Case Study:

Question Answered step-by-step Case Study:Mr Vinh Nguyen is a 48-year-old male, who emigrated from Vietnam over 30 years ago. He currently lives with his mother-in-law and son (age 21) in the Inner West City of Sydney. Mr Nguyen presented to his GP clinic following a fall in his kitchen this morning, after becoming “lightheaded and dizzy while making breakfast”.  Following the review of his laboratory tests and assessment results, Mr Nguyen has been diagnosed with Type 2 diabetes mellitus. Mr Nguyen works full time as a civil construction labourer and is currently working overtime most weekends, averaging 50 hours/week. He states that he “needs the extra income to support his son, who lost his job due to COVID-19”. He has been feeling dizzy and lightheaded now for a few days, but this morning was the first time he had fallen over. He had been feeling more fatigued over the past few weeks, but attributed this to his long working hours, as well as “being up all hours during the night to urinate”, which was impacting on his sleep.He smokes 3 packs of cigarettes per week, and drinks 2 beers every evening with his dinner as this is the “only way he can relax”. Recently, he has taken to drinking more beer in the evenings as he “was always feeling so thirsty, and only beer could quench this thirst”. Due to his long working hours, and as his mother-in-law and son cannot cook, the family eat takeaway 6 times/week and then go to his sister’s house for dinner every Sunday.He has a past medical history of gout, asthma, and hypothyroidism, for which he is on daily thyroxine hormone replacement. He is currently awaiting a sleep study for possible Obstructive Sleep Apnoea (OSA).Following the review of his laboratory tests and assessment results, Mr Nguyen has been diagnosed with Type 2 diabetes mellitus. He has been prescribed metformin 500mg BD, with a review of dosage scheduled for 4 weeks’ time.He has since been referred to you, the practice nurse, for a care plan to manage his condition and improve his overall health. Family history:Father passed away in 2015 due to an AMI.Mother had lung cancer in 2017 and is in remission currently. She resides in Vietnam. Medications:Thyroxine 100mcg dailySalbutamol 2 puffs PRNBudesonide 500mcg dailyAllopurinol 500mg daily Ibuprofen 400mg PRN for gout attacksCurrent vital observations:BP 102/65 mmHgHR 106 bpmRR 20 bpmSpO2 98% on RAT 36.7CHealth assessment findings:Height 1.6m, Weight 90kg, excess abdominal fat evident. Waist circumference 105cmTotal cholesterol level – 9.2mmol/LCurrent BGL – 23.5 mmol/L (last meal 6 hours ago). No blood ketones presentUrine dipstick showed glucose, no ketonesAlert and orientated to time, place, and person. GCS 15Cool, dry hands and feet. Dry mucous membranesCRT 3 secondsQuestion) Discuss the potential impact of the disease on Mr Nguyen’s 3 most important activities of living. Link your discussion to the Roper-Logan and Tierney model. Health Science Science Nursing NRSG 265 Share QuestionEmailCopy link Comments (0)