Health Variations 4

Assessment 1: Case study Type 1 diabetes

Student name:                         Student number:

 

Question 1. Pathophysiology of clinical manifestations of Type 1 diabetes

 

1. High blood glucose level

 

 

 

 

2. Glucose in the urine

 

 

 

 

3. Increased urination

 

 

 

4. Increased thirst

 

 

 

5. Increased appetite

 

 

 

 

6. Ketones in the urine and blood

 

 

 

 

 

7. Weight loss

 

 

 

Question 2. Nursing considerations related to the administration of NovoRapid

 

 

Prior to administration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

During administration

 

 

 

 

 

 

 

 

 

 

 

 

 

After administration

 

 

 

 

 

 

 

 

 

Question 3. The potential impact of type 1 diabetes on Briana and her family.

 

Emotional

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Physical

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Question 4. Adaptation of nursing care to accommodate Tom’s intellectual disability.

 

 

 

 

 

 

 

 

References

401014 – Health Variations 2
Learning Guide – Spring 2017

2.6 Assessment details
Assessment 1: Essay Case History Review with Guided Questions
Weighting: 40%
Word count: 1500 words. Use your computer to total the number of words used in your assignment.
However, do not include the reference list at the end of your assignment in the word count. ln-text
citations will be included in the additional iO% word count. If you exceed the word limit by more than iO%
the marker will stop marking at 1650 words.
Due Date: Week 6 Monday 215t of August i70ohrs
Submission details: Refer to W (p.i7)
Marking Criteria and Standards: See pages 11-15
Aim of assessment
The purpose of this assessment is for students to demonstrate an understanding of:
alterations in glucose regulation in type 1 diabetes
the pathophysiology of type 1 diabetes symptoms
safe, appropriate and responsive quality nursing practice when administering
pharmacological interventions to people with type 1 diabetes
0 the impact of type 1 diabetes on the individual and family
the nurses role in providing appropriate person-centred care to people with intellectual
disability
Details
Case study: Briana Martin
You are a Registered Nurse working in the emergency department caring for a 7 year old girl, Briana
Martin.
Medical history
Briana’s parents, Robyn and Tom state that they attended an appointment with their local family doctor
earlier today, as Briana has ‘wet the bed’ the past 2 nights and they thought that she might have a urinary
tract infection. Her parents also noticed that she has been eating and drinking a lot, but weren’t
concerned as they thought that she was going through a growth spurt and the weather has been hot. The
local doctor weighed Briana (ing) and noticed a loss of 5 kilograms since her last appointment one
month ago when reviewed for a cold (possible viral cause). The doctor suspected type 1 diabetes and
tested her urine, which was positive for glucose and ketones. A random capillary blood glucose level was
25.ommoi/ L and blood ketone level of l.5mmol/L. Briana’s parents were advised to attend the hospital
emergency department immediately.
Social history
Briana lives with her mother, father and 4 year old brother (Bailey). Both parents work full time. Briana
attends primary school and is in Year 2. She loves to play sport and has dance classes two times per week
and netball on Saturdays. Briana attends after school care most afternoons until her mother returns home
from work.