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Chamberlain College of NursingNR 601NR 601 Week 5 Case Study Diabetes Care

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Mrs. G Case Study The purpose of this case study is to interpret subjective and objective information in order to diagnose disease processes and develop a plan of care for the patient based on nati... onal, evidence-based clinical guidelines. Assessment After reviewing Mrs. G’s symptoms and evaluating her blood work, a few issues have been identified. Some of these issues need to be addressed right away, such as an elevated hemoglobin A1c (HgbA1c), obesity, and the abnormal lipid panel. Some of the identified issues are either a cause of or a result of the elevated HgbA1c and lipids, such as her being obese, her borderline hypertension, and her decreased GFR. There are other possible disease processes at play here based on her lab work, such as possible metabolic syndrome, pre-hypertension versus stage 1 hypertension, and her decreased free T4. These issues will be used as differential diagnoses; however, further lab work will be needed to be certain. Primary Diagnosis Mrs. G’s primary diagnosis is type 2 diabetes mellitus (T2D) (E11). T2D is a metabolic disease that is caused by deficiencies in the action of insulin, the secretion of insulin or from both; specifically, T2D is directly related to insulin resistance (Pippitt & Li, 2016). The signs and symptoms one may see that are associated with diabetes mellitus, type 1 and 2, include fatigue, polyphagia, polydipsia, polyuria, wounds that do not heal, fluctuation in weight, blurry vision, proteinuria, a pins and needles sensation in the lower extremities, poor wound healing, nausea, delayed gastric emptying, impotence, and frequent yeast infections in women. (KennedyMalone, Fletcher, & Plank, 2014; Pippitt & Li, 2016 [Show More]

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