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Type 2 Diabetes - Case Study

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Added on  2022-08-12

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You are a diabetic nurse educator at a Native American Health Service clinic. On your appointment sheet, you see that you have a two-hour slot for 54-year-old Daniel Old Coyote. Daniel was just diagnosed with Type 2 DM and requires health education regarding his disease and disease management. On the intake assessment form, you notice that the nurse has noted ONE of the following risk factors (select which one is most interesting to you): homeless, 4th-grade reading level, grieving recent loss of spouse, hemiparesis secondary to head injury, impaired vision, or some other risk factor that is of interest to you). You do not have to accomplish all of the diabetic teachings in this 2-hour block, but you would like to initiate some instruction on a single topic (i.e. oral anti-diabetic medication, diet, foot care, glucose monitoring, etc.). 

Type 2 Diabetes - Case Study

   Added on 2022-08-12

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Running head: TYPE 2 DIABETES 1
Type 2 Diabetes
Name
Institution
Type 2 Diabetes - Case Study_1
TYPE 2 DIABETES 2
Type 2 Diabetes
The case study provided is about a 54-year-old man named Daniel who has been diagnosed by
type 2 diabetes. The patient’s assessment form has impaired vision as one of the risk factors that
Daniel has. The patient comes into the healthcare facility to seek education regarding how to deal
with her condition. As a nurse educator, I have to educate the patient on issues such as glucose
monitoring, diet, foot care, and oral anti-diabetic medication.
During the recommended 2 hour period, I must identify some teaching objectives and outcomes
that the patient should experience to ensure that quality health outcomes are achieved. One of the
teaching objectives of this health education is that the patient understands safe and healthy diets
that will help him in fighting his condition (Veenema, 2012). Sometimes patients find it very
challenging to know the types of food they should eat after being diagnosed with type 2 diabetes.
It is also important to note that there is no specific diet for diabetic people but it is the
responsibility of the patient to practice healthy eating habits and avoid potential diabetes-related
complications such as stroke, heart problems, and some types of cancers (McCance & Huether,
2015). My teaching plan must, therefore, try to help the patient in making changes in their diet
that are realistic and achievable. The outcome should be to help the patient in controlling their
blood sugar and reducing the risk of diabetes-related complications.
It would be important to advise Daniel to consume foods rich in complex carbohydrates such as
fruits, oatmeal, whole meat, beans, and vegetables. Processed food that is rich in simple
carbohydrates such as sugar and white bread must be avoided at all costs. The diet plans must
also not lead to weight gain because obesity makes it difficult to control blood sugar thus
increasing the risk of experiencing diabetes-related complications (McCance & Huether, 2015).
Type 2 Diabetes - Case Study_2
TYPE 2 DIABETES 3
Another objective of the teaching plan is that Mr. Daniel will be able to describe the significance
of regular exercise in controlling and monitoring blood glucose. Physical exercise is just as
important as a meal or diet plan in the management of type 2 diabetes. Regular exercises are
fundamental in controlling blood glucose thus helping in preventing long-term complications
like kidney disease and heart problems. Exercise helps in reducing the level of glucose in the
blood because muscles utilize glucose during exercises (Veenema, 2012). Another teaching
objective is that Daniel will be able to self-monitor their blood glucose with the help of a blood
glucose meter. Finally, Mr. Daniel will be able to describe the importance of diabetes
medications and how to appropriately take these medications.
It is important to note that the teaching plan is aimed at helping Mr. Daniel in making lifestyle
choices that will promote his health. This teaching plan must be accompanied by appropriate
teaching strategies to ensure that the patient is motivated enough to follow the plan to
completion. Teaching strategies will begin with a general overview of type 2 diabetes. Daniel
must know what diabetes is before he can handle it. Once he understands this condition and the
complicated processes associated with it then he can easily comply with the proposed teaching
plan and medication. During this overview, the patient should be taught about blood glucose
monitoring, the goals of monitoring and its importance. He should also be made aware of the
reasons for monitoring his blood glucose level. The values read from the glucose meter should be
recorded and used as a reference in future monitoring. This helps the patient in tracking his
progress and knowing whether he is improving.
The teaching strategy should also involve Daniel being reminded about medication and insulin.
Mr. Daniel must, however, know that the addition of medication in his care plan is not an
indication that he is failing in his diet plan. This teaching is important because some patients
Type 2 Diabetes - Case Study_3

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