When researching the problem/condition be sure to do the following: -Describe th

Question

When researching the problem/condition be sure to do the following:

-Describe the problem/condition

-Provide background of the problem/condition, include information on incidence, risk factors, treatment, why it happens, how it happens, prognosis etc.

-Include developmental-life span-growth and development, cultural, psychological and environmental factors that impact the patient

-Include this information (as appropriate) in your teaching plan where appropriate

-Nursing care plan,3 diagnosis not all details will be provided, include additional information you would like to know and/or information you are assuming based on the case description (note this in care plan). For the evaluation section note what would be assessed for evaluation purposes (what information you are looking for in the evaluation)

1.Your patient Isapoinhkyaki is an 11 year old girl of Blackfoot descent; she has been recently diagnosed with Diabetes. She has recently moved to Brampton from Southern Alberta and has made very few friends. She lives in a basement apartment with her father. He works as a labourer and has intermittent work. Her mother lives in another city but her grandmother lives in the upstairs apartment. They rely on food banks to supplement their diet.

Explanation / Answer

Type 1 Diabetes in children, also called juvenile diabetes occurs when the pancreas is unable to produce insulin. Children with this condition require lifelong insulin, blood sugar monitoring with diet and exercise.

Type 2 Diabetes which is less common in children occurs when there is reduced production of insulin, and glucose accumulates in the bloodstreams. This condition can be managed through diet change, exercise and maintaining the healthy weight.

INCIDENCE

Type 1 Diabetes in children aged up to 9 years increased by 21% between 2001 and 2010, and incidence of Type 2 Diabetes among youth increased by 30%.

SYMPTOMS

Increased thirst

Increased Urination

Increased hunger

Blurred vision

Fatigue

Weight Loss

Abdominal Pain

Nausea and vomiting

Irritability

RISK FACTORS

Family History

Genetics

Age

Environmental Factors

TREATMENT

Insulin Therapy

Blood Glucose Monitoring

Physical Activity

Nutrition

Psychosocial care

WHY IT HAPPENS

When the body is unable to process glucose due to lack of insulin, it causes elevated blood sugar levels. It is considered an autoimmune disease where the body’s immune system attacks the beta cells in the pancreas.

PROGNOSIS

60 percent of patients with diabetes do not develop complications in the long term but experience blindness, renal disease and sometimes death. Morbidity in relation to diabetes is connected to the short term and long term complications.

FACTORS INFLUENCING DIABETES

Environment

This factor can influence identical twins, when one twin has diabetes other also has the disease, genetic factors can influence the disease prevalence. Different areas of Europe tend to acquire higher rate of this disease.

Cultural

Certain race and ethnicity have a higher rate of diabetes. Females are more prone to diabetes than males

Psychological

People with stress, sleeping problems, and depression are at increased risk of developing diabetes.

COMPLICATIONS

Hyperglycemia

Female infertility

Cardiovascular diseases

hypoglycemia

NURSING DIAGNOSIS RELATED TO DIABETES MELLITUS

Risk for Infection related to high glucose level

Imbalanced nutrition less than body requirement related to poor nutrition intake.

Fluid volume deficit related to hyperglycemia

Activity intolerance related to physical weakness.

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