Case based scenario essay
Describe the nursing and medical interventions for Shaun in the pre-operative phase. Consider the following:
· The maintenance of normal blood glucose levels (administration of insulin and carbohydrates (CHO) or
equivalent Intravenous therapy (12 Marks)
· Frequency of blood glucose monitoring (2 marks)
· Reference to normal blood glucose levels (2 Marks)
· The recognition (signs and symptoms) of altered blood glucose levels should be considered (4 Marks)
Describe the nursing interventions required to assess, prevent, and manage hypoglycaemia during Shaun’s post-
operative phase of care. Consider the following:
· Management of nausea and vomiting and re-introduction of diet and fluids (4 Marks)
· The frequency of blood glucose monitoring, prevention strategies such as appropriate CHO administration
or intravenous fluid therapy), and insulin administration (including administration route) (9 Marks)
· Recognition of signs and symptoms associated with hypoglycaemia, and management of hypoglycaemia (5
MarksEducation for sick day management:
Provide the essential education needed to be given to assist Shaun and his family regarding his diabetes
management for future experiences of ‘sick days’. Consider the following aspects:
· Frequency of blood glucose monitoring during sick days (0.5 Marks)
· Modification of Insulin administration dosage (2 Marks)
· Appropriate examples of CHO dietary intake (1.5 Marks)
· When to seek medical attention (4 Marks)
· Educational resources (2 Marks) Education for sick day management:
Provide the essential education needed to be given to assist Shaun and his family regarding his diabetes
management for future experiences of ‘sick days’. Consider the following aspects:
· Frequency of blood glucose monitoring during sick days (0.5 Marks)
· Modification of Insulin administration dosage (2 Marks)
· Appropriate examples of CHO dietary intake (1.5 Marks)
· When to seek medical attention (4 Marks)
· Educational resources (2 Marks)
All written work must be supported by relevant and appropriate references.
10
Education for exercise:
Provide the essential education needed to be given to Shaun and his family regarding his diabetes management
before and after exercising. You need to consider:
· The frequency of blood glucose monitoring before and after exercise (3 Marks)
· CHO dietary intake before and after exercise (3 Marks)
· Recognition of hypoglycaemia (1 mark)
· Emergency CHO supply, first aid management of hypoglycaemia and education of significant others should
be considered (3 Marks)
