Family case study on diabetes

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Tier 2 Case Study

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Case Study: A Year-Old Woman in Her Second Pregnancy at 24 Weeks Gestation

Mrs Patel is an 89 year old widow. She has been living in a nursing home for the past 2 years because her family have been unable to cope with her nursing needs following a stroke in , which has affected her right side and her speech. Mrs Patel is unable to manage the normal activities of daily living. She was diagnosed with type 2 diabetes 20 years ago. Mrs Patel had taken a great interest in her diabetes when she was able to but since having the stroke and the death of her spouse in , she has not been able to participate in her own personal and diabetes care. Over time Mrs Patel has become increasingly frustrated because she is unable to communicate how she is feeling, or what her needs are.
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Applying my learning - Case study 1

The mother of a five-year old child called the surgery at 5pm with concerns about her daughter's one-day history of abdominal discomfort, requesting a same day review. The girl had managed to spend the day in school but seemed to have worsened since coming home and had been sick once or twice. There was no apparent fever, diarrhoea, rash, pain elsewhere, photophobia or altered behaviour, or dysuria, and some simple painkillers had made very little difference. No other family member was currently unwell with any gastrointestinal conditions and there were no travels abroad recently, and no obvious unusual food intake such as a take-away or eating out in the last three days. The mother was aware that the child would need to be seen as an extra at the end of surgery, but preferred this over telephone advice or a possible review at the out-of-hours service later in the evening, if the symptoms were to persist or worsen.
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Duquesne University Pharmacy was an early adopter of a pharmacy-based National DPP lifestyle change program and began working with its first group of participants in September With funding from the American Medical Association Foundation in October , the pharmacy used multiple strategies to assess the prediabetes risk of its patients to identify participants for this program. These strategies included screening and testing pharmacy patients and conducting community screening events. Duquesne University Pharmacy began offering prediabetes screening and blood glucose testing in the pharmacy and through a mobile health clinic that it operates in underserved communities. As recommended by the National DPP, the goal was to first screen for prediabetes and then follow up with a blood glucose test if needed.
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