Chronic Illness 595

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zhebfb

Health Medical

Concorde Career College

Description

Discussion Prompt

Imagine a 64-year-old woman from a different cultural background than the healthcare provider. She has been living with type 2 diabetes (T2DM) for two years. She has been taking metformin (2000 mg/day) without any issues. Her BMI is 32 kg/m². She also has high blood pressure (hypertension), which is well managed with a thiazide and an ACE inhibitor. Her cholesterol levels are under control with atorvastatin 10 mg. She doesn't smoke, drink, and is up-to-date with her vaccinations. However, her recent A1C reading is 7.8%.

This patient is widowed and relies on her late husband's disability payments and a small pension. She's worried about the cost of any new medications. She primarily speaks her native language, with limited proficiency in English, and sometimes her son accompanies her for translation.

Discuss and evaluate at least three treatment options, considering the benefits and drawbacks, based on the latest clinical guidelines and evidence. Include any other essential considerations.

Additionally, in your response, list three specific programs or organizations in your city that can assist her in obtaining low-cost or free diabetes supplies, medications, or other diabetes-related resources. Include links to these unique resources in your area.

In addition to your links, list high-level scholarly references to support your clinical decisioion making. Do not use point-of-care references for this discussion.

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Explanation & Answer

Attached.

1

Chronic Illness 595

Student’s Name
Institutional Affiliation
Course Number
May 28, 2024

2
Chronic Illness 595
When providing care to a 64-year-old patient with T2DM and an A1c of 7.8%, three
possible treatment strategies, consistent with the most recent clinical practice
recommendations, should be considered. Firstly, the use of GLP-1 receptor agonists (e.g.,
liraglutide) can reduce A1C level and promote weight loss while providing cardiovascular
benefits, which is vital for her hypertension and dyslipidemia (Davies et al., 2018). However,
these medications can be expensive, and this would be a concern to her financial status, and
the s...

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