NUR 557 Module 8-2 Activity Diabetes Mellitus Management

Overview

Disorders of the endocrine are a common occurrence across healthcare, leading to acute and chronic diseases. A common disorder of this system is diabetes mellitus, which often leads to lifelong disability and chronic illnesses if left uncontrolled. There are several types or classes of medications available to treat this disorder. In addition to choosing the best medication, it is important to educate clients about complementary health promotion activities, such as weight management, lifestyle modification, and so on.

Scenario

Rita is a moderately obese 48-year-old Hispanic female client with a BMI of 28. She presents to your community health clinic for a new patient visit after obtaining health insurance a month ago. Rita states she has not seen a healthcare provider for “years” because she couldn’t afford it. The provider has ordered routine labs, including complete blood count (CBC), comprehensive metabolic panel (CMP), an A1c, and a lipid profile. Rita had the labs completed a couple of days before this appointment. These diagnostic tests were within normal limits except for an A1c at 9.2 and a fasting blood glucose at 156 mg/dL. Her vital signs were measured as follows: oral temperature of 37.0°C, BP of 138/68, pulse at 88, SaO2 at 98%, and respiratory rate of 22. She is seeing the nurse practitioner today for a complete physical exam with plans to follow up with the provider in one month.

Consider a potential diagnosis of type 2 diabetes mellitus for this client and create a chart that compares the three different types of diabetes medications: oral hypoglycemic agents, non-insulin injectable agents, and insulin. You have also been asked to choose one of the diabetic medications that is most likely to be prescribed by the provider and educate the patient on this medication as part of your review of the health promotion activities best suited for this client. As you complete the chart, consider specific health promotion opportunities such as weight management, dietary education, lifestyle choices, and regular monitoring of blood glucose levels.

Prompt

Use the template in the What to Submit section to compare and choose one of the three classes of diabetic medications for diabetes treatment and health promotion. Provide specific evidence from at least two scholarly sources, including one clinical practice guideline, to support your response. You may use your textbook as a source, but it will not count as one of your scholarly sources.

Specifically, you must address the following rubric criteria:

  1. Expected Outcome: Explain how the individual in the scenario might benefit from medication management for their disease.
  2. Pharmacotherapeutic Options: Compare the three classes of diabetes medications, oral hypoglycemics, non-insulin injections, and insulin, for management of type 2 diabetes mellitus. Include the following in your response:
  3. Pharmacotherapeutic Recommendation: Evaluate the most likely class of diabetic medication the provider will prescribe for this client. Be sure to include a clinical practice guideline in your response. Consider the following in your response:
  4. Health Promotion: Recommend specific client education and health promotion opportunities for this scenario. Consider the following in your response:

What to Submit

Submit the completed Module Eight Activity Template. Sources should be cited according to APA style.

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