Interprofessional Healthcare Team Essay Discussion Paper

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 adjusted 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:

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

-What is the patient’s priority problem?

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

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

-How will you measure the effectiveness of the treatment?

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

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

-What community organizations would you involve in the patient’s plan of care, and why?

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

Step 1/6

Answer-1

*Jacob’s medical history suggests that despite adhering to the recommended diet and medicines, he is having trouble maintaining glycemic control. This could mean that he has to alter his insulin therapy or other drugs.

Explanation:

*Jacob’s blood glucose levels are still elevated despite his efforts, I would explain to him during his next visit, and we would need to work together to come up with a solution that will help him to have better control. I would like to highlight how crucial it is to keep your blood sugar levels under control in order to avoid issues and improve your general health.

Step 2/6

Answer-2

Uncontrolled hyperglycemia is the patient’s top priority since it poses a serious risk for a number of consequences, including –

1.Cardiovascular disease

2.Diabetic neuropathy

3.Diabetic nephropathy

4.Diabetic retinopathy etc.

Explanation:

There are number of life threatening conditions are associated with diabetes. Diabetes is a major cause of myocardial infection, stroke, kidney failure, blindness, amputation of lower limb etc.

Step 3/6

ANSWER-3

To quantify and qualify the problem, I would use following lab tests to assess Jacob’s –

1.HgbA1C

2.fasting plasma glucose test

3.postprandial glucose levels.

4. Glucose challenge test

5. Oral glucose tolerance test

6. Random plasma glucose test

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Explanation:

These tests will provide a more comprehensive view of his glycemic control over the past few months. Interprofessional Healthcare Team Essay Discussion Paper

Step 4/6

ANSWER-4

The potential consequences of inadequate treatment or non-treatment of this problem are as follow-

1.DIABETIC RETINOPATHY-

Explanation:

Continue high level of blood glucose in blood for long period of time leads to blindness or can effect quality of vision.

2. Diabetic foot-

Explanation:

Raised blood sugar level in blood can damage the nerve of foot which leads to diabetic foot and if left untreated then condition for imputation will occur.

3. Myocardial Infection –

Explanation:

continue raised blood sugar level in blood will thicken the blood which causes damage in blood vessels, this leads to myocardial infection (heart attack) and stroke.

4. Diabetic Nephropathy-

Explanation:

over long period of time diabetes cause damage in kidney and makes it harder to clear extra fluid and waste from body.

5.Diabetic neuropathy

6. Oral candidiasis

Step 5/6

ANSWER-5

To measure the effectiveness of the treatment, continue monitor of Jacob’s blood glucose levels is necessary and assessment his HgbA1C levels periodically.

ANSWER-6

Diabetes can be treated in a variety of ways, which including-

1. Life style modification

2. Oral hypoglycemic drugs

3.insulin therapy.

Explanation:

Each treatment option’s benefits and drawbacks should be reviewed with the patient, taking into account things like the price, cost effectiveness, and personal preferences.

Step 6/6

ANSEWER-7

In order to effectively care for this patient, the interprofessional healthcare team should Collaborate together by –

*exchanging information

*coordinating care

*offering support etc.

Explanation:

The patient’s primary care physician, an endocrinologist, a diabetes educator, a nurse, and a pharmacist may be on the team.

ANSWER-8

following community organizations should be involved in patient care-

*Local diabetic support groups

*nutritionists

*fitness programmer

*Family members

Explanation:

These groups can offer Jacob extra tools and assistance in managing his diabetes and improving glycemic control.

Final answer

ANSWER-9

a. During thorough assessment of Jacob my finding is-

*age of Jacob is 72-year-old

*sex- male

* with a history of diabetes type 2

*elevated blood glucose levels despite following prescribed diet and medication therapy

*His HgbA1C was 8.8 three months ago,

* and he has not achieved glycemic control since then.

b. PLAN-

*Request laboratory investigation to determine Jacob’s HgbA1C, fasting glucose, and postprandial glucose levels.

*If necessary, modify your medication regimen to achieve glycemic control.

*Regularly check your blood sugar levels and check your HgbA1C levels periodically

* encourage to modify life style by adding exercise, and healthy food . Interprofessional Healthcare Team Essay Discussion Paper