Essay PreviewMore ↓
Three weeks after discharging from ward, he was seen in diabetic clinic with diabetic diary which he should check his blood sugar pre-meals with dietary recall on respective day. Mother claimed he was compliant to medication as the mother supervised him everyday. His insulin dosage has been decreased to actrapid 6 unit TDS and insulatard 6 unit ON as he has few episodes of symptomatic hypoglycaemia at home.
Throughout year of 2005, MH has fairly good blood sugar control at the beginning. Reaching end of the year, his blood sugar noted widely range. According to mother, MH started to miss the injection and not being truthful with diabetic diary. Though he had sugar control less than 10.0 mmol/l, his HbA1c noted more than 9.0%.
He has multiple admissions for blood sugar stabilization as his diabetic diary was poorly controlled. Most of the reasons of uncontrolled sugar are not adherence to medication and poor dietary profile. He is either presented with hypoglycaemic symptoms or diabetic ketoacidosis.
In March 2006, he was admitted for second time for diabetic ketoacidosis as he presented with severe abdominal pain and vomiting. Mother claimed that MH refused to inject himself. He did not check his blood sugar very often as his family could not afford to buy the glucose strips. As far as mother can remember, during presentation to casualty at that time, MH was still alert and conscious. His blood sugar was noted ‘HI’ reading. His urine had significant ketonuria. He was stabilized in casualty then stayed in the ward for couples of days for sugar monitoring.
How to Cite this Page
"Past Medical History." 123HelpMe.com. 08 Dec 2019
Need Writing Help?
Get feedback on grammar, clarity, concision and logic instantly.Check your paper »
- 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)
- Imagine owning a resource that can relieve one’s trouble. This resource can provide help to individuals who need it and much more. Although this resource can provide a solution for many problems, imagine the state of Florida continually prohibiting citizens from using it. Medical marijuana establishes itself as that neglected resource. Medical marijuana continually demonstrates itself as a necessary alternative to the drugs supplied by pharmaceutical companies. Why let someone constantly suffer.... [tags: Cannabis, Tetrahydrocannabinol, Medical cannabis]
1834 words (5.2 pages)
- Since 2000, around 16 million in government funds have gone to Wayne State University, or WSU, for animal research, specifically for experiments that use dogs to attempt to replicate cardiovascular conditions in humans. A spokesman of Wayne State, Matt Lockwood, has stated that their research “plays a vital role in advancing both human and animal health.” However, WSU’s methods of research have caused for major concern by the Physicians Committee for Responsible Medicine, who aims to file a lawsuit against WSU.... [tags: Animal testing, Animal rights, Medical research]
1117 words (3.2 pages)
- Family history possesses valuable information about a person’s past and future life. It can be used as a powerful screening tool to help conduct decisions about genetic testing for you and family members at risk. Family history can identify potential health problems that an individual has an increased risk for in their lifetime. With early identification, you can begin taking steps to reduce the risk with things such as lifestyle changes of diet and exercise. In many cases, just by adopting a healthier lifestyle can reduce your risk for diseases that run in your family.... [tags: family history, medical history]
723 words (2.1 pages)
- Electronic Medical Records and Charting Today’s healthcare is changing, and more hospitals are commencing to go paperless using computers for both medical records and charting. Computers are widely accepted, in personal and professional settings. It is an essential requirement for computer literacy. Numerous advances in technology during the past decade require that nurses not only be knowledgeable in nursing skills but also to become educated in computer technology. While electronic medical records (EMR’s) and charting can be an effective time management tool, some questions have been asked on how exactly this will impact the role and process of nursing, and the ultimate effects on patie... [tags: Medical Technology ]
2178 words (6.2 pages)
- Medical monopoly History/Background History is so important because as the old saying goes those who don 't know history are doomed to repeat it. Today we are going to talk about medical Monopoly history, The Carnegie & Rockefeller engineered a curriculum. Basically the Carnegie and Rockefeller Foundation donated to the medical schools in all the homeopathic natural schools that were there in the early nineteenth centuries. So basically the Rockefeller and the Carnegie Foundation have overruled the foundation that they donated to.... [tags: Medicine, Physician, Pharmacology]
2019 words (5.8 pages)
- GEN/CC: I can barely fit into any of my shoes my ankles are all swollen and I am having difficulty breathing. HPI: EO is a 72 year old Caucasian female who was on holiday with her husband from Canada presents in the emergency room with a 3 weeks history of progressively increasing breathlessness, orthopnea and ankle swelling. The breathlessness comes on with minimal exertion and she denies a history of chest pain. Her husband forced her to come to the emergency room because she had difficulty breathing while sitting down.... [tags: Myocardial infarction, Hypertension, Heart failure]
