Diabetes Type 2 with Peripheral Neuropathy

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MISSION
Cavite State University shall provide excellent, equitable and relevant educational opportunities in the arts, science and technology through quality instruction and relevant research and development activities. It shall produce professional, skilled and morally upright individuals for global competitiveness. x

Republic of the Philippines
CAVITE STATE UNIVERSITY
Don Severino Delas Alas Campus
Indang, Cavite
VISION
A premier university in historic Cavite recognized for excellence in the development of morally upright and globally competitive individuals.

College of Nursing

DIABETES MELITUS TYPE II
WITH PERIPHERAL NEUROPATHY

Presented by:

III BSN 2 GROUP 7
Members
Dimaranan, Jocelyn P.
Dones, Paola Judith T.
Espinelli, Raycie P.
Fauni, Leslie L.
Ganio, Marc Joseph V.
Gonzales, Diane Joyce V.
Ilagan, Janine P.
Jayomana, Ereca S.
Lacay, Angelie B.
Leoro, Ralph Ronel R.
Magsino, Julien Arvin D.
Marquez, Alyanna Marie D.
Olave, Bernadette C.

Presented to:

Clinical Instructors, Level II or III

Date:
October 20,2010

In Partial Fulfillment of the Requirement in NURS 60 for the Degree Bachelor of Science in Nursing

TABLE OF CONTENTS

I. Demographic Data…….…………………………………………………………………..….4

II. Reason for Seeking Health Care……………………………………………………………...4

III. History of Present Illness……………... ……………………………………………………..4

IV. Past Medical History…………………………………..……………………………………...5

V. Heredo-familial History……………… …………………………………………………....6-7

VI. Developmental History……………………………………………...………………………....8-11

VII. Gordon’s Functional Health Patterns………………………………………………………...12-28

VIII. Physical Examination…………………………………..…………………………………….29-46

IX. Diagnostic Test………………………………………………………………………………..47-49

X. Review of System…………...……………………………………………………………………46

XI. Concept Maps……………………………………….………………………………………..51-53

XII. Case Management………………………………………………………………………………..55 A. Medical………………………………………………………………………………...…55-59 B. Surgical…………………………….…………………………………………………………62 C. Nursing……………………………………………………………………………………71-77

XIII. Ongoing Appraisal………………………………………………………………………….78-84

I. DEMOGRAPHIC DATA

A. Name: B.M.Date of Admission: September 18, 2010
B. Address: Palangue, Naic, CaviteTime of Admission: 10:00 am C. Age: 72 years old
D. Birth Date: April 26, 1938Date of Interview: September 21, 2010 E. Birth Place: Naic, CavitePrimary Informant: B.M
F. Gender: MaleSecondary Informant: B.M.’s family (i.e., wife, son, daughter-in-law) G. Civil Status: MarriedOther Data Sources: Patient’s chart (i.e., Laboratory exam, ECG, FBS) H. Religion: Born Again Christian

I. Highest Educational Attainment: Grade 3
J. Occupation: None
K. Monthly Income / Budget: Below PHP 5000

II. REASON FOR SEEKING HEALTH CARE

Mr. B.M. sought medical help for the immediate treatment of a three-week old, progressing, non-healing infected wound ulceration (width: approximately 2 cm; depth – approximately 0.8 cm) at his right big toe caused by an injury from cutting an in-grown skin using a rusty nail-cutter. The wound had yellow-greenish pus and foul odor.

III. History of Present Illness

After finding out his random glucose level was 325 mg/dL last August 18 through the volunteers from a local church, B.M. admitted not going to a doctor but resorted to concoction such as bitter gourd and bignay leaves believing that it would lower his blood glucose level. No verbalized therapeutic effect stated from taking this herbal concoction since there was no follow-up blood glucose level monitoring. In the first week of September, the client tried to remove an in-grown skin using rusty nail cutter which traumatized and bled his big toe. After bleeding, the client sent a pedicurist to completely remove the ingrown skin which also further increased the bleeding. The client felt a...
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