Question: Case Study Analyses Mr. R, Who Has Lived With Diabetes For A Long Time, Administers Insulin Daily And Follows A Diabetic Diet. During The Assessment, The Nurse Identifies The Presence Of Illness-imposed Needs. He Is Not Adhering To His Diabetic Diet And Alters His Insulin Dosage Based On “how He Feels That Day.” Mr. R Has Knowledge Of The Diabetic Diet …

Case study analyses Mr. R, who has lived with diabetes for a long time, administers insulin daily and follows a diabetic diet. During the assessment, the nurse identifies the presence of illness-imposed needs. He is not adhering to his diabetic diet and alters his insulin dosage based on “how he feels that day.” Mr. R has knowledge of the diabetic diet and wants to comply; however, he had depended on his wife to prepare meals, and now that she is deceased, he has difficulty cooking nutritious meals independently. He denies ever being informed of the need for regular doses of his insulin and states that he has relied on the advice of his brother-in-law, also a diabetic, who told him to take an extra shot of insulin when he eats a lot of sweets.” 1. What is the nurse’s next step once Mr. R’s needs have been identified? 2. What factors must be considered in exploring Mr. R’s deficits in meeting his health challenges-related needs? 3. What specific actions could be planned to address Mr. R’s needs?