1405 words (4 pages)
- Becoming a physician can be only the first step in a gratifying medical career, but many choose to continue their education in a specialist area. Every physician participates in residency training in a particular medical specialty before going on to specialize in an area of medicine. In order to understand the importance each specialty plays in the successful treatment of a patient, the history of medicine must first be understood. 2000 B.C.—Here, eat this root. 1000 A.D.—That root is heathen. Here, say this prayer.... [tags: medical career, physician, medical schools]
966 words (2.8 pages)
- The name of my medical disorder that I am researching on is called high cholesterol. According to Dr. Juan Alvarado high cholesterol "is an elevated grease in the organism that produces the arteries to harden". Also according to doctor Paulysney Guerrero her definition of high cholesterol is that it is "when the recurrent levels go over 250 mg. The LDL and the HDL always have to evaluate to check to the good and bad cholesterol”. The result of having high cholesterol is that it can lead to several medical catastrophes such as stroke, heart attack, heart disease, blood vessel disease, etc.... [tags: medical disorder, arteries, medication]
869 words (2.5 pages)
- Medical patient records are organized domcuments created to obtain patient medical history and previous care. Medical records are personal documents stored by his or her health care provider. Each medical record has enough information to distinguish each patient . It contains their first and last name with gender and age. Every patient's medical records are different some contain more information due to their medical history. If a patient has alot of problems and have been treated then their file would have more information .... [tags: Electronic Medical Records]
625 words (1.8 pages)
Since discharged from ward, he was happy with new regime of insulin. He used to inject himself at thigh. However his mother used to inject his son at buttock as his son complaint of thigh pain due to injection. MH also used to adjust the dose himself according to frequency and amount of food intake for the day. Thus, his sugar controls was not so good in early 2007 because of wrong technique and site of injection and not adhere to correct dosage as prescribed earlier. Mother has been counseled that MH might need to change to actrapid and insulatard if control remains poor. She also has been educated and advised on dietary control.
End of 2007 mother claimed that MH only injected himself once a day, either morning or the evening. Mother was unable to control his diet. MH behaviour started to change. He became hot temper, easily get angry and used to scold his mother if she tried to remind him about his medicine and food intake. His medication was increased slowly throughout the year as his blood sugar was badly control. MH has been advised for admission to assess his diabetic control but his parents refused as they have other school going children and a newborn baby. He was referred to social welfare officer for financial support.
In April 2009 he was admitted electively for insulin dosage adjustment as he claimed that he had few episodes of symptomatic hypoglycaemia at home for 3 months. His insulin dosage was adjusted and he was discharged with s/c mixtard 15 unit OM and 6 unit ON.
However upon reviewing him in clinic 3 weeks after being discharged, his blood sugar control was poorly controlled. Home blood sugar monitoring showed reflo ranging 2.7 to ‘HI’. At that point, his father was explained that s/c actrapid is better to control the sugar. Therefore father agreed to change to humulin R 6 unit TDS and s/c humulin N 6 unit ON.
MH seemed to have difficultness in order to understand the importance of good glycaemic control. He had very poor compliant. He only injected himself twice daily.
On top of that, he did not have proper meal time. He self-omitted the pre-lunch and pre-bed dosage.
Due to poor compliance to multiple dose regime and infrequent home sugar monitoring, MH agreed to be more compliant if his medication switched back to BD regime. Thus, he was given mixtard 15 unit OM and 6 unit ON. According to mother then, MH showed good compliant to medication but had poor compliance to the diet. He was not listening to his mother despite has been advised. At sometimes, mother has been giving him extra dose of mixtard 10 unit in the afternoon as she feels MH eat a lot and hence high sugar. Pre-bed insulin was taken erratically as late as 1 am.
In early May 2010, he was admitted for hypoglycaemic attack due to insulin overdose. He was found unresponsive at 6.30am, the day of presentation. According to mother, MH took extra 10unit that night. Prior to that, MH had a big quarrel with his father. His father had slapped him hence he locked himself in his room and injecting extra 10unit of insulin. In view of poor sugar control, his medication has been switched back to short acting insulin, s/c actrapid 8 unit TDS and long acting s/c insulatard 10 unit ON.
Mid of June 2010, he was admitted electively for dosage adjustment. Since he always get early morning hypoglycaemia, he was prescribed with s/c Lantus 10 unit ON as been advised by endocrinologist.