Case Study Diabetes
Patient A.B. a 69-year-old White male visited his local clinic for a check-up as lately he was feeling lethargic and has gained 22 lbs in the past year. He also has episodes of nocturia. He has being diagnosed with Type 2 diabetes for 5 years. However, he was diagnosed with Borderline diabetes since 1997, but never took it seriously and made no lifestyle changes. He has symptoms of hyperglycemia for the past 2 years. He does not check his glucose daily. He has never had a foot examination.
AB carbohydrate intake daily most times consists of eating at least three slices of bread with each meal and eating pasta meals at least 3 times a week. He likes his wife to cook Italian meals no less than 3-4 times a week. He drinks a glass of red wine with dinner every day. He stopped smoking 10 years ago. He exercises on occasion, maybe once or twice a month.
A.B. takes Atorvastatin 10mg daily. Gluburide 2.5mg daily. However, he reports he stopped taking the Glyburide about 6 months ago as it was making him feel dizzy whenever he took it. He has not notified his PCP about not taking the Glyburide.
Constitutional: Alert and oriented to person, place, time, and situation. He is well groomed. He is 5 feet 2 inches and weighs 178 pounds.
Eyes: Pupils round, reactive to light. EOM is intact. Fundi clear.
Hearing: No deficit noted
Mouth: Mucosa moist. Upper and lower dentures.
Heart: Rate and rhythm regular. No murmur.
Lungs: Clear to auscultation
Neurological assessment: Diminished vibrating sense to the forefoot, absent ankle reflexes. Monofilament felt only above the ankle.
Vascular: No carotid bruits. Femoral, popliteal, and dorsalis pedalis pulses 2+ bilaterally.
His Immunization is updated. He has erectile dysfunction and takes Sildenafil.
Vital signs: BP= 150/87, P= 88, RR= 20, T= 97.8, Oxygen Sat= 98%
Glucose (fasting) = 178mg/dl
Creatinine = 1.0mg/dl
Blood Urea Nitrogen = 18mg/dl
Sodium = 141 mg/dl
Potassium = 4.3 mg/dl
Total Cholesterol = 162 mg/dl
HDL Chol = 43mg/dl
LDL Chol = 84 mg/dl
Triglycerides = 177 mg/dl
AST = 14 IU/L
ALT = 19 IU/L
Alkaline Phosphatase = 56 IU/L
A1C = 8.1%
Please these are the characteristics that the Professor wants the Care Plan to have
Nursing Plan for A.B.
No less than three nursing diagnoses
Fully developed care plan
What is the priority nursing education this patient needs with rationale?
Remember no less than 2 references
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