You are a registered nurse in an outpatient facility. Mrs Adina Mallacoota a 65-year old Aboriginal woman enters the clinic with her son who has driven her there. She appears puffy around the eyes
You are a registered nurse in an outpatient facility. Mrs Adina Mallacoota a 65-year old Aboriginal woman enters the clinic with her son who has driven her there. She appears puffy around the eyes
and ankles and reports that she is very tired. Her notes state that she has chronic kidney disease (CKD) secondary to poorly controlled diabetes mellitus. Her BP is 150/100 and her non-fasting
BGL is 14mmol/l. When you talk to her she states that she is worried about the future and asks if she is going to need new kidneys.
1. You determine that one nursing problem is Mrs Mallacootas ineffective self-management of her type 1 diabetes and your goal of care is around secondary prevention strategies to slow progression
of her CKD. Briefly explain the rationale for why you will be encouraging more effective self-management of Mrs Mallacootas blood glucose levels. In your answer consider the underlying
pathophysiology of type 1 diabetes and CKD the links between the two conditions and any relevant guidelines and protocols.
2. Identify a second nursing problem and justify a goal of care and subsequent nursing action for promoting positive health outcomes for Mrs Mallacoota in relation to her CKD. You should consider
any relevant underlying physiology/pathophysiology personal lifestyle and socioeconomic factors and use evidence-based literature to support your justification. 350 words total (+/- 10%)
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