Presentation: Chronic Diabetes Care for Edith Weiner

This presentation examines the case of Edith Weiner, a 65-year-old woman with chronic diabetes mellitus, focusing on the provision of care. It explores the implications of patient-centered approaches and strategies in managing her condition, including controlling blood glucose levels and addressing related symptoms such as blurred vision and non-healing wounds. The presentation critically evaluates nursing care, emphasizing the importance of health literacy and the role of an interdisciplinary team. It discusses the principles of habilitation, rehabilitation, and palliative care in improving the patient's quality of life and managing her condition. The presentation highlights the need for patient education and involvement in their care, emphasizing the features of person-centered care and the role of dieticians and nutritionists in managing the patient's health. The presentation includes references to relevant literature and research in the field.

Chronicity and provision
of care
Presentation on the concept map for Edith Weiner affected with diabetes

Introduction
 Chronicity is determined as a chronic situation that affects the health of the individual physically as
well as mentally.
 This assignment deals with a Edith Weiner a 65 year old women suffering from chronic diabetes
mellitus.
 In this presentation, implication of provision of care will be described with person centered approach
and strategies.
 Further, the nursing care will be critically evaluated and the principles of habilitation, rehabilitation will
be critically discussed (Fagiolini et al. 2013).

Nature of case study and provision
of care
 Edith Weiner (65) was having diabetes type 2 that caused her with elevated blood
sugar level, tingling in feet and blurred vision. Researchers indicated that these are the
signs of acute severe diabetes.
 she also had bruises in the injection site and due to diabetes condition those wounds
were not healing, making the situation painful.
 The provision of care was dependent on the need of the patient. According to Wiener
et al. (2015) the first priority of the patient was to control the blood glucose level with
pain management. Further, the strength of the medication dose should also be
reduced so that it do not cause dizziness and hallucination.

Factors that affected the patient
 Firstly, the elevated blood glucose affected the patient mostly, making her bruises
unimproved.
 The hallucination and confusion created by high dose of medication made her unaware
of her diet and nutritional preferences imparting in increasing the severity of diabetes.
 She also lacked the health literacy related to diabetes, hence she was unable to take
preventive measures on her own.
 Blood glucose did not allow her bruises to heal, leading to persistent pain in her entire
body.

Understanding of patient about
person centered care
 While providing care to the patient, it was understood that she did not had any idea
regarding patient centered care and was unaware of the severity of her health
condition.
 She usually skipped her high dose medication and was irresponsible about her diet and
nutritional requirements.

Features of person centered care
 The features of person centered care are:
 Autonomy- it provided the patient with the provision of choice the care, as per their
values, beliefs and needs.
 Relationship- it focuses on the relationship between care provider and receiver that
helps to understand physiological and mental needs of the patient.
 Valuing patient and her preferences in another aspect that differs the patient centered
care from other care processes

Critical discussion on patient
centered care
 According to Brownie and Nancarrow (2013), person centered care helps in identifying
the needs of patients and the priorities of care. However for that the person should be
aware of the health severity and health literacy so that he or she can take part ion
person centered care.
 Entwistleand Watt (2013) also determined the person centered care as the modern
form of healthcare where patients possess enough knowledge of their illness and take
part in the healthcare process as their needs.
 Person centered care is an advantage for the healthcare professionals as it helps to
understand the health priorities of the patient can care is formulated around that.

Role of interdisciplinary team in
care
 It provides a leadership that helps to drive the patient centered care
 The most important aspect f interdisciplinary team is that they deal with person
centered care and in the process, they depend on person and his or her beliefs and
preferences for the care.
 Another role of multidisciplinary team is to make the patient aware of her severe
health condition and then involve her each need in the care process.
 In this case, including multidisciplinary team in the process would lead to resolve all
the physiological problem of the patient as each type of health experts were included
in the care process (Tappenden et al. 2013).

Habilitation, rehabilitation and
palliative phase
 Due to the patients inactivity, the habilitation intervention was included in the care s
that the patient can learn to carry out her activities of daily life. According to Schalock
and Kieman (2012), it was an important part of the care process.
 Rehabilitation, according to O'Sullivan and Schmitz (2012), is the therapy or process
that helps to make a patient learn about the skills to live with disability.
 Palliative phase is the duration indicated by the physician within which patient will
require numerous support from the health service for her activities of daily life.Wiener
et al. (2015) determined the effectiveness of this process in improving patient
condition .

Patient centered nursing care
 In this case, a patient centered care should be implemented. Firstly the patient should
be provided with heath literacy sessions so that she can understand her severe
condition and take help from the facility to improve condition.
 Secondly, the patient should be provided with dieticians or nutritionists so that she can
take up healthy and fresh food to balance her high blood sugar.
 She will be asked to reflect upon her health condition so that physicians can
understand her health priorities and take important steps to meet them.

References
Brownie, S. and Nancarrow, S., 2013. Effects of person-centered care on residents and staff in aged-care facilities: a
systematic review. Clinical interventions in Aging, 8, p.1.
Entwistle, V.A. and Watt, I.S., 2013. Treating patients as persons: a capabilities approach to support delivery of person-
centered care. The American Journal of Bioethics, 13(8), pp.29-39.
Fagiolini, A., Forgione, R., Maccari, M., Cuomo, A., Morana, B., Dell'Osso, M.C., Pellegrini, F. and Rossi, A., 2013.
Prevalence, chronicity, burden and borders of bipolar disorder. Journal of affective disorders, 148(2), pp.161-169.
Morgan, S. and Yoder, L.H., 2012. A concept analysis of person-centered care. Journal of Holistic Nursing, 30(1), pp.6-
15.
Schalock, R.L. and Kiernan, W.E., 2012. Habilitation planning for adults with disabilities. Springer Science &
O'Sullivan, S.B., Schmitz, T.J. and Fulk, G., 2013. Physical rehabilitation. FA Davis.
Business Media.
Wiener, L., Weaver, M.S., Bell, C.J. and Sansom-Daly, U.M., 2015. Threading the cloak: palliative care education for
care providers of adolescents and young adults with cancer. Clinical oncology in adolescents and young adults, 5, p.1.