...Diabetes Case Study NUR/427 January 13, 2011 Diabetes Case Study Diabetes mellitus (DM) is a chronic disease that affects millions of people across the nation. According to LeMone and Burke (2008), “Approximately 1.3 million new cases of DM are diagnosed each year in the United States” (pg 563). The Centers for Disease Control and Prevention estimate that 23.6 million people in the United States have DM. Collectively 17.9 million people were diagnosed and 5.7 million people were undiagnosed with DM in the year 2007. Of all the documented cases 90-95 percent have type II DM and the remaining 5-10 percent have type I DM (Centers for Disease Control and Prevention, 2008). In the United States DM is the sixth most leading cause of death by a disease. Deaths are commonly caused by the cardiovascular effects associated with DM that result in coronary artery disease, atherosclerosis, and stroke. People diagnosed with DM are two to four times more likely to have heart disease or have a stroke than people who are not diabetic. DM is the leading cause of end-stage renal disease in the United States. DM is also the most common cause of nontraumatic amputations and newly diagnosed blindness (LeMone & Burke, 2008). Signs and Symptoms Before someone is diagnosed with DM he or she usually experiences common signs and symptoms of the disease that leads him or her to see a physician. In type I DM the signs and symptoms that commonly present are the result of hyperglycemia. According...
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...Case Study NSG/340 March 3, 2015 Sandra Gilderson, MSN/Ed, RN Case Study Y.L. laboratory result The fasting glucose is over the limits, fasting should be no more 126. HgbA1c is over limits and should be less than 6.5 or 7 the most. Her cholesterol demonstrates hyperlipidemia with low HDL. UA demonstrates glycosuria which represents a degree of damage in the kidneys. The lab result presented is not within normal range and patient is also at risk for heart disease. Methods for diagnosis First one can do a spot test using a fasting plasma glucose test and is found to be positive if it is greater than 126. Secondly, an order of two-hour glucose test known as oral glucose tolerance test greater than 200 is positive for diabetes. Lastly if the random glucose plasma level is tested and found to be greater than 200, with demonstrated symptoms such as polyuria, polydipsia, or polyphagia diabetes can be diagnosed. Functions of insulin Insulin is responsible for assisting the body in the storage of fat by taking lipids from blood into the cells. Additionally, it is responsible for the regulation of glucose by transporting glucose from the blood into the muscles, and liver. Insulin also aids in gluconeogenesis Type1 vs Type 2 DM Type 1 is known to be caused by the autoimmune destruction of the beta cells within the pancreas leading to diabetes. Type 2 is a progressive destruction of the beta cells due to increased glucose levels, leading to a decreased production of insulin...
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...Diabetes Case Study Reflection NUR 427 February 23rd, 2015 Amy Highland Diabetes Case Study Reflection The graded assignment and feedback discussed the missed opportunity for education in consistently following Jenna’s recommended dietary changes. Her noncompliance was due to a lack of understanding of the pathophysiology of Type 2 Diabetes. As a 14 year old, Jenna displayed feelings of resentment and being singled out in her family. Familial education may have proved beneficial for Jenna and her family. Dietary education that included the whole family would have helped the entire family to gain an understanding of the disease process and the need for lifestyle changes. Jenna and her family need education on signs and symptoms of hyperglycemia. The WebMD (2015) websites list the below signs and symptoms: •High blood glucose. •High levels of sugar in the urine. •Frequent urination. •Increased thirst. Jenna and her family also need education on the signs and symptoms of hypoglycemia. The WebMD (2015) websites list the below signs and symptoms: •Confusion. •Dizziness. •Feeling shaky. •Hunger. •Headaches. •Irritability. •Pounding heart; racing pulse. •Pale skin. Describing each of the signs and symptoms and how they would be displayed by a patient would ensure that Jenna and her mother understand when medical intervention may be needed. The opportunity for Jenna to attend support groups amongst her peers would have given Jenna a platform to discuss her...
