Case Scenario:
You are an Enrolled Nurse employed in a Primary Health clinic. Aregular
client of the clinic, Mr McFarlane, who was diagnosed with Type2 diabetes
8 months ago, has presented to your clinic today with increasingdeterioration
in his diabetes. The doctor has now prescribed insulin twicedaily for Mr McFarlane
and an increase in BGL monitoring to 4 times/ day to assist inlowering his
blood glucose levels. You have been asked by the RegisteredNurse of the clinic
to assist Mr McFarlane and his wife with understanding anddemonstrating how
to include the doctor’s recommendations into their routine.
Review of Character Briefs:
Mr George McFarlane. Male, aged 53years. Married for 5 years with 3 children.
Mr McFarlane’s background includes:
- Occupation – Long haul truck driver
- Earns good money
- Away from home a lot – not there to support family
- Overweight – 135kg
- Hypertension
- Uses watching television and beer to cope with stress
- Smoker
- Diet preferences are Australian. Often has a poor diet when onthe road for work including ‘fatty food from truck stops’
- Unknown social support and external interests
- Has osteoarthritis in (L) knee
- Reliant on wife, Yu Yang, to complete all domestic duties as heis not self-sufficient.
Mrs Yu Yang McFarlane is Mr McFarlane’s wife. She is 38 yearsold. Mrs McFarlane’s background includes:
- Came to Australian as a university student
- Fell pregnant at the age of 19 – did not marry
- Married George 5 years ago
- Has 3-year old twins at home
- One twin has developmental disorder
- English language is good
- Was/Is isolated with no extended family
- Prefers to cook Asian food
- Needed help with raising child and so she invited her Chinesemother to come to Australia to help out.
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QUESTION – Discuss possible self-esteem issues MrMcFarlane may experience when administering insulin and checkingBGL’s while on the road for his job. What information could youprovide to assist Mr McFarlane deal with these issues? Consider inyour answer:
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Response: |
