Question

Jacob is a 72-year-old male hospitalized six months ago with new onset diabetes type 2 while experiencing diabetic ketoacidosis. His blood glucose was 543 on admission and he was started on insulin therapy. He saw the Endocrinologist three months ago, and his HgbA1C was 8.8. Medications were adiusted at that time and diabetes education was initiated. A few weeks ago, he returned to the endocrinologist and still had elevated blood glucose readings, despite being adamant that he is strictly following the prescribed diet. Today, Jacob has a telehealth visit with the diabetes education clinic.

Can you figure out what is going on with Jacob And Answer to following questions:

A. How would you explain the problem to Jacob during his next visit?

B. What is the patient's priority problem?

C. What tests or diagnostics will you use to quantify or qualify the problem?

D. What are the potential consequences of inadequate treatment or non-treatment of this problem?

E. How will you measure the effectiveness of the treatment?

F.Are there multiple treatment options available? If so, what are the pros and cons of each?

G. How should the interprofessional healthcare team collaborate in the care of this patient?

H. What community organizations would you involve in the patient's plan of care, and why?

I.Document your findings and plan of care in a note. Communication

Answer 1

During Jacob's next visit, you should explain that his blood glucose levels are still elevated despite following the prescribed diet. The patient's priority problem is the inadequately controlled blood glucose levels. To quantify or qualify the problem, you would use additional tests and diagnostics such as a fasting blood glucose test, oral glucose tolerance test, and continuous glucose monitoring.

Step-by-step explanation:

During Jacob's next visit, you should explain that his blood glucose levels are still elevated despite following the prescribed diet. This could indicate that the current treatment plan may not be effectively managing his diabetes. It would be important to assess his current medication regimen and lifestyle factors to identify any potential issues.

The patient's priority problem is the inadequately controlled blood glucose levels. Despite following a prescribed diet, Jacob's elevated blood glucose readings suggest that his current treatment plan may need to be adjusted.

To quantify or qualify the problem, you would use additional tests and diagnostics such as a fasting blood glucose test, oral glucose tolerance test, and continuous glucose monitoring. These tests help to provide a more comprehensive picture of Jacob's blood glucose levels and how his body is responding to the current treatment plan.