Soap Uncontrolled Diabetes Mellitus Type I

SOAP 7

Soap:Uncontrolled Diabetes Mellitus Type I

Soap:Uncontrolled Diabetes Mellitus Type I

Subjective

Thesubjectivefindingsof theDiabetes Mellitus typeI are consistentwith thepresentliteraturein which thepatientlosesweightunintentionally.Polydipsia, polyphagia, fatiguewith nauseaalsoare listedin thecurrentliterature(Moini, 2011, p. 339). Thenumbnessandtinglingobservedin thelowerextremitiesis a signof neural tissuedamages accordingto thepresentliterature(Moini, 2011, p. 339). Thedizziness andblurred visionsis becauseof are equallyarticulatedin thecurrentliteraturealthoughinterferencewith thedailyactivitiesisdocumentedtoo(Houghton A R et al., 2010, p. 254). Theincreasedthirst(Polydipsia) andincreasedhunger(Polyphagia) andsteadylossof weightare documented in thepresentliteraturetoo(Houghton et al., 2010, p. 254).

Thepreviousdiagnosisof diabetes Mellitus typeI of thepatientat theageof ten yearsoldis documented in thepresentliterature.Thiskindof diabetes is commonamong youngindividualsas well(Moini, 2011, p. 339). Accordingto thecurrentresearch,Polydipsia andpolyphagia are activesymptomsof uncontrolledDiabetes Mellitus typeI (Houghton et al., 2010, p. 254). Thepatients`parents`medicalhistoryisalsodocumentedas thepresentliteraturestatesthat,typeI diabetes could alsobe hereditary(Ali, 2011, p. 95). Thisstronglyconcursthat,as muchas subjectiveevaluation didnot resultin thefulldeterminationof allsymptomsandriskfactors,howeverfindingswereconsistentwith thepresentliterature.

CulturalInfluences

Hispanicsas a peoplehavetwo momentousculturalcharacteristicsthat playsuch a vitalinfluentialpartin thediagnosisincludingtreatment.Thefirstis Hispanics considerscollectivismhighlyespeciallythefamilybased ones(Ehlers, 2010, p. 509). Thisis firmlyestablishedby thecurrentliteraturewith theconnectionof manypeopleencompassingfamilymembersbeingpartof thetreatmentdecisionandcare.TheSecond is, Hispanics considerrespecthighlythereforetheymust be treatedin a respectfulmanner.Itrequireshealthcareproviders to showrespectduring theentiretreatmentprocess(Ehlers, 2010, p. 509).

Objective

Inthelaboratory,testsorderedare consistentwith thepresentliteraturewith fastingplasma glucose test(FPG) andhemoglobin Alc testbeingcruciallaboratorytestsperformed.(Medifocus.com). TheFPG testmeasurestheplasma whilehemoglobin A1c alsomeasureshowwella personwhois diabetic is controllingtheir bloodsugar levels goingon to between two to three months.Skinandnailsare to be examinedaccordingto thepresentliteratureto checkforfootlesions.Whendetectedearlysevereconsequencesforexampleamputation may be prevented(Cefalu et al., 2000, p. 48). Thiswasdoneto thepatientwith theabsenceof lesions,ulcerations andabrasions wereestablished.Completemetabolic panelof electrolytes andliverfunctionpanelis accordingto thepresentliteraturethisis to ascertaintheliverworkratein manufacturingglucose resultingin hyperglycemia (Ali, 2011, p. 47).

Assessment

PositiveDiagnosis andRisk Factors

UncontrollableDiabetes mellitus typesI, accordingto thepresentliterature,thefindingsare positivedue to thepatient`sexhibitionof polyneuropathy (Moini, 2011, p. 339). Thepatientis insulin dependentas establishedby thefindingsin thepresentliterature(Moini, 2011, p. 339). Thediagnosismatchesthecurrentresearchwhich observedthatDiabetes mellitus typeI beginin childhood.In thiscase,thepatientfirstfoundout in themedicalhistorythatshewasten yearsoldwhenshefastdevelopedsymptomsof theailment(Moini, 2011, p. 339). Thefindingsobservethatin thepatient`sfamilymedicalhistory,themotherwasobeseandhas hyperlipidemia whilethefatheris a dyslipidemia anda smoker. Thesefactspositivelyestablishher predisposition(Ali, 2011, p.39). Thetrigger in thepatientcaseis something environmental as createdby thepresentliterature(Saudek et al., 2014, p. 25) thereforeher fathersmokinghabitcould be it.Aperipheralneuropathy findingis ascertainedby thepresentliteratureas among thecommonneuropathic complication.Therefore,thepatientdistal numbnessorimpairedsensationhappensgraduallyoracutely(Ali, 2011, p.53).

Relationshipbetween Diabetes Mellitus Type 1 andEnvironmental Factors

Therelationshipof Diabetes Mellitus Type I andenvironmental factorsis welldocumented in thepresentliterature(Saudek et al., 2014, p. 21). Thishappensbecause,evenwhengeneticfactorspredisposean individualexposureto an externalfactor,itwill commencetheonsetof Diabetes Mellitus Type I. The secondpointis that,evenifthehereditarypredispositionis not present,accordingto thecurrentliterature,an individualmay stilldevelopDiabetes Mellitus Type I (Saudek et al., 2014, p. 20).

Plan

Thepatient`streatmentplanis a balancebetween beingan outpatient patientat thehospitalandhometherapy.Thehealthcare provider has recognizedthatby theinstructionto self-monitoring. However,due to thepatient`sHispanic culture,themotheralsoneedsto be incorporatedin thetreatmentprocessformoreefficientresults(Ehlers, 2010, 509). Thereferrals to varioushealthcare specialistsalsoneedto factor thisin theinformation.Themedicationswill be reviewedfrom timeto timeas required.Accordingto thepresentliterature,thiswill occurwhenthepatientvisitsthehospitalforcheckups (Cefalu et al., 2000, p. 111). Theknowledgeforself-monitoring should beassessedyearly,andcontinuingeducationshould be encouraged(Cefalu et al., 2000, p. 112).

SummaryandConclusion

Thesubjectiveevaluation of thepatientascertainedmostthoughnot all,of theDiabetes Mellitus Type I symptoms.Theobjectiveassessmentresultedtowards thedeterminationof riskfactorsforDiabetes Mellitus Type I alsoa confirmationof thesymptomsof thedeadlyailment.Theassessmentevaluation confirmedthediseasevia diagnosis.An effectiveplanfortreatmentof Diabetes Mellitus Type 1 should includepharmacological andself-monitoring education.However,culturally sensitivetreatmentapproachesshould be includedas well.

References

Ali,N. (2011). Diabetesand You: A Comprehensive, Holistic Approach.Rowman &amp Littlefield Publishers.

EhlersC.S.C. (Ed). (2010). Encyclopediaof Cross-Cultural School Psychology.NewYork. Springer Science BusinessMedia.

Leahy,J. L., Clark, N. G., &amp Cefalu, W. T. (Eds.). (2000). Medicalmanagement of diabetes mellitus.M. Dekker.

HoughtonA. R. &amp Gray D. (2010). Chamberlain`sSymptoms and Signs in Clinical Medicine.London. CRCPress. Medifocus.com.(2012). MedifocusGuidebook On: Type 1 Diabetes Mellitus.USA. Medifocus_com Inc. MoiniJ. (2011).Introductionto Pathology for the Physical Therapist Assistant.Burlington. Jones&amp Bartlett Publishers. SaudekC.D., Rubin R.R. &amp Donner T.W. (2014). TheJohns Hopkins Guide to Diabetes: For Patientsand Families.Baltimore. JHU Press.