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...Ketoacidosis is hyperglycemia, ketosis, and metabolic acidosis (Mattson Porth, 2015). This condition can be life threatening. Ketones are developed in the blood because of there being not enough insulin. Often, with type 1 DM a patient is diagnosed because of being in Diabetic Ketoacidosis (DKA). DKA happens when there is no insulin or the use of insulin is inadequate. When there is not the right amount of insulin or no insulin this leads to the rapid breakdown of energy stores. The energy stores that are broken-down are fat and muscle. With the body turning to the energy stores, amino acids are moved to the liver to convert to glucose and fatty acids are converted to ketones. Often times this is how type 1 patients are diagnosed, especially...
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...|[pic] |History and Physical | |Name |Larry Garcia |Date | |Gender |M | |Allergies | |DOB |12/21/1965 |Age |45 | | | |Chief Compaint (CC) | | | |“I feel fine, but they tell me my blood pressure is too high.” | | | |History of Present illness (HPI) | |Newly diagnosed with hypertension during a physical exam he recently took due to a change in his company’s health...
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...How to cope with Diabetic retinopathy? What is diabetic eye disease? Diabetic eye disease (DED) is normally used for a group of eye diseases that patients with diabetes mellitus may get as a complication of diabetes. Diabetic eye disease can be the cause of severe vision loss or blindness, above all. Diabetic eye disease includes diabetic retinopathy, cataract and glaucoma. What is Diabetic Retinopathy? Diabetic retinopathy is one of the complications of diabetes out of tripathy. Diabetic retinopathy occurs when hyperglycaemia (high blood sugar levels) causes damage to the cells at the back of the eye, known anatomically as, the retina. Diabetic retinopathy is a leading cause of loss of vision. The chief culprit behind diabetic retinopathy...
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...There are many situations in the case study of Juan Duran that can be compared to the related theories in which were presented this week. The two theories in which will be most useful in meeting the needs for the patient Juan Duran are Dorothea Orem’s Model in which will look at self care as well as Betty Neuman’s Theory in which will present with the stressors in life and their effects. Mr. Duran has many obstacles to overcome including poor vision, loss of a daughter, wife not able to speak fluent English, and a chronic disease of diabetes to manage. In order to manage all of the many stress and obstacles Mr. Duran is currently facing the two theories mentioned will help in planning care and assisting the family. Presented in the case study is Mr. Juan Duran a Mexican American from Chula Vista, California. The patient is married and a navy veteran who has been diagnosed with diabetes. Due to his limited eye sight, Mr. Duran has had a difficult time performing self-care by injecting insulin himself. After meeting with the doctor, Mr. Duran was assigned a diabetic counselor at the VA (Veterans Affair Medical Building) to learn how to give himself the medication. His wife was not present in the case study in which would be necessary if she were going to be the person injecting the medication. Also at home Mr. and Mrs. Duran speak Spanish due to Mrs. Duran’s limited English. If the patient and wife were present and the counselor spoke Spanish or had a medical translator...
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...Case Study Carrol Godwin Southern New Hampshire University HCM 500 1. What if the study had shown the emergency department (ED) was implementing a lab information system rather than an EMR, How would that impact patient flow? Explain. 2. What would have changed if the implementation was planned for the early summer or late spring? 3. What elements are needed in order to ensure patient safety? 4. Depending on your discipline, address one of the following questions (you may respond to both, if desired): As a nurse manager, what would you like to have seen done differently with the implementation? As the office manager, you oversee the staffs who admit patients to both the ED and overflow clinic. What could you have done differently to make the implementation go more smoothly? 5. The next phase of the EMR implementation plan involves the ICU and NICU. What recommendations would you make to modify the implementation plan based on the ED experience? Explain. 6. After reading this case, how will you use the lessons learned to implement your group project? In my case study I will discuss the impact on the workflow in the Emergency Room (ER) when lab information system is implemented. I will discuss any impact on the patient flow thru the ER and the turnaround time (TAT) for lab results and any effects on the patient’s length of stay (LOS). I will discuss patient safety issues and what is needed to insure the institutions goals are met. I will look at the implementation...
