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Putting the person with diabetes first the team approach in holistic assessment and management of diabetes mellitus. The module
Pages 18 (4518 words)
Holistic Assessment and Management of Diabetes Mellitus Introduction Effective nursing care involves different processes which eventually secure improved patient outcomes. This paper will discuss the holistic assessment and management of a diabetes mellitus patient.
His cholesterol is high, as is his blood pressure. He is on Lipitor 80mg at night, has no foot ulcers or skin sores. He is also on metformin and sulfonylureas for his blood glucose maintenance. He does his best to comply with his regular medication, mostly his oral anti-diabetic medicines. His HbA1C is however persistently rising and he may need to be put on insulin for the next few months if his blood sugar would not be managed better. He has a strong support system through his wife and children. He is also intelligent and has a good understanding of his disease, however he is in denial about the long-term complications which may relate to his disease. This paper will discuss the appropriate and effective nursing management of this patient, considering mostly the importance of holistic assessment, self-management, and team approach in securing improved patient outcomes. Body The regulation of blood sugar levels are based on negative feedback which seeks to secure homeostasis for the body (Matthews, et.al. 2008). Blood glucose levels are monitored by the pancreas, mostly through cells called the Islets of Langerhans. In instances where the blood glucose would decrease near or below threshold levels, especially during exercise or prolonged lack of food, the Alpha cells of the pancreas discharge the hormone glucagon (Matthews, et.al. 2008). ...
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