Nursing Care for Type 2 Diabetes, Hypertension, Hyperlipidaemia, Shortness of Breath, Pruritus, and Pitting Edema

NURSING
(Case study)

Table of Contents
INTRODUCTION ..........................................................................................................................1
PATIENT SCENARIO ...................................................................................................................1
NURSING CARE............................................................................................................................1
Type 2 Diabetes-.........................................................................................................................1
Hypertension- .............................................................................................................................2
Hyperlipidaemia- ........................................................................................................................3
Shortness of breathe- .................................................................................................................4
Pruritus........................................................................................................................................4
Pitting edema of bilateral extremities ........................................................................................5
MANAGEMENTS OF DESEASES...............................................................................................6
Type 2 diabetes ..........................................................................................................................6
Management................................................................................................................................7
Hypertension...............................................................................................................................8
Hyperlipidaemia..........................................................................................................................9
Managements...................................................................................................................................9
Dyspnea (shortness of breath).....................................................................................................9
Pruritus......................................................................................................................................10
Pitting Edema............................................................................................................................10
CONCLUSION..............................................................................................................................11
REFERENCES..............................................................................................................................12

INTRODUCTION
Nursing is process of care, with collaborative behaviour with respect of all age. Nursing
encompasses a saturated behaviour with all ages of people, families, and a group of
communities sick or well, and in all settings. Nursing include a good promotion of health, in the
prevention of illness and with a warm of mother caring is called nursing.
As per the above case study, Mrs A who really in a case of pure illness the mentioned
detailed harsh the index of health. Mrs A fight with diabetes and at a same time hypertension,
hyperlipidaemia and other disease and condition are observed. Which create a critical condition
for the Mrs A in the living situation (Holmgren and Kraft, 2018). There are some way which
retaliate the condition and situation from worst to normal by some nursing care and management
which mention below.
PATIENT SCENARIO
As we observed from the above case study of Mrs A the stage of diabetes is their for 17
years which a long time. At the same time there is hypertension and hyperlipidaemia which
make critical situation. Mrs A need a good care and bed rest to being normal from the critical
situation. With a short analysis type 2 diabetes with hypertension. Where type 2 diabetes occurs
when body becomes resistant to insulin, and sugar builds up in your blood. Hyperlipidaemia
state that blood has too many lipids (or fats), such as cholesterol and triglycerides are increased
due to regular diet. The diet is full of cholesterol and fat which accumulated. Hypertension due to
the high blood pressure where the management is easy. In simple the change in the form of diet
the hypertension is controlled.
NURSING CARE
Type 2 Diabetes-
As per the case study of Mrs A their was 17 year of history of diabetes type 2 ( also
called diabetes mellitus ). The complication which arrives due to diabetes are :
 Heart and blood vessel disease- Diabetes increases the risk of heart disease, stroke, high
blood pressure and narrowing of blood vessels ( called atherosclerosis).
 Kidney damage- Diabetes can sometimes create a chance of kidney failure or irreversible
end-stage kidney disease, which may require dialysis or a kidney transplant.
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 Slow healing- Left untreated, cuts and blisters will become serious infections, which
may heal slowly (Cortez-Navarrete and et. al., 2018).
 Hearing impairment- Hearing problems are more common in people with diabetes
because of loss of ear drum.
 Skin conditions- Diabetes leave more susceptible to skin problems, including bacterial
and fungal infections.
These are the risk factor which will be observed in the case of type 2 diabetes. Mrs A
must need a care and medication on the regular basis to proper treatment.
Hypertension-
As per the case study of Mrs A, she also deal with hypertension. The risk factor with
hypertension are:
 Diet low in vitamin D- It's happens due to little vitamin D in diet that lead to high blood
pressure.(Grandner and et. al., 2018.)
 chronic conditions- Certain chronic conditions, including diabetes, kidney disease and
sleep apnea, also may increase your risk of high blood pressure.
 Stress- High levels of stress can lead to a temporary, but for long time increase in blood
pressure. Mrs A need to relax and happy.
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Illustration 1: Type 2 diabetes