Case Study Simon Assignment Help: How to Answer This Question

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Original Question

Case study 1 Simon is a 54 year old male lawyer who lives in Burleigh on the Gold Coast. He was diagnosed as a type 2 diabetic 2 mths ago. He has been married for 25 years to Mary a marketing consultant; they have 2 children who are both living at home while attending university. He has had frequent visits to his GP to try and get his blood glucose under control; however he is having issues with this and also coping with his diagnosis. Simon is 180cm tall, weighs 100kgs, waist circumference of 104cm = a BMI of 29 this puts him in the overweight category and the high risk range for diabetic complications. Simon also smokes approx. 4-6 cigarettes a day, drinks wine most evenings and struggles to eat healthy due to long work hours and meetings. Simon also tries to walk early in the morning however only seems to manage this on weekends. As he is in work shoes all week he likes to walk in thongs. Simon has been reluctant to face the fact he has diabetes, however he has been feeling a bit low lately and has decided it’s time to “sort his disease out”, the doctor has recommended that he attend diabetic education and planning which is conducted at the nearby community health centre where you work. In conjunction with the Diabetic RN you sit down with Simon and his wife to create a plan 3. You are to assist the RN in the creation of a management plan for Simon In the table below please outline 2 goals and 2 expected outcomes for each goal Keep each goal and outcome realistic to Simon’s case study Note – Simon will have a follow-up appointment in 6 weeks’ time to review his progress and plan Health education / promotion 2 goals 2 expected outcomes for the goals Exercise Diet & weight loss (body mass index or waist to hip ratio) Smoking cessation Foot and eye care 4. Simon’s wife Mary has been told about the National Diabetic Services Scheme (NDSS) and would like to know what provisions for support and funding do they provide for diabetics. In regards to the NDSS, outline 3 ways this service can assist Simon and his family – must include 1 funding benefit that applies to Simon. ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… 5. Aside from the NDSS, discuss 3 other credible diabetic organisations that you could suggest for Simon and his wife to access that will assist with their support – you may also include local support groups. You must also identify the service and what they offer that will compliment Simon’s needs. Within your answer identify how Simon can make contact with these groups and identify who else within the interdisciplinary team would benefit from this information ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… 6. Discuss 2 ways you as the EN can liaise with diabetic services so that you know what to recommend to Simon and his family. ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… 7. You are teaching Simon about managing his blood glucose levels and taking oral glipizide (Glucotrol). Which of the following statements made by Simon indicates to you that he needs additional teaching? “If I overeat at a meal, I will still take the usual dose of medication.” “Other medications besides the Glucotrol may affect my blood sugar.” “My diabetes won’t cause complications because I don’t need insulin.” “When I am ill, I may have to take insulin to control my blood sugar.” 8. Outline 3 ways you can ensure that Simon and his wife understand the management of his condition ……………………………………………………………………………………. ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… 9. Discuss how a family / carers understanding of diabetes can affect a diabetic person’s planning and implementation of any devised plan. ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… 10. Discuss briefly 2 environmental and 2 social factors within the general population of Australia that contributes to diabetes Environmental factors Social factors 11. Discuss Briefly 3 factors experienced by Aboriginal and/or Torres Strait Islander people that may contribute to their higher rates of diabetes. ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… 12. what are 3 issues relating to diabetic care delivery or services in Australia ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………

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