Case Study: Peter Mitchell - Type 2 Diabetes and Obesity

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Individual case study

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Scenario One: Peter Mitchell
As per the given scenario, Peter Mitchell is a patient who is suffering from type 2
diabetes and he is a 52 year old person. He was admitted into the hospital with poorly
controlled diabetes, obesity and other health related issues. It is observed that Peter has
been a smoker for around 30 years and he smokes 20 cigarettes in a day due to which he is
suffering from the type 2 diabetes and another health disease. The aim of this essay is to
analyse the situation of Peter and identify key factors that increase the problem of type 2
diabetes and obesity in peter. This essay also focuses on the priorities of care and the
clinical reasoning cycle in order to improve the health of peter and reduce chronic situations.
According to the case study, peter was admitted in the hospital for reducing the
impact of type 2 diabetes and doctors suggested high protein diet in ord3er to reduce weight
and his GP has discussed weight loos with peter. After four weeks the peter was admitted
into the medical ward for controlling and managing their weight. Mainly, peter is an
unemployed person that receives government benefits and he lost his job three years ago.
According to the peter statement he has always been a biggish person with his normal
weight sitting at almost 145kg which is very high and it is one of the common key factors that
increase the problem of obesity in peter (Czech, 2017). During medical treatment doctors
provided numbers of medicines to peter for reducing the issue of type 2 diabetes and
overweight for example, insulin novomis 30 B D, metformin 1000mg BD, Lisinopril 10mg
daily, pregablin 50mg and many more.
From the given scenario, it is identified that peter is suffering from various kinds of
health diseases, for example, obesity, type 2 diabetes, hypertension, sleep apnoea and
gastro oesophageal disorder. He is a smoker which is another key element that increases
the rate of chronic conditions and he does not follow any exercise plan due to which their
weight crosses the 145kg. According to body mass index if any person has more than 105kg
weight then he/she can suffer from overweight or obesity related problems (Rubino, et al.,
2016). Moreover, Peter does not eat healthy foods and take a high level of sugar that
increase the problem of type 2 diabetes and he is diagnosed with type 2 diabetes and
obesity health issues.
According to the world health organization, the term obesity is defined as the chronic
condition which affects the functions of the human body (Yassour, et al., 2016). Such kind of
problem occurs due to major two factors, for example, lack of physical activities and poor
diets. Peter is diabetes and obesity patient that faces both these disorders because of
improper treatments. Santos, & Lima, (2016) identified that smoking can increase the weight

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of an individual and it also affects the lungs and other parts of the body. Cancer is one of the
best examples that occur due to smoking and peter smokes more than 20 cigarettes in a day
due to which he is diagnosed with obesity and reflux disease.
The problem of type 2 diabetes also increases other health issues in patients such as
cardiovascular, COPD, obesity and blood cancer (Zaccardi, Webb, Yates, & Davies, 2016).
High blood pressure is also a very important factor for increasing the rate of type 2 diabetes
in peter and it can be reduced by using physical activities and exercise. Moreover, it is
suggested that the family members of Peter should motivate him for doing exercise and
physical activities on a regular basis for managing their weight and disorders. As per the
given case, peter is also finding it increasingly difficult for performing activities of daily living
and he realises that he is in the prime of his middle age life.
Due to lack of motivation and experience peter is not able to reduce their weight and
in previous treatment, doctors provided enough information about chronic disorders. In order
to control and manage the issue of obesity and type 2 diabetes, there are many priorities of
care available which can be adopted by the peter. It is observed that principles of care and
priorities of care provide a platform to the patient for controlling and managing the health
related disorder in an effective manner (Chávez-Talavera, Tailleux, Lefebvre, & Staels,
2017).
For the given scenarios there are major two kinds of priorities of care can be used,
for example, peter’s views of the significance of the issue for their lives and the specialist’s
views of the significance of the issue for peter’s care. Or in other words, the first priority of
care is to follow healthy food and physical activities and the second priority of care is to
communicate with doctors and take proper treatment or therapies. In the first priority care,
peter can follow the proper dietary plan and exercise plan in order to reduce their weight.
Currently, the weight of peter is around 145kg that lead to the issue of obesity and he should
take only healthy foods and fruits for reducing their weight.
According to Reeves, Zaki, & Day, (2016) if any person takes proper exercise and
dietary plans and follows on regular basis then he can increase their health and reduce
chronic diseases by 50%. However, family members or nurses can motivate peter for taking
the proper dietary plan and eating only healthy foods in order to reduce their weight. Peter
should reduce smoking because it also plays a major role in the development of diabetes.
The second priority of care is to communicate with a specialist and take proper treatment
and therapies in order to maintain their health and reduce the level of chronic disorders.