Nursing Assignment | Construction of Care Plan

Running head: NURSING
Nursing
Name of the Student
Name of the University
Author Note

1NURSING
Introduction
Chronic conditions are regarded cause of illness, death and disability in
Australia. The common chronic in Australia include cancer, heart disease and
diabetes (Australian Government Department of Health, 2019). In 21st century,
diabetes is the epidemic in Australia nearly 1.7 million Australians are suffering
from diabetes and this includes diagnosed, undiagnosed and salient cases of
diabetes (Diabetes Australia, 2019). The following paper is based on the case
study of a woman who is suffering from T2DM. The report will aim towards the
construction of the care plan based on the care priorities as highlighted from the
analysis of the interview.
Background
Ms A is 32-year old married female from Srilanan background and she is
suffering from chronic health condition, Type 2 Diabetes Mellitus (T2DM). Ms A is
her pseudonym as per the data protection act the personal details of the
participants must be kept confidential (Legislation.gov.uk., 2018). The
pathophysiology of T2DM is defined as the formation of the peripheral insulin
resistance followed by impaired regulation of hepatic glucose production along
with decline in the function of the beta cells of Islet of Langerhans that
eventually lead to failure of the beta cells. Decline in the insulin secretion and
insulin resistance delays the reuptake of glucose from the blood leading to high
blood glucose level (BGL) and subsequent development of hyprglycemia and
formation of T2DM (Shah & Vella, 2016). She has moved to Sydney 15 years ago
and works for insurance calling centre in Sydney since 2017. Her office is 40
minutes ride from home and she has a computer-based job. Alkhatib and
Tuomilehto (2019) stated that sedentary life style increase the severity of T2DM
as it decreases the basal metabolic rate (BMR) followed by increase in Basal
Metabolic Index along with increase in BGL. The BMI of Ms A is high, 30. Shah
and Vella (2016) stated that BMI of 30 and higher is considered to be obese.
Shah and Vella, 2016 further stated that obesity increases the risk factor for
T2DM. In interview Ms A stated that she conducts exercise once or twice a week.
She has also stated that she has bad to moderate eating habits and she has
craving for south Indian food. Gayathri, Ruchi and Mohan (2017) stated that
having bad food habits and at the same time consumption of high calorie food
like carbohydrate rich food increase the calorie content of the body and thereby

2NURSING
increasing the BMI and BGL. Jendle and Riddell (2019) further stated that
conduction of mild to moderate physical exercise would not suffice for the
reduction of the BGL if calorie intake in high in comparison to the burnout.
Mohan et al. (2018) stated that South India food is rich in carbohydrate that is
one of the prime glucose source and thus helping to increase the BGL further. Ms
A loves to spent time with daughter and parents. She has never smoked
cigarette and consumed alcohol. She however loves to goes to restaurant with
her high school friends. At present she is not diabetic medication.
Discussion
Roper-Logan Tierney (RLT) model of nursing is a patient-centred
theoretical model that is used under both clinical and in academic settings. This
theory is based on the “grounded in realism and accessibility”. RLT Model of
nursing is based on five main concepts and these are activities of daily living,
lifespan, independence/dependence continuum, factors that influence activities
of daily living and individualizing nursing. Individualizing nursing, deals with
assessing, planning and implementing and evaluating the health status of
patients (Holland & Jenkins, 2019). Assessing the Ms A story, the main impact of
T2DM on her life include gaining of weight and development of poor body image
due to weight gain. Ms. A reported that post diabetes development, she has
gained significant amount of weight during the course of eight years. She being
only 32 years old looks older in comparison to rest of her friends. She also
reported that conduction of physical activity is of no help to her. This gaining of
weight has lead to the development of poo body image and decrease in the level
of self-confidence. The main problem solving in this case will include promotion
of body weight reduction. Lean et al. (2018) stated the people who are suffering
from T2DM, have a tendency of gain unwanted weight. The tendency to gain
weight increases among the patient who are on anti-diabetic medication and
leads to sedentary life. Gaining weight in diabetes increases further macro and
micro-vascular complications like formation of high cholesterol and cardio-
vascular disease along with the development of diabetic retinopathy (Lean et al.,
2018). Ms X is weak in left eye and wears glasses.
As a condition of disability, she has developed poor body image and due
to this her poor confidence level has dropped. Ms A has reported that she has
developed depression for the past one month. Markey, August & Dunaev (2018)