Rigt Track With Question & Answer Guide (With Explanation)

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What This Question Is About

This question relates to rigt track with and requires a structured academic response.

How to Approach This Question

Structure your response with introduction, analysis, and conclusion.

Key Explanation

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Original Question

am i on the rigt track with this part of the assignment Medical history Alice was recently diagnosed with type 2 diabetes by her General Practioner (GP). On the background of initial infection with Candida and the self-report of polydipsia. Mental health deteriation voiced around the feeling of hopelessness, sadness and lack of motivation. Alice has also had missed specialist appointments with Endocrinologist and has missed medications recently, demonstrating poor adherence. Family history Alice has a maternal history of type 2 diabetes that was diagnosed during gestation with Alice and Alice’s mother has had diabetes related complications with her feet resulting in the use of a cane to help mobilise. In addition, Alices paternal grandmother and grandfather both have a history of type 2 diabetes with no information regarding if there are any complications. Social history (initial consultation only) Alice currently resides with her mother and her three siblings ages unknown. Alice reports that she has a limited control over her home food environment due to the family dynamic with siblings bringing junk food bringing brought in by her siblings. Previous diabetes knowledge Alices Diabetes knowledge was not stated, although has knowledge of family history of type 2 diabetes. 5. Physical assessment Alices weight, height and BMI is unavailable, physical observations blood pressure unavailable, Heart rate unavailable, saturations unavailable. Medication review Alice is currently prescribed metformin normal released 500mg nocte once daily with evening meal. Alice reports poor compliance, due to the lack of motivation and mental health distress. Blood glucose monitoring review 7-day review of Alice blood sugars shows minimal blood glucose monitoring, Premeal completed on Monday 10.2mmol/L, Wednesday 9.5mmol/L and Saturday 12.1mmol/L. Post meal breakfast completed on Sunday 11.0mmol/L. Pre-lunch completed on Friday 8.3mmol/L. Post lunch 12.2 mmol/L. Biochemistry Alices Biochemistry unavailable, HbA1c, lipids, liver/Kidney function not available. Investigations Completed investigations of Alice are Urine dipstick which showed Glucose + and trace of ketones. No other further investigations available. Nutrition Alice reports skipping breakfest and lunch regularly but then tends to binge in the afternoons. Deit is high is refined carbohydrates, sugary drinks, processed foods and saturated fats and tends to have a low amount of vegetables, whole grains and Physical activity Emotional health assessment Appearance: Not stated Behavior: Not stated Speech: Not stated Mood: Reports feeling sad and hopeless Affect: Not stated Thought Process: Not stated Thought Content: Alice states lack of motiviation since being diagnosed with type 2 diabetes Perceptions: Not stated Cognition: Not stated Insight: states not having medications regularly and missing endocrinology appointments which demonstrates a partial insight into diagnois. Judgment: Not stated

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