Diabetes | Mr. Hank Jackson Case Report

CASE REPORT 1
Mr HANK JACKSON CASE REPORT
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CASE REPORT 2
Introduction
Mr Hank Jackson, a 64-year-old, is a self-prescribed bachelor and a retired truck driver living in
his home in Australia. Jackson lives in a single storey building alone. Mr Jackson is also entirely
blind in one eye and says apart from that he has never been sick. Mr Jackson was diagnosed with
diabetic retinopathy and hypertension seven years ago. He was diagnosed with type 2 diabetes.
After this diagnosis, Jackson’s doctor prescribed metformin 500mg and Metoprolol twice per
day. The referral letter indicated that Mr Jackson has suboptimal blood pressure which may have
come up due to poor management of hypertension. This shows that Mr Jackson had not been
paying attention to his medication. Despite the medication, Mr Jackson's blood pressure was
recorded at 159mmHg/96mmHg, and his glycated haemoglobin has never been less than 8%
(Gargeya, and Leng, 2017). This was an indication that the two diseases were poorly managed.
Despite this problem, Mr Jackson feel that he is alright in terms of health and says that he only
feels fuzzy in the head when he forgets to take the medications. The major problem with Mr
Jackson is that he doesn't take a reading of his blood sugars, he feels that it would be of no help
to do the readings daily as the doctor knows that his blood sugars are already high.
Primary medical diagnosis
Diabetic retinopathy is a complication that affects people by affecting their ability to see. It
damages the blood vessels of the eye's light-sensitive tissues. This condition causes Mr Jackson's
blurred eyesight. He says that he gets some mild vision problems when he is reading. Diabetic
retinopathy affects both type 1 and types 2 diabetes, especially if the blood sugars are not in
constant observation and control (Duh, Sun, and Stitt, 2017). Concerning Jackson's case, he says

CASE REPORT 3
that he thinks it's of no use to take a measure of his blood sugars, this may be leading to his
condition.
Diabetic retinopathy mostly occurs to patients who have had diabetes for a long time like Mr
Jackson. However, it has been sighted in people who have just contracted the disease due to
some other medical history. Early diabetes retinopathy is called non-proliferative diabetic
retinopathy. In this stage, the blood vessels are not growing. These vessels become blocked and
may cause some severe eye disorder.
In advanced diabetic retinopathy, new abnormal blood vessels start growing and causing some
jelly-like substance to clog the centre of the eye. Scar tissues arise as a result of the new blood
vessels and may damage the retina by detaching it from the back of the eye (Solomon et al.
2017). At this stage, the patient is at risk of suffering glaucoma by causing damage to the nerves
that carry images from the eye to the brain.
Mr Jackson is in the very first stages of diabetic retinopathy and needs medical attention before
it's too late. If Jack’s condition is not controlled, it may keep getting worse due to his poor
control over his blood sugars and hypertension. To ascertain that the reason why Mr. Jackson has
blurred vision; he needs to take a comprehensive eye exam from an expert. During the exam, the
eye doctor will take note of any abnormal blood vessels in the eye. If there are new blood vessels
which are growing unusually, it means that Jack's condition is a little advanced. Bleeding and
some jelly-like substance in the eye, abnormal optic nerve and a detached retina are also signs of
advanced retinopathy.
After taking a look at these signs, the doctor will test the eye by using some simple ways like
reading a statement or word on different fonts. The eye pressure of Jack will also be taken to
determine whether the condition has developed into glaucoma (Stitt et al. 2016).