Mr. R is a 48-year-old Hispanic man who has worked the past 10 years as a warehouse worker. He is 5’6”, weighs 175 pounds, and has a waist circumference of 38”. At his last visit at your office, his blood pressure was 140/60 mm Hg. Prior to the visit, he had fasting blood work done, and his primary care provider plans to review the results with him today. The pertinent diagnostic results are as follows: a fasting plasma glucose level of 137 mg/dL, an HDL level of 27 mg/dL, LDL level of 247 mg/dL, a serum triglyceride level of 210 mg/dL. Use the following prompts as guidelines while performing and writing your case study:
Identify what this individual is most at risk for based on the information presented in this case above.
Explain the significance of this individual’s weight and waist diameter. Explain how this individual is at increased risk for insulin resistance.
Explain briefly the differences between hypoinsulinemia, hyperinsulinemia, hyperglycemia, and hypoglycemia as each relate to an individual with type 1 diabetes mellitus and type 2 diabetes mellitus.
For additional details, please refer to the Case Study Guidelines and Rubric document in the Assignments and Rubrics section of the course.
An RN working in the Intensive Care Unit (ICU) is caring for a patient with an acute gastrointestinal hemorrhage related to Hepatitis C liver damage that resulted from cocaine abuse. At the end of the shift, the outgoing RN states to the incoming RN, “I have been in that patient’s room all day, transfusing blood products. It’s such a waste of resources. Why should we even bother to treat him, since he will just be using cocaine again after discharge?”
Initial Discussion Post:
Address the following:
What is the most appropriate way for the incoming RN to approach this situation after hearing the outgoing nurse’s comments? Include ethical and legal considerations.
What is the role of an RN in addressing the value system of other health care workers that may have a negative impact on patient care? Include ethical and legal considerations.
Should an RN be able to refuse an assignment if a patient’s value system is in direct conflict with his/her own? Why or why not? Include ethical and legal considerations.
APA format no more than 5 years
and in text citation