Depression and other psychiatric disorders Environmental factors Limited access to or intake of food Food attitudes and cultural preferences Elder abuse Open in a separate window A comprehensive geriatric assessment also addresses psychosocial, environmental factors, and affective symptoms of weight loss in the elderly.
PDF The specialized role of nursing in the care and education of people with diabetes has been in existence for more than 30 years. Diabetes education carried out by nurses has moved beyond the hospital bedside into a variety of health care settings.
Among the disciplines involved in diabetes education, nursing has played a pivotal role in the diabetes team management concept. This was well illustrated in the Diabetes Control and Complications Trial DCCT by the effectiveness of nurse managers in coordinating and delivering diabetes self-management education.
These nurse managers not only performed administrative tasks crucial to the outcomes of the DCCT, but also participated directly in patient care.
Both the clinical nurse specialist CNS and nurse practitioner Nutrition case studies for nursing students models, when applied to chronic disease management, create enhanced patient-provider relationships in which self-care education and counseling is provided within the context of disease state management.
Clement 2 commented in a review of diabetes self-management education issues that unless ongoing management is part of an education program, knowledge may increase but most clinical outcomes only minimally improve.
Advanced practice nurses by the very nature of their scope of practice effectively combine both education and management into their delivery of care. At the completion of assessments, advanced practice nurses, in conjunction with patients, identify management goals and determine appropriate plans of care.
Many advanced practice nurses NPs, CNSs, nurse midwives, and nurse anesthetists may prescribe and adjust medication through prescriptive authority granted to them by their state nursing regulatory body. Currently, all 50 states have some form of prescriptive authority for advanced practice nurses.
It is a crucial component in the care of people with type 1 diabetes, and it becomes increasingly important in the care of patients with type 2 diabetes who have a constellation of comorbidities, all of which must be managed for successful disease outcomes.
Many studies have documented the effectiveness of advanced practice nurses in managing common primary care issues.
In diabetes, the role of advanced practice nurses has significantly contributed to improved outcomes in the management of type 2 diabetes, 5 in specialized diabetes foot care programs, 6 in the management of diabetes in pregnancy, 7 and in the care of pediatric type 1 diabetic patients and their parents.
The following case study illustrates the clinical role of advanced practice nurses in the management of a patient with type 2 diabetes. Although he was diagnosed inhe had symptoms indicating hyperglycemia for 2 years before diagnosis.
Referred by his family physician to the diabetes specialty clinic, A. He has been trying to lose weight and increase his exercise for the past 6 months without success.
He had been started on glyburide Diabeta2. He has tolerated this medication and adheres to the daily schedule. He stopped these supplements when he did not see any positive results.
He does not test his blood glucose levels at home and expresses doubt that this procedure would help him improve his diabetes control. He lives with his wife of 48 years and has two married children. Although both his mother and father had type 2 diabetes, A. In the past, his wife has encouraged him to treat his diabetes with herbal remedies and weight-loss supplements, and she frequently scans the Internet for the latest diabetes remedies.
During the past year, A. Since retiring, he has been more physically active, playing golf once a week and gardening, but he has been unable to lose more than 2—3 lb. He has never seen a dietitian and has not been instructed in self-monitoring of blood glucose SMBG.
His normal dinners consist of 2 cups of cooked pasta with homemade sauce and three to four slices of Italian bread. He also eats eight to ten pieces of fresh fruit per day at meals and as snacks. He prefers chicken and fish, but it is usually served with a tomato or cream sauce accompanied by pasta.
However, his medical records also indicate that he has had no surgeries or hospitalizations, his immunizations are up to date, and, in general, he has been remarkably healthy for many years.
Physical Exam A physical examination reveals the following: Rate and rhythm regular, no murmurs or gallops Vascular assessment:Nutrition Assessment- Case Study. Goals for the Initial Nutrition Assessment. During the initial nutrition assessment, a nutritionist will need to understand the height of the child in this case .
The unfolding case study method also assists in the development of skills that are important for nursing students about to embark on the NCLEX-RN. The text incorporates all types of NCLEX-style questions into the unfolding case studies to facilitate exam preparation.
Case Study – Nursing Care for a Patient Scenario (Mrs. Jones) Case Study – Nursing Care for a Patient Scenario (Mrs. Jones) Nursing Care Plan Area(s): Nutrition and Hydration Nursing diagnosis (1).
Nutrition: Imbalanced, less than body requirements related to. The case study method of teaching applied to college science teaching, from The National Center for Case Study Teaching in Science Case Study Collection - Search Results - National Center for Case Study Teaching in Science.
This week, we continue with Part 4 of our special series of case discussions. CASE DISCUSSION: Mr. ZM Mr. ZM was referred to an endocrinologist by his GP at the request of the nursing home staff.
This case study will help you, as the student, apply the nursing process to a patient and family who requires nutrition education in order to heal.