SELF-MONITORING OF BLOOD GLUCOSE

      CASE STUDY: SELF-MONITORING OF BLOOD GLUCOSE Patient’s name is J who is a man, 60 years of age, with a history of type 2 diabetes. He was brought to the emergency department after his neighbor found him at home with confusion, lethargy, right-side weakness, and slurred speech. Medical exam and work up in the emergency department revealed that Patient J was severely dehydrated and that his blood glucose was 860 mg/dL. He was diagnosed with HHNS, an acute complication of type 2 diabetes. He was admitted to the medical unit on an insulin drip and for intravenous fluid and electrolyte replacement. After Patient J's blood glucose and electrolytes returned to normal levels, his mental status cleared and he was free of any neurological manifestations. While in the hospital, he was seen by the diabetes educator. He received instruction on diet, insulin administration, and blood glucose monitoring. His discharge plan was to return home on insulin injections with follow-up and teaching by a home healthcare nurse. 1. What areas of concern do you see within the above case and how would you go about addressing them? 2. Describe a theoretical basis for working with this patient. 3. List open ended questions you might ask to explore her life situations.