An example is a case study of a Mrs. V, 52-year-old Hispanic female complaining of extreme fatigue, visual changes, and numbness in her fingers. She has a history of Type 2 Diabetes and has been non-compliant with managing her disease. Her medications include Metformin and Insulin. Her current BS is 350 and she was treated at the hospital last week for the same symptoms. Mrs. V states “I do not have any test strips to check my glucose level so I just take the medicine every day.” She works as an accountant and states she is “overwhelmed because tax season is such a busy time.” Mrs. V is married and has a young son. Her husband does not work due to a disability and her son was recently released from the hospital after “breaking his foot while playing.” Her diet consists of mostly “Hispanic foods such as rice and pork” and she exercises by “working in her garden.” She states “at times I feel depressed because I have to do everything myself.” She states that she quit smoking 6 months ago but her current situation has led her to “smoke a few cigarettes a day.”
Cognitive skills and habits of the mind that could be used to form an accurate nursing diagnosis are as follows:
... middle of paper ...
...”(Lunney, 2010, p. 83). As the nurse creates accurate diagnoses for this diabetic patient, she must encouraged that with the collaboration of the patient and other health care professionals, positive health outcomes will emerge.
After using the critical thinking process and habits of the mind, the nurse can formulate nursing interventions specific to this patient’s needs.
1. Achieving and maintain blood glucose levels in the normal range or as close to normal as is safely possible
2. Prevent, or at least slow, the rate of development of the chronic complications of diabetes by modifying nutrient intake and lifestyle
3. To address individual nutrition needs, taking into account personal and cultural (Hispanic) preferences and willingness to change
4. Help client to recognize ineffective coping strategies and set goals to manage stress and increase physical activity.
Need Writing Help?
Get feedback on grammar, clarity, concision and logic instantly.Check your paper »
- A Critical View of Seasonal Affective Disorder Abstract This paper is intended to be a critical view of Seasonal Affective Disorder. In order to understand fully the biological and psychological components of the disease, as well as its possible causes and treatments, it is necessary to compile and interpret previously conducted research. Such is the purpose of this paper. First, the symptoms of Seasonal Affective Disorder will be explained and illustrated using data and case studies. Second, the possible causes of the disease will be outlined.... [tags: essays research papers]
2284 words (6.5 pages)
- Diagnosis is the process of identifying a particular condition via a systematic way. Differential diagnosis is the method of pinpointing all possible aetiological factors that are related with all clinical signs and symptoms and thus, precisely differentiating diagnosis until an accurate conclusion is made. Differential diagnosis is essential especially in field of neurology where many diseases share similar characteristics but has no definite examination or neurological test: Parkinsonism, migraine, amyotrophic sclerosis and also, multiple sclerosis.... [tags: Differential Diagnosis]
1293 words (3.7 pages)
- Autism is defined as a pervasive developmental disorder in which the patients have severe impairments in social interaction, including verbal and non-verbal communication and general cognitive development. According to the DSM-IV Autism Spectrum Disorders are characterized by developmental delays in children when dealing with socialization and communication, along with restricted, repetitive and stereotypical patterns of behavior. Those with autism display the inability to communicate with the world around them.... [tags: Differential Diagnosis]
1262 words (3.6 pages)
- Prior to an initial diagnosis being formulated, an extensive psychiatric evaluation and formulation would need to be completed, which would include a mini mental status exam, an extensive family history, previous psychiatric history, developmental and social history, substance abuse history, possible differential diagnosis and rule outs for other medical or neurological concerns. According to the Pocket Guide to the DSM -5 Diagnostic Exam (pg.11) “a good diagnostic interview produces a diagnosis, it also generates questions you will need to ask as you seek further understanding.... [tags: Differential Diagnosis]
1226 words (3.5 pages)
- Cholesteatoma is a growth of excess skin or a skin cyst (epithelial cyst) that contains desquamated keratin and grows in the middle ear and mastoid (Thio, Ahmed, & Bickerton, 2005). A cholesteatoma can grow and spread, destroying the ossicles, tympanic membrane and other parts of the ear. They appear on the pars flaccida and pars tensa sections of the tympanic membrane. A cholesteatoma can occur when a part of a perforated tympanic membrane is pushed back into the middle ear space, debris and skin cells can build up forming a growth.... [tags: Cholesteatoma Diagnosis]
1166 words (3.3 pages)
- Define critical practice in academic essay writing It is considered that critics love to take sides. As compelling as it may be, being critical is not about trusting one’s instinct and taking a one-sided decision, but rather investigate, evaluate and consider different opinions and only thereafter cultivate one’s own perspective. In practice, critical thinking can be referred as an ‘active process’ that implies raising questions and finding information yourself, contrasting with the ‘passive process’ of receiving ideas and information from someone else.(Dewey, 1910) The ultimate question is why would a critical approach be better in an academic environment.... [tags: Critical thinking, Thought, Reasoning, Logic]
1314 words (3.8 pages)
- The Six Phases of Critical Thinking By Timothy F Bednarz | Submitted On October 10, 2012 Recommend Article Article Comments Print Article Share this article on Facebook Share this article on Twitter Share this article on Google+ Share this article on Linkedin Share this article on StumbleUpon Share this article on Delicious Share this article on Digg Share this article on Reddit Share this article on Pinterest Expert Author Timothy F Bednarz Critical thinking can be defined as "learning to think better by improving one 's thinking skills." Individuals who are critical thinkers use the thinking process to analyze (consider and reflect) and synthesize (piece together) what they have le... [tags: Critical thinking, Thought, Reasoning, Mind]
1199 words (3.4 pages)
- According to Ambrose and Yairi, the purpose of this report is to provide such a reference. To develop, refine, and answer theoretical questions concerning stuttering characteristics at early stages of the disorder, and to provide a basis for clinical needs of differential diagnosis of stuttering from normal disfluency, their objective was to obtain data from sample size, representing population variability of very early stuttering for preschool-age children. Ambrose and Yairi have questions in addition to providing normative data for dysfluency types for early stuttering and normal disfluencies, regarding possible gender and discrete age differences with the preschool range were addressed.... [tags: Differential Diagnosis]
987 words (2.8 pages)
- Introduction “A guide to taking a patient history” is an article appeared in volume 22, issue 13 of the Nursing Standard Journal in December 2007 written by H. LLoyd and S. Craig. The article talks about the steps and strategies to follow when taking a patient history. It is important to acquire good techniques in assessing a patient starting by the environment, communication skills, and a systematic approach. One must be able to collect accurate data in order to facilitate the procedure. Summary The article starts by emphasizing on the environment when taking a patient history.... [tags: patient history]
533 words (1.5 pages)
- CHIEF COMPLAINT: A 45-year-old female with one month unilateral paroxysmal left sided headaches and sharp and shooting pain in back of head up to the top of skull referring into face, back of eyes and ears causing photophobia and nausea. Associated neck pain and discomfort with occasional muscle spasms and paraesthesia, dysaesthesia and reduced sensation of the scalp region . HISTORY OF PRESENT ILLNESS: Frequent migraine headaches but recently, the character of headache has changed from a pulsating throbbing pain to a burning, aching and shooting type .... [tags: Medical Diagnosis]
2392 words (6.8 pages)