Case Study:
Mr. Frank, an 84-year old Caucasian man, came to the physician's office for education and follow-up regarding a diagnosis of diabetes and the initiation of medication to control his blood glucose level. The nurse introduces herself and welcomes Mr. Frank before inviting him to tell her the reason for his visit.
Mr. Frank says that he has always had high sugar, but this past year the doctor tells him it is staying too high, so mediation will be necessary. He says that things are pretty good overall, but he sees himself slowing down and feels a bit tired since his wife died more than 3 years ago. He smiles as he comments that doing her work is too hard on him. Mr. Frank use a cane to get around. He says that is a bit difficult for him because the cane is a nuisance, but he is glad to have it because it helps him stay on his feet.
Mr. Frank says that his main concern is that he sometimes cannot remember where he is going or what he is doing. His daughter called the police two times to find him because he did not return to his apartment at the expected time. Mr. Frank says he is very embarrassed and worried with the attention from the police, and he knows that his daughter is upset with him and is taking about putting him in a nursing home. Mr. Frank shakes his head and says that he cannot believe he is being treated like some kind of criminal.
Mr. Frank says that he knows he must take pills for his blood sugar and that, other than a bit of food, he is not in the need of anything. Because he does not bother anyone else, he does not see why anyone should bother him. He says he want to live but also that he would rather be dead than go to a nursing home. He is thinking about locking himself in his apartment if anyone tries to make him leave. The nurse asks him what would happen if he locked himself in his apartment. He hesitates before saying that his daughter would probably call the police; they would break down the door; and them he might be in real trouble. Mr. Frank sighs and says that it would not be too bright to lock himself in his apartment.
Questions:
Q1. What are the actual medical issues identified in the case study?
Q2. What are the potential medical issues that can arise because of the actual medical issues?
Q3. What systems need assessment in the above case study to identify/monitor both actual and potential medical issues? Explain what they are and provide a rationale as to why the system needs assessment.
Q4. Explain the assessment process. How you will actual conduct the assessment.
Q5. Discuss five nursing interventions with rationales to be implemented.