Specific patients Case Management (Instruction Below, and patients Essay

Specific patients Case perplexity (Instruction Below, and patients info faxed) - Essay ExampleThe presented complexity of health problems experienced by the patient is very sympathetic to the case presented by Dr. Sheehan (2008) of Joslin Diabetes Center, Inc. where the case talks about a patient having type 2 diabetes, dyslipidemia, hypertension and all of the microvascular complications. There are essentially two primary defects in type 2 diabetes. integrity is insulin resistance. At the level of the liver, there is uncontrolled liver glucose output in skeletal muscle, there is high-risk skeletal muscle glucose uptake, and nonoxidative glucose metabolism. There are defects in the adipocyte in terms of storing fat, excessive lipolysis, and high levels of barren fatty acids in the circulation that can worsen insulin resistance. The adipose tissue can release inflammatory cytokines. Additionally, we fuck off known for a great many years that there are defects in glucagon regulat ion at the level of the pancreas. The alpha cell, which makes glucagon, overproduces glucagon both in the fasting and the fed state. This is another major defect in type 2 diabetes (Sheehan, 2008).Long-term research has demonstrated the benefits of maintaining good control over source glucose levels. The coupled Kingdom Prospective Diabetes Study (UKPDS) found that the diabetes-related complications of retinopathy, nephropathy, and neuropathy were reduced significantly in study subjects with type 2 diabetes who practiced intensive blood glucose control. In addition, for every percentage point reduction in A1C (a blood test that measures the three-month average of blood glucose levels), study participants achieved a 35% reduction in the risk of complications (American Diabetes Association, 2002).The scoop up nursing theory applicable in this case is Dorothea Orems Self-Care Deficit theory. The theory essentially defines the direct for nursing care. Since Mrs. X experiences some l imitations or deficit which interferes with her ability to maintain self-care, she