Analyze the case scenario, identify the care needs and from the list of identified needs discuss two COMPLEX care priorities as a primary health care nurse
Johnson is a 50 year old male with morbid obesity and type 2 diabetes who was admitted to the medical ward with poorly controlled diabetes, obesity ventilation syndrome and sleep apnoea. Johnson
was referred by his GP after he presented with symptoms of shakiness, diaphoresis, increased hunger, high BGL levels and finding it difficult to breathe when he sleeps.
Past medical history
Obesity (weight165kgs with a BMI of 57.09m2).
Type 2 diabetes (diagnosed 9 years ago)
Depression (Diagnosed three months ago y GP).
Gastro oesophageal disease reflux disease
Unemployed male on financial benefit
Had a normal weight, but gained tremendous weight when he started insulin and lost his job, due to his current weight, he finds it difficult to work due to fatigue and low self esteem, he lives
different from his daughter, divorced and his daughters never visits him, Johnson finds it difficult to perform his ADLs and he is keen to loose his weight.
Insulin novamix 30/70 DB (20 units mane and 10 units nocte)
Novarapid sliding scale
Metformin 500mg BD
Lisinopril 10mg daily
Nexium 20mg daily
Metoprolol 50mg BD
Pregabalin (Lyrica) 50mg nocte
Last observation on discharge
Sp02 RA 95% on Room Air (R/A)
The language is sophisticated, with integrated professional language and terminology, and suits the purpose for which the essay is intended
Content should be organized, and there should be a logical progression of ideas that promotes flow of thought.
A critical and considered case should be presented, that is well constructed and balanced. The planned care has to be justified and rationale provided.
There should be clear evidence of the use of the clinical reasoning cycle in interpretation,
There should be evidence of both depth and breadth of high quality reading.
The content is pertinent to the topic. High quality evidence and examples are presented.
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