Diabetes Case study Diabetes is a growing epidemic in adolescents, especially in their second decade of life when their production or resistance to insulin is at its highest. Obesity and lack of exercise are believed to be the biggest causes of diabetes, but children with a family history of diabetes have a greater risk of developing it (Rosenbloom, Silverstein, Amemiya, Zetler, Lingensmith, 2009). In this paper the subject of diabetes will be discussed in relation to Jenna Riley a 14 year-old girl who is overweight and spends much of her time sedentary. Jenna struggles to eat healthy and often eats what her friends do. Jenna lives with her mother and younger brother who she often looks after when her mother is at work.
Family history is notable for type 2 diabetes in an older sister; her mother had hypothyroidism and “heart disease.” The patient also has high cholesterol that she has been trying to treat with “weight loss and exercise.” She walks about 20 minutes three times weekly when the weather allows. She has been treated for about five years for hypertension with hydrocholorthiazide. The pertinent findings on physical exam: Height:5’4” Weight:212 lbs. BMI:36 BP:135/86 Heart/Lungs: Normal exam Abdomen: Obese and benign No thyromegaly Vision and optic fundi: normal Feet: normal Remainder unremarkable Risk factors for development of diabetes? Yes.
We spoke to my grandmother for hours, we’ve asked her so many questions such as: have you ever been sick to the point you were hospitalized? She said “sick to the point I need to be hospitalized? No, I had some bad fevers as a young girl but never so sick.” Have you ever had a dramatic injury? she said “yea, I once fell of a bike full speed and fractured a bone.” Are you feeling any different from now, then 20 year earlier? She said, “yes, I feel so much wiser but physically?
Type two diabetes is the most common type of diabetes; it affects 85-90% of people who have a form of diabetes. Although it is known to be more common in adults, more and more children and babies are being diagnosed. The pancreas of those People who suffer type 2 diabetes makes limited insulin, but doesn’t produce enough to enable the body to function effectively. Diabetes is a result of generic and environmental factors. The risk of diabetes type two is greatly increased by lifestyle factors such as; overweight, lack of exercise, poor diet and high blood pressure.
Type II diabetes mainly occurs when an adult catches an onset of diabetes. Although it is not limited to adults Type II diabetes has been found in teenagers and in some children. Type II diabetes is when the cells don’t produce enough insulin or when the cells of the body completely ignore the insulin that is being made from the pancreas. Even though, Type I and Type II are both considered a form of diabetes, they differ so much that doctors have theorized that they are actually two different diseases. However, they have one thing in common, they both encounter that there is too much sugar in the
Type 1 diabetes: Type 1 diabetes accounts for about 10 per cent of all adults with diabetes and is treated by daily insulin injections, a healthy diet and regular physical activity. Type 1 diabetes can develop at any age but usually appears before the age of 40, and especially in childhood. It is the most common type of diabetes found in childhood.Types 1 can also be a genetic disorder, meaning diabetes could be in our genes. For example if diabetes runs in the family you are more likely to get it. In type 1 diabetes, the pancreas does not produce any insulin.
Case of Caring Lachman (2012) describes a scenario in which a nurse proves competent in being a patient advocate and providing a level of care exclusively for this individual. The case is about Mr. Jones, 59 yr old man complaining of acute abdominal pain. He has a history of alcoholism, which had gotten increasingly worse after his wife of 40 years passed away a few months ago, along with uncontrollable Diabetes and a left knee amputation. The patient had asked for more pain medication then most patients with similar
Because the glucose cannot enter the target cells the liver produces excessive glucose to try and compensate resulting in high fasting blood glucose levels. Diabetes Mellitus is mostly found in overweight patients, it used to be associated with the middle ages and later although the presence of obesity in the younger generations is increasing the disease in those age groups. The onset of the disease is slow with many patients presenting with organ damage due to the gradual effect of the diabetes. 2. What are the three main aims when treating Tom (a newly diagnosed diabetic).
As in one of her paintings the scene on the bus was bizarre. Frida’s clothes had come off in the collision and covering her bloodied body was a sprinkle of gold dust. When her body arrived at the hospital she was not expected to live. A year after the accident it was discovered that her spine had not healed properly and for the rest of her life she was forced to wear rigid corsets. She underwent many operations during her life including her spine and right foot, which she would do anything to save.
When people go back to their normal eating habit they will gain twice as much weight as they lost in the beginning and may develop other health issues than they had before starting the diets. Then there are diets that are prescribed by the doctor which include pills which causes people to have to make monthly visits that can cost them a fortune by the time they have reached their weight loss goal. Jenny Craig, La Weight Loss, and Nutrisystem are very good ideas when it comes to dieting