Unit 21: P3, M2, D1 Essay

Sarah Miller is a 42 year that is suffering with obesity, and a long history of diabetes. She is 5’5 weighting 450 pounds. She was diagnosed with diabetes at the early age of 20. Her current insulin dose is 10 unit’s regular insulin before lunch and dinner. Mrs. Miller complains lack of motivation, mild fatigue, depression, and difficulty losing weight. She states that she has gained a massive amount of weight since being placed on 10years ago. She has struggled with weight gain since childhood. Her weight has continued to increase over the past 9 years, and she is presently at the highest weight she has ever been. She has been hospitalized for difficulty breathing She states that every time she tries to cut down on her eating, she has symptoms

Based off these measurements, M.G has hypertension and if not taken care of, her blood pressure could lead to a hypertensive crisis. During M.G’s physical her lab results showed her fasting blood sugar to be 200 mg/dl, total cholesterol 280 mg/dl, HDL cholesterol 30 mg/dl, LDL cholesterol 180 mg/dl, and triglycerides 200 mg/dl. Normal levels for fasting blood sugar are100 mg/dl or less, good total cholesterol is below 200 mg/dl, LDL cholesterol levels best for people at risk of heart disease are below 100 mg/dl, HDL cholesterol levels of 60 mg/dl and above are good, and lastly triglyceride levels below 150 mg/dl are considered good. When comparing M.G’s level’s to normal levels you notice that her fasting blood sugar is double the normal amount, and her total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides levels are all considered high/poor. With looking specifically at M.G’s fasting blood sugar, you can see her levels are well pass being considered pre diabetes, and are we'll over the diabetes standard level of 126 mg/dl. Overall, M.G’s poor lab results verify her diagnosis of type 2 diabetes and show how serious her condition is, especially if it is not

Mrs. Smith is a 28 year old, African American. She stands 5 feet and 6 inches tall, weighing 180 pounds. She is a single mom who is in her twenty eighth week of pregnancy. She has mentioned to her doctor that she was experiencing polydipsia, polyuria, and headaches. At her most recent visit with her obstetrician, she was diagnosed with gestational diabetes. A glucose tolerance test was used to diagnosis Mrs. Smith. This test consist of measuring how well glucose is absorbed by the body. A fasting glucose measurement is taken. Mrs. Smith then drank a solution that contained 50 grams of sugar. One hour later, her blood sugar level was re-measured. Her results came back positive. A second three hour test was ordered that contained 100 grams of a sugar solution. Her blood glucose levels were checked at fasting, one hour, two hours, and again at three hours. By administering these tests, it was determined that she had gestational diabetes based upon her consistently high blood sugar level readings. She has already gained twenty pounds in her pregnancy and admits to splurging on desserts such as cake and ice-cream quite frequently. She does however maintain a healthy diet except she is only consuming about 50 grams of protein daily. She is a third grade teacher at an inner city school. Both her parents have type 2

When I asked shukri what she calls her health problem she state “diabetes.” Shukri believes her illness has been cause by food she eats and lack of exercise. Shukri believe lack of exercise and being overweight has caused her to be sick with diabetes. “Back home people walked a lot and sweated,” but here she complain “people are not active.” Shukri also believes being diagnosed with diabetes was meant to be because

This was related to her as a possible hindrance. She does not have a tendency to eat after hunger is not satisfied nor has she engaged in unsafe dieting practices. Her cravings are strong and she does eat as a way to achieve emotional regulation. Her rationalization for eating is mild and motivation to engage in a regimented diet program is with an average limits. Her body image is closely tied her personal identity. Mrs. Hawkins Meeks is not unduly self-conscious or avoid social situations because of her weight. There was no significant anxiety, depression or undue stress in her

Another element that can be observed in the case of Fatima is a combination of something that directly leads to unhealthy situation (eating unhealthy, and missing crucial vitamins to support healthy functioning body), and indirect elements (like working many hours, and feeling guilty about the food being served to her family). The combination of direct and indirect pathways are leading to outcomes that the health psychology field is addressing (Ogden, 2017).

I interviewed a man from Somalia his name is Ali Jira. Since he was 24 in 2013 he experienced tiredness, frequent thirst, frequent urination and increased hunger. Suddenly In 2015 he was terribly sick and then he immediately went to Hospital for treatment. In the Hospital he had received treatment, and he was diagnosed with diabetes. He had been interviewed by a Doctor about when the symptoms had started. He answered that he had pain since 2013, so he did not know his sickness for two years. The doctor recommended him that he had to check up his blood sugar level regularly. After he received treatment for his diabetes, he changed his meal planning. He usually eats only 4 slices of bread per day, and 1 cup of skim milk. He regularly eats less

I would urge her to start keeping an eating diary. I would follow-up with her every fortnight in order to make necessary adjustments that will help her achieve her goal.

Candace, I agree Ms. Metzger would need education on diet and lifestyle changes. Unlike her sister, Ms. Metzger has type II diabetes which resists the effects of or does not produce enough of insulin (Huether & McCance, 2017). Because obesity is a contributing factor of type II diabetes, treatments are aimed at weight loss, diet control, in addition to oral hypoglycemic agents and even insulin therapy. Because many factors can affect the blood sugar,

It is important to recognise that Anne cannot control all of the factors that may be negatively impacting on her health. She is living in a local authority housing estate in a disadvantaged area of the inner city and given that ‘the highest rates of obesity occur among population groups with the highest poverty rates and the least education’ (Adam Drewnowski and SE Specter 2013) one could claim that relocating would be a possible solution. Clearly this would be an unrealistic plan. So too would the notion of buying gym membership for 3 people. So as her GP, I would encourage her to keep a food diary for a week so I could see the amount of calories the family consumed and see their eating habits, to go for a walk every evening with her children and give her brochures with easy recipes for healthy meals.

With the client’s current lifestyle habits, she may be at risk for progressing into obesity II and obesity III, which may result in increased visceral fat accumulation. This will further increase her risk for getting chronic diseases such as cardiovascular disease (Williams, Branch, & Rawson, 2017, p. 431-432).

My treatment strategy to help Nicky reduce weight and improve her health outcomes will look at promoting her physical activity (PA), improve her dietary habits and change her behaviour towards PA and diet.

But diabetes doesn't stop her from doing all the things she likes. Even though she has to get shots and be aware of what she eats, she’s still a very active woman. She loves to go fishing, and shopping. One day we noticed that she was drinking a whole lot and always having to go to the bathroom. She would wake up very thirsty and have to go to the bathroom in the middle of the night.

Her cells had developed a condition call insulin resistance and her pancreas was producing insulin. The cells take the blood sugar. It was putting her at risk at having a heart disease, nerve damage, eye issues, and many more other problems that is putting her at risk. To help her cells absorb glucose she will have to need regular insulin injections. She followed the regimen and has kept her alive for 20 more years but insulin is not a cure even with with the regular rejections that she uses. With her condition she faced many more problems. She faces dramatic mood swings, and many more serious complications as glucose levels rise and

Aabidah Bashara goes through a stressful life events everyday. She do not seek to spread corruption. Growing up Islam, she considers disease a test from Allah and If she get a disease she knows she committed a sin. Barbara is very nervous about getting surgery on her left knee because she feels as she gets old, you should not get cut on. Barbara tries to not let anything get to her because things are so bad she does not want to go into depression.