iHuman Reflection Questions

iHuman Reflection Questions

Patient Ray william 55yr old male with 1. The patient was newly diagnosed with type 2 diabetes. What social determinants of health (SDOH) should the nurse assess for that could impact the patient’s ability for diabetes self-management?
2. What are some environmental and/or individual factors that could impact the patient’s ability for diabetes self-management?
3. Draft one question you have regarding the topic/content of the simulation to have answered in class.

iHuman Reflection Questions

Summary References In reviewing the electronic health record and performing a history interview and physical exam, you identified pertinent information needed to care safely for your patient. Mr. Williams presents to the urgent care with increased fatigue, thirst, and urination for several weeks. He reports increased blood glucose levels and weight loss, and you recognize elevated blood pressure on the exam. In analyzing the cues, Mr. Williams’ symptoms are consistent with diabetes mellitus, fluid and electrolyte imbalance, diabetes mellitus, thyroid problems, or acute illness. The nurse hypothesizes that Mr. Williams is at greatest risk for diabetes mellitus, given the elevated blood glucose level and classic presentation. Patient Outcome Mr. Williams, a 55-year-old retired military male, presented with increased fatigue, thirst, urination, and appetite of indefinite duration. He was confirmed as having new-onset type 2 diabetes mellitus with probable early complications of peripheral neuropathy iHuman Reflection Questions. Outpatient management will include the following: • Comprehensive diabetic education and counseling. • Nutritional assessment and education; weight-reduction monitoring. • Baseline evaluations: vascular, ophthalmological, podiatric. • Urological consultation regarding sexual dysfunction.

iHuman Reflection Questions

Impact of Social Determinants of Health (SDOH)

The nurse should assess various social determinants of health (SODH) that is likely to impact the patient’s ability to engage in diabetes self-management. The patient’s socioeconomic status comprised of income level, employment status, and access to healthcare has significant impact on the patient’s ability to afford medications, healthy food options, and other essential medical equipment for diabetes management. In their study Hill-Briggs et al. (2021) identified noted that there is an association between diabetes prevalence and complications associated with various levels of social economic status, with the lower social economic status associated with higher likelihood of diabetes and more associated complications. Another social determinants of health that should be considered in this case is the patient’s education level. Patients with lower educational attainment tend to have more challenges understanding and adhering to the complex diabetes self-management regimens (Hill-Briggs et al., 2021) iHuman Reflection Questions. It is also important to consider the patient’s social support, since this is likely to influence his ability to cope with requirements of diabetes self-management. According to Young et al. (2020) higher levels of perceived social support is related to lower diabetes-associated distress. It is also important to consider access to healthcare, which takes into account how proximity to healthcare facilities and availability of diabetes education programs are likely to influence the patient’s willingness to adopt and adhere to self-management strategies.

GET iHUMAN HELP HERE 

Environmental and Individual Factors

The environmental factors that are could influence the patient’s ability to engage in diabetes self-management include; his living conditions such as access to areas for physical activity and availability of healthy food options; work schedule and demands, and access to diabetes support groups or other relevant community resources. The individual factors that are likely to influence the patient ability to engage in diabetes self-management include his literacy skills, cognitive ability and mental health, physical limitations, lifestyle habits, and self-motivation for engaging in self-management behaviors iHuman Reflection Questions.

Question on the Topic

What educational strategies can nurses utilize to address possible barriers and challenges experienced by patients with diabetes, with consideration on how social determinants of health and individual factors may influence their ability of effective diabetes self-management?

References

Hill-Briggs, F., Adler, N. E., Berkowitz, S. A., Chin, M. H., Gary-Webb, T. L., Navas-Acien, A., … & Haire-Joshu, D. (2021). Social determinants of health and diabetes: a scientific review. Diabetes care, 44(1), 258. https://doi.org/10.2337/dci20-0053

Young, C. F., Shubrook, J. H., Valencerina, E., Wong, S., Henry Lo, S. N., & Dugan, J. A. (2020). Associations between social support and diabetes-related distress in people with type 2 diabetes mellitus. Journal of Osteopathic Medicine, 120(11), 721-731. https://doi.org/10.7556/jaoa.2020.145 iHuman Reflection Questions