Identify a Patient, Stating the Reason for Admission

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Identify a patient, stating the reason for admission/appointment. Identify a patient, stating the reasonfor admission/appointment. It must be on diabetes. Describe a specific problemthat has been highlighted through the assessment process. Explore factors thatmay have led to their hospital admission/appointment. This could includephysical psychological and social aspects. Case details In this essay we shall discuss thecase of Mrs Singh. She is an elderly lady of 76 yrs. old. who lives in wardenassisted accommodation. She has done so for the last ten years since herhusband died. She has had Type II diabetes mellitus for the last 17 years, andcopes reasonably well considering her age and her comparative infirmity. Shehas been able to go out and get her shopping from the nearby shops and is otherwiseself-caring, clean and tidy. According to the referral letterfrom her General Practitioner, who arranged this admission to hospital, anumber of people had recently commented that she looked ill and was not caringfor herself as well as she used to do. Her family live a considerable distanceaway from her and, although they see her about once or twice a month, they donot stay for long as they have a business to run. When she was admitted she was foundto be lucid and coherent but her family told us that she had had a number ofepisodes of confusion recently. She was occasionally very sleepy and had leftthe gas burning on one occasion. She had a large infected ulcer on her leftshin, which had clearly been there for a matter of weeks, but because of herhabit of wearing long skirts, no one had noticed it. She had a degree of ankleoedema, but her physical examination was otherwise unremarkable, apart form thefact that she had a BMI in excess of 29. She is a moderate smoker. Discussion Mrs Singh as an individual isclearly unique, but sadly, she also represents a great many

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