Nursing | T2DM disease and RLT Model

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

1NURSING
Introduction
According to the Australian Government Department of Health (2019),
chronic diseases are the leading cause of disability on Australia. It is a disease
condition that lasts for a lifetime. Some of the common chronic disease includes
cancer, diabetes, asthma and cardio-vascular disease. Type 2 Diabetes is
common in Australia and is responsible for high level of mortality and morbidity
(Diabetes Australia, 2019). Following paper is based on the analysis of the health
condition of the patient who is suffering from T2DM. The analysis of the health
priority will be with the use of the Roper Logan Tierney (RLT) model and based
on his interview excerpts.
Background
In this assignment, the name of the interviewee will be demoted as Ms. X.
The reason behind this is as per the Data Protection Act (2018), disclosing the
personal identity of the participants of a research is strictly prohibited. The same
was also mentioned in the informed consent that the patient signed before the
initiation of the interview (Legislation.gov.uk., 2018). Ms X is a 32-year old
married female. She has one daughter and is from Srilankan background. She
has moved to Sydney 15 years ago. Her parents lives nearly by and frequently
visits her. She has two younger brothers. Ms X completed her schooling (high
school) in the year 2008 and has done graduation if accounting. In the year
2017, she started working for insurance calling centre in Sydney CBD. Her office
was 40 minutes train ride and she has a desk job (sitting in front of the
computer).Ms X conducts exercise once or twice per week and has bad to
moderate eating habits. She loves to eat South Indian food. She has never
smoked cigarette nor have sipped alcohol. She has her own car and enjoys
watching movies and spending time with his daughter and parents. Her BMI is
30. MS X was diagnosed with T2DM 8 years ago and at present has weak left
eyes (needs of wear spectacles). She has undergone appendix surgery 7 years
ago. T2DM is a metabolic disorder that is characterised by increase in the blood
glucose level (BGL). High BGL mainly occurs due to insulin resistance or impaired
insulin secretion of beta cells of the Islet of Langerhans. Insulin is the hormone
that is responsible for the uptake of glucose from the blood. Insulin resistance
make insulin incapable to bind with the insulin receptors and thus causing high
level of glucose in blood (Zaccardi et al., 2016). Sedentary lifestyles and

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improper diet are the two main reasons behind the development and increased
severity of T2DM (Gupta et al., 2020). South Indian food preference of Ms X
indicates that she has high intake of carbohydrate. Bad to moderate food habit
of Ms X might cause high consumption of carbohydrate in comparison to the
calorific requirement, leading to T2DM along with increased BMI. Ms X BMI is
high. Ms X office life is sedentary and sedentary lifestyle further increase the
vulnerability to T2DM. High blood glucose for a prolong period of time increase
the micro and macro vascular complications of diabetes and thus might be a
reason why her left eye is weak. Diabetic retinopathy is one of the microvascular
complications of diabetes (Stidsen et al., 2018). Emerson et al. (2017) stated
that other symptoms of T2DM include nonketotic syndrome along with the
development of fatigue, poor healing of wound, blurred vision, vaginal infections
along with the development of irritability (Stidsen et al., 2018). This might be a
reason why Ms X reported that she was experiencing fatigue with frequent mood
swings for the past few weeks. At present Ms X is on anti-diabetic medication.
Discussion
The patient Ms. X economic conditions are stable but her professional life
is restricting her from conducting rigorous physical activity at least 5 times a
week. Her doctor has also advised her to rest the intake of carbohydrate rich
food and has recommended to stop using care while going to nearby places
which are within walking limits. The restrictions imposed by T2DM over the life of
Ms X have decreased her overall mental health and well-being. Ms X has also
suffering from body image issues after gaining weight and refuses to socialize.
De Groot, Golden and Wagner (2016) stated that development of the T2DM
generate a demanding set of bio psychological challenges both for the patients
and their family members. Individuals who are suffering from T2DM for a prolong
period of time develops severe psychological complications like depression,
anxiety and eating disorders. The conditions are more severe among females as
their depression rates are severe owing to body image issues. The irritable
nature of Ms X is preventing her from spending quality time with her daughter
and thus resulting in poor emotional well-being of her daughter.
The Roper Logan Tierney (RLT) model of nursing deals with assessment,
diagnosis, planning, interventions and evaluation. It serves as a guide for the
nursing professionals to conduct holist assessment of the patient and thus