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...Case Studies Weeks 1-4 Advanced Anatomy and Physiology Name: Robert Mixon Student ID#: 4321101 Case Studies – Instructions: Type your answers IN RED and use your textbook and other resources such as the ones listed below to help you answer the questions. Merck Manual of Diagnosis and Therapy: http://www.merck.com/mmpe/index.html MedlinePlus: Medical Dictionary: http://www.nlm.nih.gov/medlineplus/mplusdictionary.html E-medicine from WebMD: http://emedicine.medscape.com/________________________________________ Case #1: Jim and Jane Magnolia have tried for years to conceive a child, with no success. So instead, they have decided to adopt a child. They have found a beautiful little girl named Emma who has been given up by her mother....
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...Case study 1 Jeremy, age 17, will be graduating from high school in the spring. His mother, a single parent, tells you that she is concerned because graduation is quickly approaching and Jeremy has made no plans for what he will do with his life after graduation. Whenever Jeremy mentions the topic, his mother tells him, this is what you must do, and begins to outline the steps he must take. Jeremy just walks away. Jeremy's mother comes to the clinic to seek help from the nurse. She asks, 'What should I do?' Discuss the nursing response and interventions for Jeremy and his mother. Case Study 2 A 15-year-old type 1 diabetic girl’s parents are afraid that she misses insulin shots. The girl complains of excess supervision and of not being able to socialize as much she would wish; she says her parents look after her as if she was 9 years old. Case study 3 Julie, 12 years old, is brought to the nurse practitioner's clinic by her mother. Julie has started to develop breast tissue and some pubic hair. Both the mother and daughter are concerned because Julie has been having increased vaginal discharge. Julie tells the nurse, ‘I wash my private area every day, but there is still fluid coming out’. Discuss the nursing response and interventions for Julie. Case Study 4 Cho Chung is a 15 year old girl brought to the clinic by her mother for her annual school check-up. During your assessment, you measure Cho’s weight at 110 pounds and her height at 60 inches. As the...
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...High quality global journalism requires investment. Please share this article with others using the link below, do not cut & paste the article. See our Ts&Cs and Copyright Policy for more detail. Email ftsales.support@ft.com to buy additional rights. http://www.ft.com/cms/s/0/6c92feaa-fc0f-11e0-b1d8-00144feab49a.html#ixzz2Cu5c99bj Case study: Diageo By Abby Ghobadian The story: After a series of mergers, demergers and acquisitions, the management of Diageo, the conglomerate formed by the 1997 merger of Guinness and Grand Met, made a strategic decision to focus on premium alcohol drinks. Diageo was in charge of an expanding and wide-ranging collection of brands, some of which had broad appeal across many countries while others had more regional appeal, sometimes limited to just a few markets. The challenge: After both organic growth and acquisitions, three key dilemmas emerged by 2002. First, how to manage brands with significantly different appeal, such as Guinness, a brand with strong Irish roots but huge global appeal, or Buchanan’s, the leading Scotch whisky in Latin America. Second, how to rejuvenate tired brands and third, how to improve the market share of the most successful brands, such as Captain Morgan, J & B, Smirnoff and Johnnie Walker. The initial strategy: To help managers maintain focus and allocate resources, Diageo developed three brand classifications: global priority, local priority and category. The global priority brands were the big sellers that were...
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...Chapter 1 Case Study: Harmonix Embrace Your Inner Rock Star Little more than three years ago, you had probably never heard of Harmonix. In 2005, the video game design studio released Guitar Hero, which subsequently became the fastest video game in history to top $1 billion in North American sales. The game concept focuses around a plastic guitar-shaped controller. Players press colored buttons along the guitar neck to match a series of dots that scroll down the TV in time with music from a famous rock tune, such as the Ramones’ “I Wanna Be Sedated” and Deep Purple’s “Smoke on the Water.” Players score points based on their accuracy. In November 2007, Harmonix released Rock Band, adding drums, vocals, and bass guitar options to the game. Rock Band has sold over 3.5 million units with a $169 price tag (most video games retail at $50 to $60). In 2006, Harmonix’s founders sold the company to Viacom for $175 million, maintaining their operational autonomy while providing them greater budgets for product development and licensing music for their games. Harmonix’s success, however, did not come overnight. The company was originally founded by Alex Rigopulos and Eran Egozy in 1995, focused around some demo software they had created in grad school and a company vision of providing a way for people without much musical training or talent to experience the joy of playing and creating music. The founders believed that if people had the opportunity to create their own music, they would jump...
