Week 8 – Assignment 1
Discussion
Select one of the two questions from the discussion
questions listed below. By Week 8, Day 3, respond to the selected discussion
question and submit your response to this Discussion Area.
Be sure to respond to the question using the lessons and
vocabulary found in the reading. Justify your answers using examples and
reasoning. Support your answers with examples and research and cite your
research using APA format.
Start reviewing and responding to the postings of your
classmates as early in the week as possible. Respond to at least two of your
classmates’ posts. Participate in the discussion by asking a question,
providing a statement of clarification, providing a point of view with a
rationale, challenging an aspect of the discussion, or indicating a
relationship between two or more lines of reasoning in the discussion.
Discussion Question 1
There are multiple issues to consider in caring for someone
with diabetes II. Your course textbook lists these as:
Race and Ethnic Group
Obesity
Coronary Artery Disease and Heart Failure
Hyperlipidemia
Hypertension
Nephropathy
Neuropathy
Retinopathy
From this group, select two specific issues and explain the
importance of that variable in the treatment of diabetes. Explain how a
provider needs to approach the patient and how these considerations would
influence the selection of agents for the treatment of diabetes and related
complications.
Discussion Question 2
AG is a sixty-nine-year-old male who presents for an initial
visit with a complaint of blurred vision, fatigue, and lack of energy. He is
currently being treated for hypertension, hypothyroidism, and gouty arthritis.
He is currently retired and married, with three adult children. His vital signs
are unremarkable, with a body mass index (BMI) of 30. His current medications
include lisinopril 20 mg daily, allopurinol 300 mg daily, and levothyroxine
0.088 mg daily.
As per his blood work today, his A1c level is 7.8%, his
fasting blood sugar is 202, his total cholesterol is 180 mg/dL, his
high-density lipoprotein (HDL) is 27 mg/dL, his low-density lipoprotein (LDL)
is 193 mg/dL, and his triglycerides are 302 mg/dL. Answer the following
questions:
What additional blood work would you like to complete at
this point? Is there any additional information that should be collected from
the patient?
Evaluate the current therapy and make recommendations
concerning any needed changes.
What lifestyle modifications or changes do you think would
be appropriate for this patient?
