A registered nurse from the local community service has been assigned to take over the care of a patient called Mr Peter Mitchell, a 52-year-old male, who has recently been discharged from hospital. The community nurse has reviewed Mr Mitchell’s background history which includes, morbid obesity, chronic smoker of about 20 cigarettes per day for the last 30 years, depression, type 2 diabetes for which he is prescribed Insulin Novamix 30 B D (34units mane & 28units nocte) and Metformin 500mg BD, gastro oesophageal disease reflux disease for which he is prescribed Nexium 20mg daily, hypertension for which he is prescribed Metoprolol 50mg BD and Lisinopril 10mg daily. Mr Mitchell is also prescribed Pregabalin (Lyrica) 50mg nocte for neuropathic
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The nurse could provide information and instructions for medication management, including how and when the medication should be taken, what the medication is for and the effects of noncompliance of taking his medication. According to De Boer, Bangalore, Benetos, Davis, Michos, Muntner & Bakris, (2017) “numerous studies have shown that antihypertensive therapy reduces ASCVD events, heart failure, and microvascular complications in people with diabetes” therefore, following his prescribed medication and diabetic and sleep apnoea regime is extremely important due to numerous risk factors that Mr Mitchell has that puts increased pressure on Mr Mitchell’s cardiovascular health. Another way the nurse could assist with Mr Mitchell’s medication management, is to organise for Mr Mitchell to receive his medication in blister packs so that it is easier for him to identify what day and time to take his medication. The nurse would need to educate Mr Mitchell on monitoring his own blood glucose levels, when to take his blood glucose levels and inform him of the desired reading as he presented to the hospital with symptoms of hyperglycaemia, indicating poor control of his diabetes (Diabetes Australia, n.d.). To improve Mr Mitchell’s diabetes and to reduce his blood glucose levels, the nurse would recommend diet control and weight management in addition to abiding by his prescribed diabetic medication regimen (Diabetes Australia, n.d.). The nurse could refer Mr Mitchell to a dietician for advice and meal planning of nutritious food and education regarding foods that aide weight loss and increase energy (Diabetes Australia, n.d.). The nurse may also refer Mr Mitchell to a physiotherapist
The nurse could provide information and instructions for medication management, including how and when the medication should be taken, what the medication is for and the effects of noncompliance of taking his medication. According to De Boer, Bangalore, Benetos, Davis, Michos, Muntner & Bakris, (2017) “numerous studies have shown that antihypertensive therapy reduces ASCVD events, heart failure, and microvascular complications in people with diabetes” therefore, following his prescribed medication and diabetic and sleep apnoea regime is extremely important due to numerous risk factors that Mr Mitchell has that puts increased pressure on Mr Mitchell’s cardiovascular health. Another way the nurse could assist with Mr Mitchell’s medication management, is to organise for Mr Mitchell to receive his medication in blister packs so that it is easier for him to identify what day and time to take his medication. The nurse would need to educate Mr Mitchell on monitoring his own blood glucose levels, when to take his blood glucose levels and inform him of the desired reading as he presented to the hospital with symptoms of hyperglycaemia, indicating poor control of his diabetes (Diabetes Australia, n.d.). To improve Mr Mitchell’s diabetes and to reduce his blood glucose levels, the nurse would recommend diet control and weight management in addition to abiding by his prescribed diabetic medication regimen (Diabetes Australia, n.d.). The nurse could refer Mr Mitchell to a dietician for advice and meal planning of nutritious food and education regarding foods that aide weight loss and increase energy (Diabetes Australia, n.d.). The nurse may also refer Mr Mitchell to a physiotherapist