Diabetes II finds that insulin is produced by the pancreas but it is ineffective in carrying out total body functions where the insulin is desperately needed to be regulated (Rubin 1999). Furthermore, just as this current patient faces issues of obesity, many adult patients who suffer with Diabetes II are quite regularly classified as being moderately overweight to points of morbid obesity as well which again is an issue that further complicates the treatment process. Since insulin therapy is ineffective in the treatment and management of Diabetes II and also because the majority of people with this form of diabetes are obese the most popular and beneficial treatment regimens that have been implemented into the care of patients has been an appropriate exercise routine with proper diet and nutrition mapped out for them. Seemingly this would be the appropriate guidelines for the current patient. Therefore the two main goals of the management plan for this patient will be to decrease his weight with an exercise program and to monitor his dietary and fluid intake on a weekly basis as well.
Firstly, before an in-depth management program can begin with this patient there needs to be an initial development of a good interpersonal relationship between the primary care manager and the patient himself. Because patients with Diabetes II are sometimes severely obese the medical provider needs to have the clear awareness that this patient might suffer with depression and anxiety due to his physical appearance. Therefore, it should be the goal of the care giver to build a position of trust and faith between him or herself and the patient in order to provide a high quality care plan to manage the Diabetes (Aggleton & Chalmers 2000). Nurses who use an interpersonal approach have been found to be able to correctly assist patients in planning a strategic alternative to gaining control over a disease such as Diabetes II. This is due to the fact that an interpersonal approach utilizes techniques that are more thorough than a traditional nurse/ patient evaluation. For instance, the skills used are normally observing, questioning, examining, and testing and measuring to ascertain whether the patient will be able to meet the set goals being designed for them (Roper et al 1996). It is believed that this type of approach will be best for this patient in that it will build the proper relationship in order to work as a joint team in the management of the patients' illness.
Furthermore, with regard to correctly acquiring this patient's information so that medical treatment and evaluation can be carried out, nurses and all medical care providers have to be careful not to tread over the stipulations that the NMC has specified when working with patients. This specific code states that, "nurses should protect all confidential information concerning patients obtained in the course of professional practices and make disclosure only with consent" (NMC 2002). This of course draws on the ethical and legal aspects of properly caring