SU NSG6005 Week 8 Discussion Essays

SU NSG6005 Week 8 Discussion Essays

NSG 6005 Week 8 Assignment 1 Discussion

Select one of the two questions from the discussion questions listed below .By Week 8, Day 3, respond to the selected discussion question and submit your response to this Discussion Area .

Be sure to respond to the question using the lessons and vocabulary found in the reading .Justify your answers using examples and reasoning .Support your answers with examples and research and cite your research using APA format .

Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ posts .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .

Discussion Question 1

There are multiple issues to consider in caring for someone with diabetes II .Your course textbook lists these as:

Race and Ethnic Group

Obesity

Coronary Artery Disease and Heart Failure

Hyperlipidemia

Hypertension

Nephropathy

Neuropathy

Retinopathy

From this group, select two specific issues and explain the importance of that variable in the treatment of diabetes .Explain how a provider needs to approach the patient and how these considerations would influence the selection of agents for the treatment of diabetes and related complications. 

SAMPLE ANSWER DQ1

issues to consider in caring for someone with diabetes II

Introduction

When you love someone with diabetes, it can be hard to know how to best support them. This is especially true if you don’t have any experience with the condition yourself. Here are a few things to keep in mind when caring for someone with diabetes II.

Race and Ethnic Group

There are a number of issues to consider when caring for someone with diabetes, and one of these is the patient’s race or ethnicity. Some racial and ethnic groups are at higher risk for developing diabetes than others, and this should be taken into account when providing care. For example, African Americans, Native Americans, Hispanics/Latinos, and Asian Americans are all at increased risk for the disease.

There are a number of possible reasons for these disparities. Genetics may play a role, as certain genetic predispositions are more common in certain groups. In addition, lifestyle factors such as diet and exercise may contribute to the development of diabetes. socioeconomic status can also be a factor, as those who are lower income may have less access to healthy food options and medical care.

When providing care for someone with diabetes, it is important to be aware of these disparities and take them into account. This includes providing education about the importance of healthy lifestyle choices, as well as making sure that patients have access to necessary resources like affordable healthy food and quality medical care. By doing so, we can help improve outcomes for all patients with diabetes, regardless of race or ethnicity.

Hypertension

Hypertension, or high blood pressure, is a common complication of diabetes. If not controlled, it can lead to serious health problems such as heart disease, stroke, and kidney failure.

There are many things that can contribute to hypertension in people with diabetes, including poor diet, lack of exercise, and stress. It is important to work with your healthcare team to develop a plan to control your blood pressure. This may include making lifestyle changes such as eating a healthy diet and getting regular exercise, as well as taking medications prescribed by your doctor.

Neuropathy

There are a few different types of neuropathy, each with their own set of symptoms and treatment options. The most common type of neuropathy is diabetic neuropathy, which is caused by high blood sugar levels damaging the nerves over time. Symptoms of diabetic neuropathy can include pain, numbness, tingling, and weakness in the hands, feet, or legs. Treatment options for diabetic neuropathy include pain relief medication, physical therapy, and lifestyle changes such as maintaining a healthy weight and blood sugar levels.

Other types of neuropathy include peripheral neuropathy, which is caused by damage to the peripheral nerves (the nerves outside of the brain and spinal cord), and autonomic neuropathy, which affects the autonomic nervous system (the part of the nervous system that controls automatic functions like heart rate and blood pressure). Symptoms of peripheral neuropathy can include pain, numbness, tingling, and weakness in the hands or feet. Treatment options for peripheral neuropathy include medication for pain relief and nerve damage, physical therapy, and lifestyle changes such as quitting smoking and maintaining a healthy weight. Symptoms of autonomic neuropathy can include lightheadedness or fainting when standing up too quickly (orthostatic hypotension), constipation or diarrhea due to problems with bowel motility, bladder problems leading to urinary incontinence or retention, sexual dysfunction due to problems with erectile function or vaginal dryness, and difficulty sweating leading to heat intolerance. 

Conclusion

There are many issues to consider when caring for someone with diabetes II. The most important thing is to make sure that the person has regular access to medical care and is able to take their medication as prescribed. It is also important to ensure that the person has a healthy diet and exercise routine, as this can help manage the condition and prevent complications. Finally, it is important to be supportive of the person and understand that managing diabetes II can be difficult.

Discussion Question 2

AG is a sixty-nine-year-old male who presents for an initial visit with a complaint of blurred vision, fatigue, and lack of energy .He is currently being treated for hypertension, hypothyroidism, and gouty arthritis .He is currently retired and married, with three adult children .His vital signs are unremarkable, with a body mass index (BMI) of 30 .His current medications include lisinopril 20 mg daily, allopurinol 300 mg daily, and levothyroxine 0 .088 mg daily .

As per his blood work today, his A1c level is 7 .8%, his fasting blood sugar is 202, his total cholesterol is 180 mg/dL, his high-density lipoprotein (HDL) is 27 mg/dL, his low-density lipoprotein (LDL) is 193 mg/dL, and his triglycerides are 302 mg/dL .Answer the following questions:

What additional blood work would you like to complete at this point? Is there any additional information that should be collected from the patient?

Evaluate the current therapy and make recommendations concerning any needed changes .

What lifestyle modifications or changes do you think would be appropriate for this patient?