Mr. Jenario is newly diagnosed with diabetes. His hemoglobin A1C is 10.3%. Mr. J

Question

Mr. Jenario is newly diagnosed with diabetes. His hemoglobin A1C is 10.3%. Mr. Jenaro is slightly overweight. He is 5’10” and weighs 174 lbs. He reports no form of regular exercise. He does not follow a special diet at home. He states, “I eat whatever Delores puts in front of me. She is a good cook”. For the past few months, Mrs. Jenaro noticed that her husband “has been very thirsty and has been up and down to the bathroom a hundred times a day”. Neither can recall how long it has been sine these changes in Mr. Jenaro began. Delores states, “It has been quire a while now. It just seems to be getting worse and worse”. Questions: 1. The nurse does not speak Spanish. Discuss what the nurse should keep in mind to facilitate effective communication using and interpreter. What is the difference between the role of a medical interpreter and medical translator? 2. Describe the following serum glucose tests used to help confirm the diagnosis of diabetes mellitus: casual, fasting, postprandial, and oral glucose tolerance test. 3. When evaluating Mr. Jenaro’s postprandial result, what is important to consider regarding his age and tobacco use? 4. Explain what hemoglobin A1C lab test tells the health care provider. 5. How might the nurse briefly explain what diabetes is in lay terms to Mr. and Mrs. Jenaro? 6. Explain the difference between type 1 diabetes and type 2 diabetes and who is at increased risk for developing each time. Based on this understanding, which type of diabetes does Mr. Jenaro have? 7. Discuss the prevalence of diabetes and potential long-term complication of diabetes. 8. List (5) nursing diagnosis appropriate to consider for Mr. Jenaro. 9. Discuss Mr. and Mrs. Jenaro’s learning needs consider the communication preferences of Mexican Americans. 10. Discuss the dietary recommendations for a diabetic based on the Diabetes Food Pyramid. 11. Discuss the information the nurse and/or diabetes educator should include when teaching Mr. Jenaro about proper foot care. 12. Discuss lifestyle considerations the nurse and/or diabetes educator should discuss with Mr. Jenaro and his wife.

Explanation / Answer

The nurse does not speak Spanish. Discuss what the nurse should keep in mind to facilitate effective communication using and interpreter. What is the difference between the role of a medical interpreter and medical translator?

Qualified health care interpreters can diminish obligation, help safeguard suitable consumption, and upsurge client devotion and gratification with facilities. Trained translators help to promise actual message amid the customer and provider, provision actual use of stretch throughout the clinical meeting, and improve consequences. Interpreters and translators complete comparable tasks, but in different locations. While an interpreter translates any verbal quantifiable from one linguistic into a different linguistic, a translator changes printed material in the similar way.

Describe the following serum glucose tests used to help confirm the diagnosis of diabetes mellitus: casual, fasting, postprandial, and oral glucose tolerance test.

Fasting - A fasting blood sugar level a smaller quantity than 100 mg/dL (5.6 mmol/L) is usual

Postprandial - A postprandial glucose test is a blood glucose exam that governs the quantity of a kind of sugar, called glucose, in the blood afterwards a meal.

Oral - The Glucose Tolerance Examination (GTT), also denoted to as the Oral Glucose Tolerance Examination (OGTT), is a technique which can aid to identify examples of diabetes mellitus or insulin resistance.

When evaluating Mr. Jenaro’s postprandial result, what is important to consider regarding his age and tobacco use?

Individuals with diabetes who smoke are added probable than nonsmokers to have suffering with insulin dosing and with governing their illness. The additional cigarettes one smokes, the advanced your danger for type 2 diabetes, heart and kidney illness.

Explain what hemoglobin A1C lab test tells the health care provider.

This A1C test outcome imitates your regular blood sugar level for the previous two to three months. Precisely, the A1C test events what fraction of your hemoglobin is covered with sugar known as glycated.

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