NSG 6420 Assignment 3 Diabetes Case Study

Described the HgA1c, blood pressure, and lipid goals for the type 2 diabetes mellitus patient.

Explained the types of insulin therapy available.

Explained positives and negatives of each type of insulin.

Explained the calculation of insulin dosage.

Used correct spelling, grammar, APA writing style, and professional vocabulary.

Cited all sources using APA format.

The ability to critique and evaluate various types of research articles is fundamental to evidence-based practice and generating new research.

Select two of the attached articles – one quantitative study and one qualitative study. You will use these same articles for assignments in Weeks 3-5.

For each article, answer questions 1-5 from Box 3.3 Additional Questions for a Preliminary Review of a Study on p. 63 of Nursing Research (click the Exercise tab)

Type your answers in a Microsoft® Word document using the template provided in the Class Messages.
Include the article’s title before your answers.NSG 6420 Assignment 3 Diabetes Case Study

Provide APA-formatted in-text citations and references for all sources. Include an APA-formatted title page.

Click the Assignment Files tab to submit your assignment.

NSG 512 Week 1 Study Analysis Preliminary Study Review

The ability to critique and evaluate various types of research articles is fundamental to evidence-based practice and generating new research.

Select two of the attached articles – one quantitative study and one qualitative study. You will use these same articles for assignments in Weeks 3-5.

For each article, answer questions 1-5 from Box 3.3 Additional Questions for a Preliminary Review of a Study on p. 63 of Nursing Research (click the Exercise tab)

Type your answers in a Microsoft® Word document using the template provided in the Class Messages.
Include the article’s title before your answers. NSG 6420 Assignment 3 Diabetes Case Study

Provide APA-formatted in-text citations and references for all sources. Include an APA-formatted title page.

Click the Assignment Files tab to submit your assignment.

Diabetes Case Study

Chief Complaint

“My left foot feels weak and numb. I have a hard time pointing my toes up.”

History of Present Illness

D.T. is 42-year-old Caucasian woman who has had an elevated blood sugar and cholesterol 2 years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed her fasting blood sugar was 160 and her cholesterol was 250. However, she felt “perfectly fine at the time” and did not want to take any more medications. Except for a number of “female infections,” she has felt fine recently.NSG 6420 Assignment 3 Diabetes Case Study

Today, she presents to the clinic complaining that her left foot has been weak and numb for nearly 3 weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. She does report that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 50 pounds since her last pregnancy 10 years ago, 20 pounds in the last 6 months alone. NSG 6420 Assignment 3 Diabetes Case Study

Past Medical History

Seasonal allergic rhinitis (since her early 20s)
Breast biopsy positive for fibroadenoma at age 30
Gestational diabetes with second child 10 years ago
Multiple yeast infections during the past 3 years that she has self-treated with OTC antifungal creams and salt bath
Hypertension for 10 years

Past Surgical History

C-section 14 years ago

OB-GYN History

Menarche at age 11
Last pap smear 3 years ago

Family History

Type 2 DM present in older brother and maternal grandfather. Both were diagnosed in their late 40s. Brother takes both pills and shots.
Mother alive and well
Father has COPD
Two other siblings alive and well
All three children are alive and well NSG 6420 Assignment 3 Diabetes Case Study

Social History

Married 29 years with 3 children; husband is a school teacher
Family lives in a four bedroom single family home
Patient works as a seamstress
Smokes 1 pack per day (since age 16) and drinks two alcoholic drinks 4 days per week
Denies illegal drug uses
Never exercises and has tried multiple fad diets for weight loss with little success. She now eats a diet rich in fats and refined sugars.

Allergies

NKDA

Medications

Lisinopril 10 mg daily
Loratadine 10 mg daily

Review of Systems

General

Admits to recent onset of fatigue

HEENT

Has awakened on several occasions with blurred vision and dizziness or lightheadedness upon standing: Denies vertigo, head trauma, ear pain, difficulty swallowing or speaking NSG 6420 Assignment 3 Diabetes Case Study

Cardiac

Denies chest pain, palpitations, and difficulty breathing while lying down

Lungs

Denies cough, shortness of breath, and wheezing

Denies nausea, vomiting, abdominal bloating or pain, diarrhea, or food intolerance, but admits occasional episodes of constipation

Has experienced increased frequency and volumes of urination, but denies pain during urination, blood in the urine, or urinary incontinence

EXT

Denies leg cramps or swelling in the ankles and feet; has never experienced weakness, tingling or numbness in arms or legs prior to this episode

Neuro

Has never had a seizure and denies recent headaches

Derm

Has a rash under her bilateral breast and in groin area NSG 6420 Assignment 3 Diabetes Case Study

Endocrine

Denies a history of goiter and has not experienced heat or cold intolerance

Vital Signs

BP 165/100, T 98 F, P 88 regular, HT 5 feet 4 inches, RR 20 non labored, WT 210 lbs

What you need to do:

Develop an evidence-based management plan.
Include any pertinent diagnostics.
Describe the patient education plan.
Include cultural and lifespan considerations.
Provide information on health promotion or health care maintenance needs.
Describe the follow-up and referral for this patient.
Prepare a 3–5-page paper (not including the title page or reference page). NSG 6420 Assignment 3 Diabetes Case Study

Format

The paper should be no more than 3–5 pages (not including the title page and reference pages.

Assignment Requirements:

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors. NSG 6420 Assignment 3 Diabetes Case Study

Your writing Assignment should:

follow the conventions of Standard American English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th Edition format as outlined in the APA Progression Ladder. NSG 6420 Assignment 3 Diabetes Case Study