Scenario: You work as a RN in a medical facility in a disadvantaged community. Your patient is diagnosed with diabetes type 2 (new diagnosis). You are assigned as member’s nurse and also in charge of coordinating her discharge as there is no discharge planner. Your patient has no diabetes knowledge and has financial barriers, limited resources, and limited access to care. Your patient lives alone and has limited family support. Create a hypothetical patient and coordinate care and discharge.
Include the references you use and cite references in paper. Use APA 6th edition format.
# of peer reviewed articles for references – 4
# of pages – 4
Background – Describe the history incidence, comorbidity, and significance of diabetes.
Current Problems with Status Summary – Write a brief summary of current and co-morbid illnesses and the reason for care coordination planning.
Describe your patients presenting symptoms and complaints (diabetes type 2 related symptoms)
Describe patient’s history related to current symptoms
Obtain patients medical history (including one additional medical diagnosis besides diabetes)
What are members lab results including blood glucose level upon arrival and hbA1c
Home medications (List medication name, dose, route, and frequency for all medications for patients additional diagnosis)
Create a diabetic treatment plan – Create a treatment plan for your patient to stabilize for discharge.
Checking blood sugars
Blood glucose parameters
Insulin regimen (fast acting and long acting insulin)
Other mediations and treatments (additional diagnosis identified in previous section)
Educate your patient – Your patient is newly diagnosed with diabetes. Address the important points of patient education.
Insulin
Comorbidity and risks
Checking blood glucose levels and parameters
Nutrition and carb counting
Symptoms of hypoglycemia and hyperglycemia
DKA
Discharge planning – Your patient is ready for discharge. You need to create a patient specific discharge plan. Involve family in discharge planning.
Collaborate with patient to establish goals.
Describe a family conflict or issue and create a solution. Provide peer-reviewed reference for solution.
Describe a situation causing conflict with ethics of nursing (Justice, Beneficence, Non-maleficence, Accountability, Fidelity, Autonomy, Veracity) and create a solution. Provide peer-reviewed reference for solution.
Coordinate patient discharge supplies
Home health nursing
Discharge mediations (List medication name, dose, route, and frequency for all medications)
Insulin regimen (long acting and sliding scale insulin) and blood glucose parameters
Provide a safety plan if member has a decline in condition or unstable blood glucose levels
List educational resources for patient
Community resources – Your patient resides in a disadvantaged community and has limited resources and support.
Identify patient’s barriers to care including limited access to care and limited resources
Identify available community resources to address ethical, cultural, physiological factors specific to patient
Identify a community organization or support group
Address ethical issues
Identify the implications and consequences of a governmental policy (national, state, or local) causing barrier or issue with providing care
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