Running head: CHRINIC CONDITIONS 1

Case Scenario: EBP for Treating Chronic Condition

Name

Institution

Date
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Q1. Noteworthy positive and negative finding from patient assessment

The patient mainly complains of dizziness and nausea. Meaning, her noteworthy positive

findings would entail complaints about repetitive dizziness, nausea, often feeling thirsty,

excessive urination over the last few days, CVA, DM, HTN, and CAD medical history, and

blood sugar level of 405.

Relatively, noteworthy negative findings for the patient include no signs of blurry visions

or any reported headache, no blood pressure of 190/101, and no history of being obese/

overweight.

Q2. Patient differential diagnoses

Addison disease: is a disease that disrupts the breakdown of sugar in the body and tends

to reduce blood pressure resulting in low blood sugar level. Slow sugar breakdown in the body

results in diabetes as excess sugar accumulates in the body. The illness as reported exemplifies

some symptoms of diabetes (Powers et al., 2017).

Postprandial hypertensive condition: blood pressure drops that particularly noted after

meals. Such is because during digestion the body diverts extra blood to the stomach and the

intestines. Such result in blood pressure drop (Powers et al., 2017). Postprandial hypertension

occurs during digestion when the blood pressure is beyond the expected level resulting in nausea

and dizziness. Hence, difficulties in getting up and increased thirstiness can be attributed to

process leading up to direct drop in blood pressure.

CHRINIC CONDITIONS 3

Type-1 diabetes: can be relied on to disqualify any chances of the disorder as its

symptoms equally include dizziness, frequent urination, sweating, hunger and thirst, and fatigue

(Davies, 2018).

Gastroesophageal reflux disease: is as a result of syphoning of the stomach acid into

body esophagus. It also tends to cause dizziness and nausea and could be a likely indicator of

reported symptoms (Davies, 2018).

Q3. Medical Regimen

Basing from the patient financial status, the regimen would include leading a healthy

lifestyle, and using more of home remedies that are handy in overcoming diabetes (Powers et al.,

2017).

Q4. Top concern for the patient

The patient main priority should entail things such as immediate threat to his safety/

survival, and immediate nursing attention. Such concerns are cognizant by nature considering

that being unhealthy comes with huge liability. Furthermore, it involves constant fear of death

and it is important in that case that excellent medical attention be sort when the patient seeks to

restore normalcy in his life (Davies, 2018; Powers et al., 2017).

Q5. How comorbid diagnoses impact the patient existing symptoms

The comorbid diagnoses places the patient at a higher risk and could result in long-term

complications and even include worse cases of hypertension, diabetes retinopathy, worsened

CVA situation, that could develop into certain types of cancer and complications (Powers et al.,

2017).
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Q6. Patient health belief, behavior, and culture impacts the treatment outcome

Failure or faulty adherence to the medication as recommended or even the therapeutic

prevention procedures for diagnosing the Type-1 and even Type-2 diagnoses worsen the negative

outcome for the affected patient. Nonetheless, there are some noteworthy discrepancies

detectable among the patients when it comes to understanding barriers to adherences to

medication. According to Grzywacz and his colleagues (2015), the misconception about

medications spans over a wide culture and care contexts. Several research works indicate that

individuals affiliated to the minority populations such as the Caucasians are far much likely to

contract diabetes, and less likely to achieve the needed glucose control in their body owing to

their health beliefs, behavior, and cultural perceptions (Grzywacz et al., 2015). Such individuals

tend to luck a consistent self-management routine, which can result in adverse condition for the

patient with regard to medication complications, and being burdened by the disease. Hence, it is

important that the health care provider grows their patient values and perspective, especially

towards their adherence to certain difficulties and solutions when seeking to overcome a disease

(Grzywacz et al., 2015).

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References

Davies, M. J., D’Alessio, D. A., Fradkin, J., Kernan, W. N., Mathieu, C., Mingrone, G., ... &

Buse, J. B. (2018). Management of hyperglycaemia in type 2 diabetes, 2018. A consensus

report by the American Diabetes Association (ADA) and the European Association for

the Study of Diabetes (EASD). Diabetologia, 61(12), 2461-2498.

Grzywacz, J. G., Arcury, T. A., Ip, E. H., Nguyen, H. T., Saldana, S., Reynolds, T., ... & Quandt,

S. A. (2015). “Culture” in Diabetes-Related Beliefs among Low-and High-Education

African American, American Indian, and White Older Adults. Ethnicity & disease, 22(4),

466.

Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., ... & Vivian,

E. (2017). Diabetes self-management education and support in type 2 diabetes: a joint

position statement of the American Diabetes Association, the American Association of

Diabetes Educators, and the Academy of Nutrition and Dietetics. The Diabetes Educator,

43(1), 40-53.