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2807NRS - Hypoglycaemia - Essay

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Griffith University

   

Chronic Illness Management (2807NRS)

   

Added on  2020-03-02

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This essay provides an overview of the hypoglycaemia case study. Hypoglycaemia is characterized by low glucose levels in the body. Care management is important in ensuring that there is normal regulation of the blood glucose in the body. Hence, the application of the self-management process and utilization of education strategies for managing and coping with the condition is essential. This essay provides a preview of a case study of hypoglycaemia patients and the role of education practices in minimizing the potential health risks associated.

2807NRS - Hypoglycaemia - Essay

   

Griffith University

   

Chronic Illness Management (2807NRS)

   Added on 2020-03-02

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UNIVERSITY:NAME :STUDENT ID:COURSE CODE COURSE NAMEASSIGNMENT Diabetes Management Care
2807NRS - Hypoglycaemia - Essay_1
Running Head; Diabetes Management Care Introduction The essay provides an overview of hypoglycaemia case study. Hypoglycaemia is characterised by low glucose level in the body. Care management is important in ensuring that there is normal regulation of the blood glucose in the body. Hence the application of self management process and utilization of education strategies for managing and coping with thecondition is essential. The essay provides a preview of a case study of hypoglycaemia patient and the role of education practices in minimising on the potential health risks associated.Patient OverviewThis is a case study of patient Ann Lenska, a 68 year old woman suffering right lower leg ulcer. Her previous condition indicates that she has been having history of hypertension and type II diabetes which needs management of oral hypoglycaemia. Patient Ann lives aloneand often relies on her neighbour to keep her company and to shop for her needs. Her state of health is improving as her right leg ulcer has been dressed twice by the community nurse.The patient has not been taking her meals well since her neighbour left. The state of living she is, is not conducive and she has been wearing torn shoes. Her medical condition is not positive; her medical history shows that she often forgets to take her medications. During nursing visit the patient is not feeling well as the nurse comes to see her at home. At this stage the visiting nurse offers therapeutic management for hypoglycaemia and her state of health normalizes which eventually leads to her blood sugar level improving to 6.2 mmol/L. Currently her vital signs indicate that, her temperature is 36.5 degrees Celsius, her blood pressure is 160/90 mmHg, while her pulse is 84 beats /min while her respiratory rate is stable. She is taking Metformin at 1g PO daily and Metoprolol at 25 mg.Potential Health ConcernsDiabetes has proved to be a serious medical condition which affects majority of the population. It requires continuous attention for self care management among the patients. Hypoglycaemia is a disease that requires prompt attention and recognition and treatment to avert organ and brain damage. Potential health concerns which are obtained from this case study are the;Occurrence of Vascular diseasePotential health outcome which can be encountered by the patient is acute vascular event which can be angina, myocardial infarction and the cerebral vascular diseases, (Shafiee et al., 2012). With this occurrence there increased risks associated with death and other complications aligned in the micro vascular. Studies have attributed episodes of hypoglycaemia and vascular occurrence. And further repeated episodes of the hypoglycaemia2
2807NRS - Hypoglycaemia - Essay_2
Running Head; Diabetes Management Care in this patient can promote macro vascular disease and accelerate the risks of atherosclerosis as supported by the studies, (Adler et al., 2009). The sypatho adrenal stimulation in this patient can have an effect on the release of hypoglycaemia which causes hemodynamic changes which involves activation of the white blood cell and inflammation of mediators and cytokines. Patient Ann could experience changes in the blood flow, with localized vasoconstriction, which leads to increase risks of intravascular coagulation and damage to theendothelial cells.Chronic hypoglycaemia for the patient could be a driver atherosclerosis with recurrent exposure contributing to aggravating micro and macro vascular complications later, (Desouzaet al., 2010). Further extreme hypoglycaemia could trigger sudden death for this patient through the action of inducing ischemic and electrocardiographic changes which predisposes the patient to state of ventricular arrhythmias.Hypoglycaemia causing brain damageEvidence based practice has linked hypoglycaemia with brain damage. Prolonged exposure to severe hypoglycaemia could have clinical factors which affect could affect cognition later in the years. Development of hypoglycaemia early in life increases the risks ofneuro dys function neuro cognitive score for this patent. The metabolic changes which are linked to diabetes have an impact on the brain effects which lead to increased dementia and other related conditions. Thus this prolong occurrence of the diabetes may be a recipe for brain dysfunction later in the years. Studies have shown that severe hypoglycaemia can have an impact on the on the cortex and hippocampus of the damage regions which are closely related to seizure activities, (Alagiakrishnana & Mereu et al., 2010). Further to expound is that the exposure of the patientnot taking meals correctly, could lead to acute interruption of the glucose supply which can be a factor in brain failure.Thus brain damage is serious cause for this patient; as it can aggravate sever neuro cognitive dysfunction of the brain. Further apart from increasing the risks for dementia, sever hypoglycaemia could cause cerebrallar ataxia, (Cryer, 2007).Patient Education TopicsThis education management will be facilitated to the patient so as to minimise the consequences and to enhance the patient preventive ability. Evidence has linked blood glucose awareness training for the patient and behavioural therapy is essential for health and attitude change. There is need for this patient to achieve glycaemia control so as to provide care to herself.3
2807NRS - Hypoglycaemia - Essay_3

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