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Nursing Practice in Context 4 - Assignment Example

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Nursing Practice in Context 4 Name Institution Nursing Practice in Context 4 Question 1 The patient is a 74years old woman called Mrs. Douglas admitted in the ward to undergo surgery to create Arterio-venous fistula in her left forearm. She is a diabetic type 2, obese and she has bone diseases instigated by her chronic kidney failure…
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Nursing Practice in Context 4
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Download file to see previous pages When the body digests proteins, there is usually the generation of waste products. These wastes become part of urine. Diabetes destroys the tiny blood vessels and holes, which act as filters when they are overburdened (Bruce & Paxton, 2008). After some years, the filters will stop functioning properly and some of the important proteins will leak into urine causing a condition called micro albunuria (American Diabetes Association, 2006). The initial symptom of the chronic diseases is the buildup of fluids at various body parts. Other signs entail insomnia, loss of appetite, and lack of concentration (American Diabetes Association, 2012).Chronic kidney disease (CKD) leads to premature mortality, low quality of life, and high life expenditures. Different diseases such as diabetes, hypertension and obesity have played greater roles in the increase of chronic kidney diseases (Bruce & Paxton, 2008). The research indicated that obesity relates with diabetes and hypertension and the three are the major leading causes of chronic kidney diseases. In U.S, the numbers of adults with obesity have been doubling for the past three-decade (Bruce & Paxton, 2008). ...
It will not rely on whether an individual looses weight through maintaining diet, exercising or undergoing bariatric surgery. The conducted studies reveals that weight loss reduces the rates of hypertension, type 2 diabetes and obesity. People should ensure that they maintain their diet and exercise in order to lose weight as it will help them in reducing the rates of obesity, hypertension, and diabetes (McBride & Korczak, 2007). Question 2 (B) The paper highlights the nursing care of Mrs. Mrs. Douglas Douglas who is 74 years old. She is a diabetic with many complications and she is admitted for surgery tomorrow. The two nursing problems that Mrs. Douglas has are nutritional deficit and electrolyte imbalance. She also has impaired skin integrity. The two nursing interventions explained in the paper are the acute and community care focus. Two evaluation criteria for each intervention will also be explained Priority Problem 1 Nutritional deficit and fruit imbalance One of the identified medical problems entails nutritional deficit and fluid imbalance. Mrs. Douglas is experiencing these problems because of her poor nutritional habits and she does not know about the illness processes. The assessment data used to support this diagnosis is the subjective data of the patients’ nutritional habits. Mrs. Douglas stated that she takes 1-2 glasses of juice and water per day, lack of knowledge of what to eat or drink, and sometimes she lacks appetite because of the bad taste in her mouth. The objective data that supports the diagnosis entail obesity and kidney disease. These are caused by taking food with high cholesterol, not doing enough exercises, and failure to take enough ...Download file to see next pagesRead More
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