Hello Ganesh

I have read your soap discussion on the case study of a 64-years old Hispanic male who

presented himself for diabetes management. It is noticeable that the patient is on 1000mg of

metformin twice a day and 5 mg of glipizide daily. The patient is physically active yet presents

with type 11 diabetes mellitus. This condition is usually associated with insufficient insulin and a

higher A1C level (Shea et al., 2019). I agree that the purpose of diabetes management is to

control blood sugar and prevent secondary complications. The plan for this case is therapeutics,

education, and consultation. Therapeutic assessment should focus on improving vitamin B12

since patients taking metformin have vitamin b12 deficiency. Education interventions should

focus on educating the patient on the importance of the patient's active and healthy lifestyle on

their health. The patient should also be referred to a dietitian for consultation on meal planning

and level of carbohydrate intake. Additionally, consultation would introduce patients to self-

management and support groups to improve their knowledge and skills to manage their

conditions.

Reference

Shea, K. E., Gerard, S. O., & Krinsley, J. S. (2019). Reducing hypoglycemia in critical care

patients using a nurse-driven root cause analysis process. Critical care nurse, 39(4), 29-

38. https://doi.org/10.4037/ccn2019876
Hello Lane,

I have read your discussion on the SOAP case study of the 64-year-old Hispanic male patient

who presents himself for diabetes management. Subjective information indicates elevated blood

sugar levels of 150 to 190 in the morning. However, the patient leads an active and healthy

lifestyle because he walks a few miles three to five days a week and observes regulated

carbohydrate intake. The patient presents signs and symptoms associated with diabetes as he

presents a burning sensation on his feet, which is common among patients with peripheral

neuropathy (Shea et al., 2019). The plan for management for this patient is therapeutics,

education and consultation intervention. Therapeutics intervention should be more focused on

medication and lifestyle changes. Educational interventions should be focused on the importance

of adherence to medication, diet, and lifestyle change. The patient should be referred to a

dietitian for meal planning and nutritional interventions that would significantly improve their

health outcomes.

Reference

Shea, K. E., Gerard, S. O., & Krinsley, J. S. (2019). Reducing hypoglycemia in critical care

patients using a nurse-driven root cause analysis process. Critical Care Nurse, 39(4), 29-

38. https://doi.org/10.4037/ccn2019876