Nursing Medication Management

Running head: NURSING MEDICATION MANAGEMENT
NURSING MEDICATION MANAGEMENT
Name of the Student
Name of the University
Author’s Note:

1NURSING MEDICATION MANAGEMENT
This article deals with the case study of the Marcel and in this article clinical reasoning
cycle will be applied to support the patient with his self and medication management regarding
diabetes. Marcel is a seventy years old male who migrated from Spain in his childhood years
with his family. Marcel is second generation sugar cane farmers living in the northern
Queensland. He is married and has three grandchildren from his two children. At present, he is
retired and he sold his farm three years ago at the time of the retirement. Presently, the patients
has been feeling very fatigued in his daily activities and had to get up at night to go to the toilet.
Being worried about his condition, Marcel decided to visit and general practitioner and made an
appointment.
The patient’s height is 180.5 cm with a weight of 116 kg. He has a very high Body Mass
Index or BMI of 35.6 and can be classified in the group of obese. During the initial assessment
Marcel has reported that his family has a history of Type 1 diabetes as well as Type 2 diabetes.
Additionally, he has a history of the hypertension and he was a heavy smoker during his whole
work life. Along with that the patient has also reported that the he has been spending a sedentary
life style over the past years and as a direct consequence of this kind of lifestyle, he has gained
14 kg over the course of last 9 months.
The patient’s Body Mass Index or BMI of 35.6, family history of Type 1 diabetes as well
as Type 2 diabetes, patient’s own history of hypertension, and heavy smoking habits puts him
under high risk of diabetes. Consequently, the laboratory test of the patient’s has been positive
for hyperglycemia which is the most defining characteristics of diabetes. Along with that patient
does not perform lot of physical activity due to his sedentary life style which also adds another
risk factor to the patient condition. The reasons behind the patient’s appointment with the general

2NURSING MEDICATION MANAGEMENT
practitioner were feeling of fatigue and frequent urination. These are also the symptoms of Type
2 diabetes and therefore the patient, Marcel, is in high risk from suffering diabetes mellitus.
Form the lab report, it has been found out that the patient, Marcel, has Type 2 diabetes
mellitus. This diagnosis is in line with the suspected diagnosis presented for the patient in the
above paragraph. The patient was concerned about his diagnosis and he was very concerned
about the situation as this condition led his uncle to amputation in his knees.
To control and mitigate the harmful effect of chronic illness like diabetes (Chang &
Johnson, 2017), physical activities and dietary conditions of the patient has to be managed. There
is no optimal management system for every single patient and a management plan has to set up
according to the patient’s physical and medical conditions (Lewis et al., 2014). In order to
achieve that, a set of goals need to be set up for the patient. The goals that were established for
this patient were:
i. The patient will lose 1 kg in every week for the next month and overall goal is to reduce
body mass index by 10 % (Middleton, Moxham & Parrish, 2016).
ii. The patient will join in a fitness program at the local community center.
iii. The patient will partake in a balanced diet.
iv. The patient will walk for at least 30 minutes every day.
v. The patient will be administered with diabetes lowering agents or medication.
vi. The patient will be aware of the basic understanding of the diabetes and its management
plan
vii. The patient will be vaccinated against diseases like hepatitis and influenza (Celik &
Celik, 2019).