This week, as you explore presentations of endocrine conditions and infections in acute care settings, you will examine strategies for assessing, diagnosing, and treating patients with endocrine conditions and infections. NURS 6550: Week 8: Case Study: Elderly Patient with Diabetes.

Learning Objectives

By the end of this week, students will:

• Evaluate patients with endocrine conditions and infections
• Develop differential diagnoses for patients with endocrine conditions and infections
• Develop treatment plans for patients with endocrine conditions and infections

Learning Resources

Required Readings – NURS 6550: Week 8: Case Study: Elderly Patient with Diabetes

Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F.A. Davis Company.

• Section 1, “Dermatologic Procedures”
  • Chapter 3, “Wood’s Light Examination Procedures”
  • Chapter 5, “Bites: Ants, Arthropods (Spiders), Bees, and Wasps”
  • Chapter 6, “Bites: Cat, Dog, and Human”
  • Chapter 25, “Tick Removal”

Papadakis, M. A., McPhee, S. J., & Rabow, M. W. (2018). Current medical diagnosis & treatment (57th ed.). New York, NY: McGraw Hill.

• Chapter 26, “Endocrine Disorders” (pp. 1117-1221)
• Chapter 27, “Diabetes Mellitus & Hypoglycemia” (pp. 1222-1268)
• Chapter 30, “Common Problems in Infectious Diseases & Antimicrobial Therapy” (pp. 1297-1339)
• Chapter 32, “Viral & Rickettsial Infections” (pp. 1378-1454)
• Chapter 33, “Bacterial & Chlamydial Infections” (pp. 1455-1500)
• Chapter 34, “Spirochetal Infections” (pp. 1501-1518)
• Chapter 35, “Protozoal & Helminthic Infections” (pp. 1519-1559)
• Chapter 36, “Mycotic Infections” (pp. 1560-1573)

Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F.A. Davis Company.

• Chapter 11, “Imaging of Bone Disease and Endocrine Disorders” (pp. 215–222)

American Association for Clinical Chemistry. (2014a). ACTH. Retrieved from http://labtestsonline.org/understanding/analytes/acth/tab/test

Khan Academy. (n.d.). Infectious diseases. Retrieved from https://www.khanacademy.org/science/health-and-medicine/infectious-diseases

Khan Academy. (n.d.). Types of diabetes. Retrieved from https://www.khanacademy.org/science/health-and-medicine/endocrine-system-diseases/v/treating-type-i-diabetes/v/types-of-diabetes

National Pressure Ulcer Advisory Panel. (n.d.). Pressure ulcer category/staging illustrations. Retrieved October 27, 2014, from http://www.npuap.org/resources/educational-and-clinical-resources/pressure-ulcer-categorystaging-illustrations/

National Pressure Ulcer Advisory Panel. (2007). Pressure ulcer staging guide. Retrieved from http://www.woundconsultant.com/files/pressure_ulcer_guide_8_08.pdf

Sahu, M. K., Siddharth, B., Choudhury, A., Vishnubhatla, S., Pal Singh, S., Menon, R., & … Singh, S. P. (2016). Incidence, microbiological profile of nosocomial infections, and their antibiotic resistance patterns in a high volume Cardiac Surgical Intensive Care Unit. Annals Of Cardiac Anaesthesia, 19(2), 281-287. doi:10.4103/0971-9784.179625

University of Virginia. (2013r). Thyroid ultrasound top 10 pathology. Retrieved from http://www.med-ed.virginia.edu/courses/rad/Thyroid_Ultrasound/index.html

Required Media

i-Human Patient Cases. (2014). Retrieved from https://ih2.i-human.com/users/sign_in

Optional Resources

Barkley, T & Myers, C. (2015). Practice Considerations for Adult-Gerontology Acute Care Nurse Practitioners, Volumes 1 and 2 West Hollywood,, Ca: Barkley and Associates, Inc.

Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F.A. Davis.

Discussion: Endocrine System Diseases and Infectious Diseases

To prepare:

• • Select and review one of the videos found on the Khan academy website using the links below:

• • Khan Academy. (n.d.). Types of diabetes. Retrieved from https://www.khanacademy.org/science/health-and-medicine/endocrine-system-diseases/v/treating-type-i-diabetes/v/types-of-diabetes
  • Khan Academy. (n.d.). Infectious diseases. https://www.khanacademy.org/science/health-and-medicine/infectious-diseases
• Take notes as you watch the video and then prepare a summary of what you learned.

