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Diabetes Patient Health Assessment

This patient has several chronic health conditions including diabetes, heart disease, kidney disease, and back problems. He experiences neuropathy in his right hand, mood changes due to medications, trouble sleeping, issues with bladder control, and declining memory and eyesight. While he enjoys spending time with family and swimming, he is at risk for falls, uncontrolled blood sugar, malnutrition from his diet, and negative drug interactions due to the many medications he takes without regular review. Supervision and lifestyle changes are needed to improve this patient's health and safety.

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Jilian McGugan
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1K views4 pages

Diabetes Patient Health Assessment

This patient has several chronic health conditions including diabetes, heart disease, kidney disease, and back problems. He experiences neuropathy in his right hand, mood changes due to medications, trouble sleeping, issues with bladder control, and declining memory and eyesight. While he enjoys spending time with family and swimming, he is at risk for falls, uncontrolled blood sugar, malnutrition from his diet, and negative drug interactions due to the many medications he takes without regular review. Supervision and lifestyle changes are needed to improve this patient's health and safety.

Uploaded by

Jilian McGugan
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Health Assessment: Series of questions focusing on the individual’s health perceptions and specific problems they face.
  • Detailed Health Queries: Continues health assessment with more specific queries about medications, conditions, and health issues.
  • Lifestyle and Personal Insights: Explores personal habits, lifestyle choices, and characteristics that aid in aging.
  • Patient Risk Assessment: Narrative evaluation of patient’s condition and necessary measures to mitigate health risks.

Interview Questions 1. How would you assess your health?

Answer: I would assess my health as fair especially due to my diabetes, I struggle with maintaining my blood sugar. 2. What do you see as your major health problems? Answer: I have heart disease, diabetic, kidney disease, and I also have major back problems. 3. What minor health problems bother you? Answer: I dont consider myself to having minor health problems, unless you consider the things I suffer from my major health problems being minor, although I do have neuropathy in my right hand, which has prevented me from playing the guitar like I use to. 4. How would you describe your mood most of the time? Answer: I am a pretty happy man, although I feel that my medications put me in bad moods during the afternoon hours. 5. Do you have trouble sleeping? Answer: Yes 6. How would you describe your appetite? Answer: Its ok, I have a hard time staying away from sweets and salty foods. 7. Tell me about your physical activity. How much exercise do you get? What kind of exercise? Answer: It is hard for me to exercise due to back pain, although I manage to swim a few laps every day in my pool.

8. Do you have any problems with your bladder or bowels? Answer: Yes, I have problems with my bladder. 9. What medications do you take? Answer: 10. How would you describe your eyesight and hearing? Answer: I have a cataract in my right eye. 11. How satisfying is your sexual activity? Answer: None, due to medications. 12. Do you think your mind is as clear as it used to be? Answer: No, I do not, although I do still have a sharp mind, I do find myself forgetting things. 13. Would you consider your life as pretty full? Answer: Yes, I have two beautiful grand babies. Zetia 10 mg by mouth once a day Toprolol 50 mg by mouth once a day Isosorbide 60 mg by mouth twice a day Tramadol 50 mg by mouth twice a day PRN Pravastatin 40 mg by mouth oncea day at bedtime Losartan 100 mg by mouth once a day Gabapentin 300 mg twice a day Aspirin 325 mg by mouth once a day Welcho 50 mg by mouth once a day

14. What things do you enjoy? Answer: Playing with my grand babies and spending time with my family. 15. How would you describe your drinking? Answer: Alcohol? An occasional drink. Water? I try to drink more because of the medications that I am taking. I love to drink diet coke. 16. What personal characteristics have helped you adapt successfully to aging? Answer: I am strong and always will be and I have a lot of pride.

This patient is at risk for loss of sensation due to his neuropathy in his right hand. This patient is also at risk for loss of sensation in his lower extremities due to his Diabetes. This patient is at risk for anxiety, because he has a personality that seems like he has started to get down due to his medication effects, his neuropathy in his right hand, and his forgetfulness. This patient is at risk for uncontrolled blood sugar levels because he stated that he likes to eat sweets and he also shared that he does not always check his blood sugar before he takes his diabetic medication. This patient is at risk for falling because he states that he does get dizzy on occasion. This patient is at risk for musculoskeletal changes which also increases his risk of falling. This patient is at risk for malnutrition because he stated that he does enjoy eating sweet foods and salty foods with little water intake. This patient is also at risk for polypharmacy. This patient admits that he sees his family doctor once every 6 months for a physical and blood work only and states they never look over my medications with me, they just add medications.

I feel that first this patient as far as safety is concerned needs to be educated on orthostatic hypotension due to his medications. He needs to be aware of his surroundings and avoid rugs throughout the house. This patient also has poor vision therefore increasing his risk for falling. The patient needs to make sure that he is wearing proper shoes with support; this would give the patient less of a risk to fall or slip and also would help the patient not cause any damage to his feet because he is diabetic. This patient does participate in swimming exercises, he could also do some ROM and low impact exercises to improve his gait. This patient needs to be educated on taking his diabetic medication and the proper diet to prevent any adverse reaction to medication, hypoglycemia or hyperglycemia which in turn would prevent falls.

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