients in the reduction of health issues in less time.
For Peter, the first priority of care is to take the proper healthy dietary plan and follow
exercise or physical activities on a regular basis. In order to reduce type 2 diabetes and
obesity healthy diet and exercise play a crucial role and many health care providers suggested
these two steps for managing patient’s weight (Eckel, et al., 2011). The second priority of
care is to interact with a specialist and highly skilled doctors and takes proper medicine on a
regular basis (Klonoff, et al., 2008). With the help of these two priorities of care, the issues
faced by Peter can be reduced and improve the health of Peter in an effective manner. It is
critically reviewed that Peter is diagnosed with type 2 diabetes with 145kg weight and he also
smokes on a regular basis that impact on their body parts. In the first priority of care, Peter