By Day 3

Post the title of the video you selected and a summary of the video written in your own words of what you learned. NO references are required for this Discussion Board post.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days. Respond to colleagues who selected a different video than you did. Based on your personal and/or professional experiences, expand on your colleagues’ postings by providing additional insights or contrasting perspectives.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! Case Study: Elderly Patient with Diabetes.

ADDITIONAL INFORMATION;

Discuss Diabetes in elderly patients

Introduction

People with diabetes have to take special care of themselves as they get older. They may have more health problems than younger people, and their bodies can’t heal as fast. That means it’s important to avoid high blood sugar levels and make sure you take your pills regularly.

Healthy eating is still important for people with diabetes, even if they’re older.

Healthy eating is still important for people with diabetes, even if they’re older.

There are many ways that healthy eating can help you manage your condition and prevent complications. Healthy eating helps you:

• Maintain a healthy weight – When you eat too much, it puts extra stress on your body and can lead to weight gain. If your blood sugar levels are low, this will cause low blood sugar (hypoglycemia). The longer hypoglycemia goes untreated, the more likely it is that other health problems will develop such as nerve damage or heart disease later in life. You should also avoid certain foods like white bread or sugary desserts because they may raise blood glucose levels too quickly after being consumed by someone who has diabetes mellitus type 1 (type 1 DM), which means not having been given much attention before now at all!

People with diabetes have to be careful about how much medication they take.

• People with diabetes have to be careful about how much medication they take.

• The type of diabetes and its severity depend on the patient, so it’s important to talk with your doctor about what kind of treatment plan is right for you.

• Some people need to take more or less insulin than others may because their body has different needs when it comes time for a meal or snack it’s even possible that some people will have higher blood sugar levels during certain times of day (such as after lunch) than others do at night (before bedtime).

Insulin is an option in some older people with diabetes.

Insulin is a hormone that helps your body use sugar from the food you eat. If you have diabetes, insulin is available to help control blood sugar levels.

Insulin is not available for everyone with diabetes and it’s important to talk with your doctor before taking any medications or supplements, such as those found in vitamins and minerals. If you are considering using insulin after discussing this with your doctor, make sure there are no contraindications (side effects) associated with its use in older people whose bodies may not be able to handle its effects well.

Diabetes is a manageable disease as long as you make healthy choices.

Diabetes is a lifelong condition, and you can manage it with lifestyle changes.

Healthy eating and regular exercise are important for preventing diabetes complications like heart disease, stroke and kidney failure. Keeping blood sugar levels under control is also key to avoiding complications that come with high blood sugar levels, such as blindness or nerve damage in the feet (diabetic neuropathy). You should check your blood sugar level once a day at home using a glucometer test strip or lancing device that reads the results directly on your skin—not at the doctor’s office where there may be more distractions than just testing equipment available to use. If you need help getting started on managing diabetes in elderly patients:

If you need to lose weight, do it slowly.

• Don’t stop taking your diabetes medication. If you’re on insulin or a long-acting injection, talk to your doctor about how much time it will take for your blood sugar levels to come down after each dose.

• Don’t stop taking your insulin or taking any other medications that help control blood sugar in response to meals and exercise. You may need some extra help during this time so don’t skip meals or exercise too much at once.

If you’re taking pills, talk to your doctor about how much time it will take for your blood sugar levels to come down after each dose. Don’t stop taking your diabetes medication in response to meals and exercise.

Staying close to family members and friends helps you stay healthy.

Staying close to family members and friends helps you stay healthy. It’s important for you to spend time with the people who love you, so they can help support your physical health in ways that might not be possible if they were alone.

Family members can also offer emotional support when needed. They may know what’s happening at work or school, which can make it easier for a person with diabetes to deal with stressors as they come up.

Conclusion

Keep in mind that diabetes is a manageable disease if you make healthy choices. That means eating a balanced diet, exercising regularly, and keeping your blood sugar levels under control by taking insulin or other medications as needed. It may also help to talk with your doctor about other ways to keep your body healthy.