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1803NRS Foundations Of Professional Nursing Practice

tag 0 Download 8 Pages / 1,993 Words tag 16-09-2021
  • Course Code: 1803NRS
  • University: Griffith University
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  • Country: Australia


The Case Scenario

Michael Anderson is a 48 year old male with morbid obesity and type 2 diabetes who was admitted to the medical ward with poorly controlled diabetes, obesity ventilation syndrome and sleep apnoea. Michael was referred by his GP after he presented with symptoms of shakiness, diaphoresis, increased hunger, high BGL levels and finding it difficult to breathe when he sleeps.  On the previous admission, Michael was seen by the dietician and was commenced on low energy, high protein diet (LEHP) to help him reduce weight. His GP had previously mentioned weight loss however he had never wanted to do anything about it as it ‘seemed too hard’. Michael had also been seen by the physiotherapist and was commenced on light exercises which he was to continue at home on discharge.

Michael has been discharged home, with referral to community care unit for ongoing support and follow up, after three weeks in the medical ward to manage his weight and clinical comorbidities.

Past medical history

  • Obesity (weight165kgs with a BMI of 57.09m2).
  • Type 2 diabetes ( diagnosed 9 years ago)
  • Hypertension, (HTN)
  • Depression (Diagnosed three months ago y GP).
  • Sleep apnoea
  • Gastro oesophageal disease reflux disease

Social History

Michael is an unemployed male who is on financial benefits. Michael lost his job three years ago as a fork lift driver at the Moranbah coal mine in far North Queensland. Michael states that he has always been a ’biggish guy’ with his ‘normal weight’ sitting at around 95kg but since starting insulin and losing his job he has gained a significant amount of weight. Consequently, because of his weight issues Michael has difficulty finding work due to fatigue and feeling generally ‘uncomfortable’ about his size. Michael is a divorcee who lives alone, his daughter and son live in the same state but live in different cities and rarely visit him. He is socially isolated because he is embarrassed by his size and he rarely goes out. Michael is also finding it increasingly hard to perform activities of daily living (ADL). Michael realises that he is in the prime of his middle age life and he wants to lose weight.

Current Medication

  • Insulin novamix 30/70 DB (20 units mane and 10 units nocte)
  • Novarapid sliding scale
  • Metformin 500mg BD
  • Lisinopril 10mg daily
  • Nexium 20mg daily
  • Metoprolol 50mg BD
  • Pregabalin (Lyrica) 50mg nocte

Last observation on discharge

  • Weight 165kgs (obese)
  • BP 180/92 (hypertensive)
  • RR 23 ( Tachypnoea )
  • HR 102 ( tachycardia )
  • Sp02 RA 95% on Room Air (R/A)


Discuss obesity and type 2 diabetes and facts that surrounds these conditions basing on Mr. Anderson’s case.  In addition, this essay will also identify issues of Mr. Anderson’s condition to be able to choose a two top care priorities and address it through goals, comprehensive nursing interventions, and finally, evaluating and reflecting on the whole process.

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