Identify the potential health risks for a diabetic

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Reference no: EM133884411

Case Study: Mr. D.
Directions: Read the case study below. Evaluate the information and formulate a conclusion based on your evaluation. Complete the critical thinking table and submit this completed template to the assignment dropbox.

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Evaluate the Health History and Medical Information for Mr. D., presented below.
Health History and Medical Information
Mr. D. is a 65-year-old male nonadherence diabetic with end-stage renal disease receiving dialysis. He is a retired certified public accountant in the last 5years and practices the Muslim faith. He reports that he avoids all pork products. His complaints included decreased balance, loss of sensation, fear of falling, and decreased endurance during activities of daily living due to the effects of dialysis treatment. Patient's previous medical evaluation includes end stage renal disease (ESRD) on dialysis and referral for recommendations for initiating exercise program. Patient comorbidities include obesity with a body mass index (BMI) of 45, type II diabetes mellitus with long-term insulin use, hypertension, sleep apnea, depression with lack of family support and understanding, and diabetic neuropathy. Patient denies suicidal ideation but does report feelings of loneliness and helplessness. Mr. D. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.
Objective Data:
1. Height: 68 inches; weight 134.5 kg
2. BP: 140/94, HR 84, RR 22
3. 2+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. BUN 32 mg/dl
10. GRF (glomerular filtration rate)-13mL/min

Clinical Manifestations
Describe the clinical manifestations present in Mr. D., focusing on the normal and abnormal findings and how this relates to his current condition.

Potential Health Risks for Diabetes WithEnd-Stage Renal Disease
Identify the potential health risks for a diabetic with ESRD and the impacts of nonadherence.
Identify the potential health risks for a diabetic with end-stage renal disease (ESRD) that are of concern for Mr. D.
How does Mr. D.'s nonadherence to his diabetes self-management plan for DM Type II contribute to ESRD?
Describe the common considerations with insulin use for practicing Muslims.
Pathophysiology of Renal Dialysis
Explain the pathophysiology of renal dialysis.
Explain the pathophysiology of renal dialysis.Compare peritonealdialysis and hemodialysis.
Describe in detail the pathophysiological explanation and stages of renal disease that leads to ESRD.
Explain the potential factors that contributed to Mr. D.'s ESRD.

Reference no: EM133884411

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