Mr Lenny Li (DOB 03/04/1951) has been admitted via his GP to UTS Medical ward (via ED) 2days ago. Background
Question Answered step-by-step Mr Lenny Li (DOB 03/04/1951) has been admitted via his GP to UTS Medical ward (via ED) 2days ago. Background Lenny Li is a retired 69-year-old man with a 5-year history of type 2 diabetes. At the time of initial diagnosis, he was advised to lose weight (at least 10 kg), but no further action was taken. Referred by his GP to the UTS hospital following a hypoglycemic episode, Lenny presents with recent weight gain, suboptimal diabetes control, and foot pain. He has been trying to lose weight and increase his exercise for the past 6 months without success. Lenny had been started on Metformin 500mg BD, but had stopped taking it because of dizziness, often accompanied by sweating and a feeling of mild agitation, in the late afternoon. Lenny does not test his blood glucose levels at home and expresses doubt that this procedure would help him improve his diabetes control. “What would knowing the numbers do for me?” he asks. “The doctor already knows the sugars are high.”PMH:Type 2 diabetes (A1C >7%) Obesity (BMI 32.4 kg/m2) Hyperlipidemia (controlled with atorvastatin) Peripheral neuropathy (distal and symmetrical by exam) Hypertension (by previous chart data and exam) Elevated urine microalbumin level Self-care management/lifestyle deficits Limited exercise High carbohydrate intake Poor understanding of diabetesLenny Li has been admitted to UTS Medical Ward following an assessment by his GP. Lenny presented to his GP with complaints of feeling dizzy, lethargic and BGL 3. Initial hypoglycemic management was given in ED and Lenny was admitted for uncontrolled blood sugar levels.You are the nurse caring for Lenny today and need to develop a person-centered care plan.Assessment DataLatest vital signs from nursing assessment:BP 150/70HR 85bpm (regular)RR 20Chest Equal air entry on auscultation BGL 5mmolGCS 15/15Temperature 37.1 degMedicationsMetformin 500 mg BD, but had stopped taking it because of dizziness, often accompanied by sweating and a feeling of mild agitation, in the late afternoonAtorvastatin (Lipitor), 10 mg daily, for hypercholesterolemia (elevated LDL cholesterol, low HDL cholesterol, and elevated triglyceridesLab results / Diagnostic TestingTest ResultNormal Value. Glucose (fasting) 178 Creatinine 1.0 Blood urea nitrogen 18 Sodium 141 Potassium 4.3 From the information provided, create a person-centered nursing care plan in the format of a concept map. Health Science Science Nursing Health 92024 Share QuestionEmailCopy link Comments (0)


