Case Study – Mrs. Aiken (Diabetes) Case Scenario “What happened?…

Case Study – Mrs. Aiken (Diabetes)
Case Scenario
“What happened? How did I get so sick so fast? I took my insulin, although I felt terrible and had to force myself to eat. I didn’t eat that much for my blood sugar to be all out of whack.” Mrs. Aiken lay back in the bed and closed her eyes. Then she had a wracking coughing session that left her feeling even more short of breath. “I don’t ever want to go through something like this again.”
Nursing Assessment Including Client Story
Mrs. Aiken is a 42-year-old woman with type I diabetes. She is married and has three children. She is the church secretary. Reading, knitting, and playing bingo are her favorite activities. She smokes one pack of cigarettes per day. She developed a cold several days ago and then woke up in the morning very short of breath and with chills and fever. She stopped monitoring her blood sugar levels. Her blood sugar on admission was 950 mg/dl; she was diagnosed with hyperglycemia and pneumonia. It is now 3 days after admission, and she has been on intravenous antibiotics. The fever is gone. Only scattered crackles are heard in the lung bases. Her oxygen saturation is now at 95 mg/L. She will be discharged home in 2 days.
Review each body system and place detail areas under each section as needed)
Nero Sensory
Circulation Oxygenation
Elimination
Metabolism Mobility
Cellular Dynamics
Protection Reproduction
List in order of priority (the most important/imminent), two nursing diagnosis (NANDA based).
Give the rationale for the priorities you have selected.
Nursing Focus of Care / Nursing Diagnosis
Rationale for Priority
Reference: Patricia Ann Potter, Wendy Diane Duggleby, & Astle, B. J. (2019). Canadian fundamentals of nursing. Langara College.