Case Study: diabetes mellitus type 2

1. Introduction:

The case study involves the clinical scenario of Mrs. Valmai White, a middle-aged women female suffering from Diabetes Mellitus type 2 for almost seven years, and associated many crippling comorbidities as well. She was accommodated to an aged care nursing home when her condition could not be managed at home. This case study includes the case details, personal history, past medical and surgical history, lab investigations, details from the treatment notes, nursing diagnosis, the management, and treatment plan. The case study reviews the nursing interventions and the resulting outcomes after the efforts. Education and training about case management, communication barriers, and a short analysis are given in various parts.

2. Considering the patient:

The patient, a middle-aged female, married, resident of California, a former teacher by profession, and had no child. She was admitted to the aged care nursing home fortnight ago. She is a diagnosed chronic patient of Diabetes Mellitus type 2 for almost seven years. This was previously managed by insulin administration. On admission to the nursing home, she was tested for Diabetes Mellitus, hypothyroidism, depression, osteoarthritis, chronic kidney failure, osteoporosis, and back problems- diffused idiopathic skeletal hyperostosis. She was found positive for Diabetes Mellitus Type 2, osteoarthritis, and osteoporosis. She suffered from many complications that are frequently associated with Diabetes Mellitus, like overweight, higher Body Mass Index, and higher blood glucose levels, etc. After admission to the aged care nursing home, thorough investigations and examination helped the precise assessment of the problems she was suffering from. 

3. Collecting the cues:

The patient has been a diabetic for years with a variety of signs and symptoms. The patient’s vital and blood glucose were highly disturbed, and her condition was worsening with time. She was unconscious for some time due to hyperglycemia, her blood glucose was measured, and it was about 300 g/dL. She was immediately given a calculated dose of insulin (as ordered by the physician). Her consciousness was restored. The patient was unable to move on her own. She needed assistance for locomotion. She had a previous history of multiple falls in the past. She had paranoia and fear of falling as well. She refused to walk on her own and needed an assistant who could help her move from one place to another. She complained about back pain and decreased bone strength that further increased her risk of falling. She had variable episodes of diverse symptoms like tremors, headache, lethargy, weakness, eye ache, dizziness, confusion, and irritability. These signs were monitored and recorded regularly from the patient and conveyed to the medical team.