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...Chapter 1 Case Study: Harmonix Embrace Your Inner Rock Star Little more than three years ago, you had probably never heard of Harmonix. In 2005, the video game design studio released Guitar Hero, which subsequently became the fastest video game in history to top $1 billion in North American sales. The game concept focuses around a plastic guitar-shaped controller. Players press colored buttons along the guitar neck to match a series of dots that scroll down the TV in time with music from a famous rock tune, such as the Ramones’ “I Wanna Be Sedated” and Deep Purple’s “Smoke on the Water.” Players score points based on their accuracy. In November 2007, Harmonix released Rock Band, adding drums, vocals, and bass guitar options to the game. Rock Band has sold over 3.5 million units with a $169 price tag (most video games retail at $50 to $60). In 2006, Harmonix’s founders sold the company to Viacom for $175 million, maintaining their operational autonomy while providing them greater budgets for product development and licensing music for their games. Harmonix’s success, however, did not come overnight. The company was originally founded by Alex Rigopulos and Eran Egozy in 1995, focused around some demo software they had created in grad school and a company vision of providing a way for people without much musical training or talent to experience the joy of playing and creating music. The founders believed that if people had the opportunity to create their own music, they would jump...
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...beginning of the 21st century, its CEO/ Chairman, Yang-Ho Cho undertook various transformation initiatives - for instance, improving service quality and safety standards, technology integration, upgrading pilot training, better business focus; putting in place a professional management team, improving corporate image through sponsorship marketing, etc. He gave a new corporate direction in the form of '10,10,10' goal. However, Korean Air is held up by a slew of challenges. Among which are inefficiencies of - Chaebol system of management, possible clash of its cargo business with its own shipping company, limited focus on the domestic market and growing competition from LCCs. How would Korean Air manage growth as a family-owned conglomerate? The case offers enriching scope for analysing a family business’s turnaround strategies, with all the legacy costs involved. Pedagogical Objectives • To discuss the (operational) dynamics of Korean Chaebols - their influence/ effects on the country’s industrial sector and the economy as a whole • To analyse how family-owned businesses manage the transition phase - from a supplier-driven economy to a demanddriven economy • To identify all the possible reasons for Korean Air ’s turbulent times and assessing whether they are controllable or not • To critically evaluate Korean Air ’s transformation efforts - in terms of growth, productivity and cost cuts, especially the efficacy of '10,10,10' goal in a family-run business • To identify various challenges...
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...CONTENTS: CASE STUDIES CASE STUDY 1 Midsouth Chamber of Commerce (A): The Role of the Operating Manager in Information Systems CASE STUDY I-1 IMT Custom Machine Company, Inc.: Selection of an Information Technology Platform CASE STUDY I-2 VoIP2.biz, Inc.: Deciding on the Next Steps for a VoIP Supplier CASE STUDY I-3 The VoIP Adoption at Butler University CASE STUDY I-4 Supporting Mobile Health Clinics: The Children’s Health Fund of New York City CASE STUDY I-5 Data Governance at InsuraCorp CASE STUDY I-6 H.H. Gregg’s Appliances, Inc.: Deciding on a New Information Technology Platform CASE STUDY I-7 Midsouth Chamber of Commerce (B): Cleaning Up an Information Systems Debacle CASE STUDY II-1 Vendor-Managed Inventory at NIBCO CASE STUDY II-2 Real-Time Business Intelligence at Continental Airlines CASE STUDY II-3 Norfolk Southern Railway: The Business Intelligence Journey CASE STUDY II-4 Mining Data to Increase State Tax Revenues in California CASE STUDY II-5 The Cliptomania™ Web Store: An E-Tailing Start-up Survival Story CASE STUDY II-6 Rock Island Chocolate Company, Inc.: Building a Social Networking Strategy CASE STUDY III-1 Managing a Systems Development Project at Consumer and Industrial Products, Inc. CASE STUDY III-2 A Make-or-Buy Decision at Baxter Manufacturing Company CASE STUDY III-3 ERP Purchase Decision at Benton Manufacturing Company, Inc. CASE STUDY III-4 ...
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