Case

Presentation
Bianca Hall

Background
Ms.

Minnie
78 year old AA female
Obese
Born and raised in Lumberton, NC

Problem
Ms.

Minnie is a diabetic, and must

regulate her sugar intake, and monitor
her blood pressure
She needs assistance with keeping her
blood sugar in tact, and receiving insulin
Also needs assistance in knowing when
to adjust her insulin intake

Problem cntd.
Sliding scale
Causes numerous comorbidities (two
chronic diseases or conditions in a
patient)
Ms. Minnie has a history of bad falls and
should not be left alone .
When Ms. Minnie is not able to take her
insulin, she becomes dizzy which causes
her to fall

Services
IHA

5hrs/ day

-Checks glucose levels several times

throughout the day
Records the information and reports it
back to the doctors & the RN

Strengths, Limitations
Strength
s
Alert
Oriente
d
Is
mobile

Limitatio
ns
Dizzines
s
Falls

Goals
Monitor

blood glucose levels &

maintaining a diabetic diet
Provide nutritional supplements/
Glucerma for diabetics
To remedy concerns and to identify
measures to put in place to reduce risk
or assumed risk

How Long???
This

process will actually be ongoing for

this beneficiary

 Biases

- none
Value Differences
- Raised in the same area
Shaping life experiences
-She has been sick many times (just
recovered from pneumonia) and is
thankful to still be alive
Staff Recommendations
-Continue having the IHA regulate Ms.
Minnies insulin intake and blood glucose
levels

 Hypoglycemia

-Low blood glucose levels can cause

shakiness, fast heartbeat, nausea, dizziness,
impaired vision, seizures and unconsciousness
Treatment
-Consume 15-20 grams of glucose or
simple carbohydrates
-Recheck your blood glucose after 15
minutes If hypoglycemia continues, repeat.
-Once blood glucose returns to normal,
eat a small snack if your next planned meal or
snack is more than an hour or two away.

Changes?
I

honestly do not have any changes I

personally would like to see be done.
System is straightforward

Competencies
1.1-1.10

Practice Behaviors
4.1-4.4,

7.1-7.2, 10.1-10.7