Seneca College NURSING PNP401: Case Study: Endocrine: Diabetes; Helen Lam is a 52-year-old South Asian woman.
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Seneca College NURSING PNP401:
Seneca College NURSING PNP401: Case Study: Endocrine: Diabetes; Helen Lam is a 52-year-old South Asian woman.
Case Study: Endocrine: Diabetes
• Last Name: A - M
• This case study is now open (November 2nd, 2022) and is due on November 14th, 2022 @ 11:59 PM (Week 10). However, a one-wee...
Seneca College NURSING PNP401: Case Study: Endocrine:
Diabetes; Helen Lam is a 52-year-old South Asian woman.
Case Study: Endocrine: Diabetes
• Last Name: A - M
• This case study is now open (November 2nd, 2022) and is due on
November 14th, 2022 @ 11:59 PM (Week 10). However, a one-week
extension is being offered if needed. Therefore, you may submit this case
study from November 14th - November 21st, 2022 @ 11:59 pm with no
penalty. No extension will be granted beyond that date and late
penalties will apply beyond.
• This test can be saved and resumed later.
• Please copy your answers into a word document and submit to Safe
Assign.
• /45 Total. 10% of your final mark.
• When citing use APA format and include a reference list
HISTORY OF PRESENTING ILLNESS (HPI):
Helen Lam is a 52-year-old South Asian woman who comes to your walk-in
clinic with complaints of chronic fatigue, increased thirst, constant hunger,
and frequent urination. She further reports a 3-month history of painful feet;
they often “burn or feel like there are pins/needles in them. She tells you
she has treated 2 urinary tract infections in the last year. Currently, she
denies any pain, burning, or low-back pain on urination.
She works full time as a clinical admin in a busy outpatient primary care
clinic. She says, “by the time I get home and make supper for my family, I
am too tired to exercise.” She has gained considerable weight over the last
2 years, the “COVID 15 lbs, that I can’t lose!”.
H.L.’s reports that she does not have a PCP, “they retired 5 years ago and I
haven’t been able to find a new one, that is why I come here”. She has been
using walk in clinic very infrequently.
Her current weight is 173 pounds, she is 5’3 tall. Today, her blood pressure
(BP) is 152/97 mmHg, and a random plasma glucose level from 2 months
ago was 13.5 mmol/L, which was ordered when she presented with UTI
,symptoms, however she was lost to follow up.
PAST MEDICAL HISTORY (PMH):
, Gestational Diabetes
Recurrent UTI (2 in the last
year) Hypertension (not
currently treated)
FAMILY HISTORY:
Father – deceased. R MCA Ischemic Stroke; age 68. Hypertension,
Hyperlipidemia, T2DM.
Mother – Hypertension.
MEDICATIONS:
Nil.
Questions:
1. Provide six (6) risk factors for T2DM. Place a star or asterisk next to
those that Helen exhibits. (3 marks).
Risk factors include
- South Asian heritage on the bases of genetic/race *
- Hypertension *
- Overweight /Physical exercise *
- Family history-; Father aged 68. Hypertension,
Hyperlipidemia, Mother Hypertension *
- Over the age of 45(Lewis et al., p. 1290). *
- Gestational diabetes
(CentersforDiseaseControlandPrevention,2022)*
2. List and explain the significance of (3) presenting symptoms used to
guide the diagnosis of T2DM. (3 marks).
Presenting symptoms of Diabetes include
Polyuria- Because the disease results in a buildup of sugar in the blood
if the kidneys are unable to clear it, the patient urinates frequently and
more frequently than usual. The extra fluids and sugar flow through
the kidneys, causing the patient to urinate more frequently.
Polyphagia- The patient will have food cravings and end up eating too
much since glucose cannot enter cells to be used as energy.
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