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Case study DIABETES MELLITUS

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HOLY ANGEL UNIVERSITY
COLLEGE OF NURSING
ANGELES CITY
A Case Study Presented to the College of Nursing
In Partial Fulfillment of the Requirements for the subject NCM 104
Related Learning Experience:
DIABETES MELLITUS
TYPE II
Ms. Jenny Rose Leynes, RN MAN
Clinical Instructor
Submitted by:
GROUP 4-A
N-303
Catap, Marjorie G.
Guarin, Merry Christine B.
Liwanag, Angelica Erika S.
Luntao, Aina Marie
Pangan, Astley
January 31, 2011
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TABLE OF CONTENTS
I. INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
II. NURSING HISTORY
a. Personal History
a. Demographic Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
b. Socio-economic and Cultural Factors. . . . . . . . . . . . . . . . . . . . 5-6
b. Family-Health Illness History . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
c. History of Past Illness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
d. History of Present Illness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
e. Genogram. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
III. PHYSICAL ASSESSMENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-12
IV. DIAGNOSTIC AND LABORATORY PROCEDURES. . . . . . . . . 13-26
V. THE PATIENT AND HIS ILLNESS
a. Anatomy and Physiology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27-31
b. Pathophysiology
i. Book-Based. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32-36
ii. Patient-Based . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37-40
VI. THE PATIENT AND HIS CARE
a. Medical Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41-42
i. Drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43-52
ii. Diet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53-54
iii. Activity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
b. Surgical Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56-58
VII. NURSING CARE PLAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59-68
ACTUAL SOAPIE(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69-70
VIII. DISCHARGE PLANNING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71-72
IX. LEARNING DERIVED FROM THE STUDY. . . . . . . . . . . . . . . . 73-74
X. REFERENCES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
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HOLY ANGEL UNIVERSITY COLLEGE OF NURSING ANGELES CITY A Case Study Presented to the College of Nursing In Partial Fulfillment of the Requirements for the subject NCM 104 Related Learning Experience: DIABETES MELLITUS TYPE II Ms. Jenny Rose Leynes, RN MAN Clinical Instructor Submitted by: GROUP 4-A N-303 Catap, Marjorie G. Guarin, Merry Christine B. Liwanag, Angelica Erika S. Luntao, Aina Marie Pangan, Astley January 31, 2011 TABLE OF CONTENTS I. INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4 II. NURSING HISTORY a. Personal History a. Demographic Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 b. Socio-economic and Cultural Factors. . . . . . . . . . . . . . . . . . . . 5-6 b. Family-Health Illness History . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 c. History of Past Illness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7 d. History of Present Illness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 e. Genogram. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 III. PHYSICAL ASSESSMENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-12 IV. DIAGNOSTIC AND LABORATORY PROCEDURES. . . . . . . . . 13-26 V. THE PATIENT AND HIS ILLNESS a. Anatomy and Physiology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27-31 b. Pathophysiology i. Book-Based. . . . . . . . ...
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