Type 2 Diabetes Nursing Management Essay

Nursing Management of Patient with Type 2 Diabetes Mellitus and Anxiety A.C. is a 41 year old female, with a medical history of diabetes mellitus type II (T2DM), anxiety, hypertension (HTN), cerebrovascular disease (CVD), end stage renal disease (ESRD), bacteremia, diabetic gastroparesis, and methicillin-resistant Staphylococcus aureus (MRSA), who was admitted to the hospital for a fever. The patient is allergic to penicillin and Regland6e. The patient had a transesophageal echocardiogram (TEE), to rule out infectious endocarditis. The patient complained of anxiety and displayed physical symptoms, such as a feelings of restlessness, the inability to concentrate, and an increased respiratory rate as well. Anxiety and anger are frequent complaints
This resistance or abnormal secretion affects cellular metabolism because glucose cannot enter the cell without the assistance of insulin. Osborn, Wraa, Watson, & Holleran affirms, the clinical signs and symptoms of type 2 diabetes mellitus originate from hyperglycemia (2014, p. 1425). The symptoms are glucose in the urine, polyuria, polydipsia, polyphagia, and fatigue. Risk factors include family history, obesity, sedentary lifestyle, and metabolic syndrome factors. T2DM also results in many secondary diagnosis because of the disease process. When blood glucose levels are too high over an extended period of time it increases the viscosity of the blood which can cause hardening of the vasculature, which can increase peripheral resistance and result in HTN, ESRD, CVD, and diabetic
was awake, alert and oriented to person, place, time, and event, but restless. The patient’s speech was clear, pupils were equal and reactive to light, facial symmetry was equal, and there was motor function in all upper and lower extremities. The patient has sensory function in upper extremities and decreased sensory function in both left and right feet. Osborn, Wraa, Watson, & Holleran states about 60% to 70% of people with diabetes have mild to severe forms of nervous system damage (2014, p. 1450). This damage can lead to loss of sensation and possible amputation with poor glycemic control. The client’s skin was pink, warm, and dry to the touch, the temperature was 97.8, and the skin was quick to recoil. The patient has lesions on face, in mouth, on right breast, right upper thigh, left great toe, right great toe and right middle toe. Dressings were clean dry and intact. A majority of diabetic wounds occur on the foot however, they can appear in other locations and treatment is similar. Osborn, Wraa, Watson, & Holleran asserts, the most effective and least expensive preventive method is careful and frequent inspection of the foot (2014, p. 1897). The patient was positive for MRSA in nares and blood. Gloves, gowns, and handwashing were used as standard precautions. As per Osborn, Wraa, Watson, & Holleran contact precautions reduce the risk of organism transmission by direct or indirect contact (2014, p. 335). The patient’s SPO2 was 94% on room air, respirations