Jarrah Barrett is newly diagnosed with type 1 diabetes. Jarrah is…

Byadmin

Jarrah Barrett is newly diagnosed with type 1 diabetes. Jarrah is 19 years old, weighs 70 kg (non-obese) and has always been very active in team sports. He is of Aboriginal descent and lives with his father in Cherbourg. He usually plays football at weekends. Over the last month, Jarrah has been constantly thirsty and often hungry. He has been passing urine frequently and having to get up to the toilet in the night. His father became concerned when he noticed that Jarrah has lost interest in sports because he was complaining of headaches and felt tired all the time.

Having Trouble Meeting Your Deadline?

Get your assignment on Jarrah Barrett is newly diagnosed with type 1 diabetes. Jarrah is… completed on time. avoid delay and – ORDER NOW

Do My Paper

 

Jarrah is an inpatient in Cherbourg Hospital. He has been reviewed by an endocrinologist and is prescribed a ‘basal-bolus’ regime of insulin aspart (Novorapid) before each meal, and insulin glargine (Optisulin) before bedtime (both types in cartridge form). 

 

Criterion 1: Application of pathophysiological concepts to justify clinical decision-making

Collect cues/information

  1. As a nursing student, your clinical facilitator has allocated you to care for Jarrah. After the morning handover, you are asked to explain the pathophysiology of type 1 diabetes to the clinical facilitator. What is your response? 
  2. Your clinical facilitator tells you that Jarrah would rather not have multiple daily injections. He wants to know why he cannot just have tablets to manage his type 1 diabetes like his friend who has type 2 diabetes. What is your response?

 

Criterion 2: Application of pharmacotherapeutic concepts to explain safe medication practice

Process information

Jarrah is disappointed that he has to administer two different types of insulin. Your clinical facilitator asks if you can explain to her how Jarrah’s prescribed regime works to achieve glycaemic control.

  1. Explain the ‘time-course’ of formulations of NovoRapid and Optisulin.
  2. Explain the principles underpinning a ‘basal-bolus’ regime of insulin 

*See also MimsOnline 2022 Full Prescribing Information NovoRapid and Optisulin

  1. Explain the mechanism of the action of NovoRapid and Optisulin in attaining glycaemic control.

Criterion 3: Evidenced based argument and justification of decisions

Identify problems/issues

You are on a night shift and Jarrah rings his bell at 0200hrs and states he feels unwell. You take his blood glucose level (BGL) and find it to be 3.0mmol/L. This is the second consecutive night this has happened.

  1. What are the registered nurse’s responsibilities relating to the Nursing and Midwifery Board of Australia (NMBA) Registered Nurse Standards for Practice in providing safe care to Jarrah? Identify one standard and apply it to your responsibility in this situation.
  2. Identify two possible causes of his hypoglycaemia.

Take action

  1. What are the appropriate nursing actions after taking Jarrah’s BGL? Give a rationale for the nursing actions.
  2. If Jarrah appears to have altered consciousness, explain the nursing actions you would take and provide a rationale.
  3. What are the appropriate nursing actions after taking Jarrah’s BGL? Give a rationale for the nursing actions.
  4. If Jarrah appears to have altered consciousness, explain the nursing actions you would take and provide a rationale.

Part B: The goal is to provide person-centred information on a medication

*Integrate the ACQHS Quality Use of Medicines principles into any of your responses below

Jarrah and his father require information and education about diabetes and medication management before discharge. Standard 3.2 of the NMBA Registered Nurse Standards for Practice requires nurses to ‘provide the information and education required to enhance people’s control over health’ (2016, p. 4). 

 

 

Criterion 4: Application of social justice principles and the Quality Use of Medicines when describing mechanisms of action, adverse effects, benefits, risks and management of pharmacotherapy using person-centred approaches

Take time to educate

  1. Jarrah is struggling to come to terms with his type 1 diabetes diagnosis and the need to have multiple daily injections. What information would you give him about the long-term benefits of having the insulin and closely monitoring his BGL?
  2. What information would you provide to Jarrah and his father about recognising symptoms of hypoglycaemia? 
  3. What education would you provide regarding techniques around self-administration of insulin?
  4. Identify one aspect that you would have to consider in relation to social justice. How could this impact Jarrah’s ongoing health needs? What solution might you offer to address this?
  5. What issues could affect Jarrah’s ongoing glycaemic control in relation to a) his age and b) engagement in sport once he is discharged?
Explanation & Answer

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.

Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.

Do you need an answer to this or any other questions?

Similar Posts