Endocrine System Disorders and the Treatment of Diabetes

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Write a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples

Type of assignment: Essay

Subject: Nursing

Pages: 2/550


Family Nurse Practitioner-Pediatric Practicum-Journals.

Week 8- Type 1 Diabetes Mellitus 13 year old male patient
The patient was a thirteen year old male patient who had been experiencing weight loss
that could not be explained. The patient had dropped in weight over a period of six months from 70 to 58 kgs. The parents had initially assumed it was because he had joined the school athletics team. The patient had also been behaving out of the norm. He would wake up frequently at night to urinate and drink more water (Burns et al., 2017). This was the reason the parents sought medical diagnosis.
After being registered, I had the opportunity to sit with the patient who was accompanied by both parents. After gathering the initial information that was offered by the patient’s parents, I turned my attention to the patient. He stated that of late he had been experiencing fatigue that drained him totally of all energy. After any school work out, he would be very exhausted to the point that he would just come home and sleep after supper. Having already reached to the unconfirmed diagnosis that the patient was diabetic, I recommended that he undergoes a blood sugar test.
When the results came, I sat down with the patient and the parents to let them know the
results. Before I told them the diagnosis, I probed to find out if both parents had any history of diabetes (Messina, Campbell, Morris, Eyles & Sanders, 2017). Both of them answered in the negative. I tried to find the reason that could have triggered the metabolic imbalance in the patient. The parents intimated that their son was addicted to eating anything sugary-from sweets, cakes and all manner of confectionery. The parents were of Hispanic heritage.
I wanted to find out if any other factors apart from direct intake of sugar could have
contributed to the patient developing type 1 diabetes. My probing question was as to the median income of the parents with regards to their current employment. Both parents work part-time in a grocery store and garage respectively. Consistent with most Latino diets, their foods is high in fat and sugar and low in fruits and vegetable (Schneiderman et al., 2014).I prescribed treatment to correct the metabolic imbalance on diet change and increased physical activity.
This revelation was useful in identifying the contributing cause of the diabetic
presentation in their son. This was consistent with the classroom studies that seek to find out the causative underlying reasons why an illness develops. This involves interviewing the supporting family structures in order to know the family history. Inquiring about the family income is also important in identifying if there are nutrition and dietary gaps. Diagnosis is therefore a holistic task that is both clinical and supported by other non-clinical data.

Week 9- Constipation 6 month old female patient

The parents presented the patient who was six months at the local health facility with the problem of constipation. The child was crying and irritable and showed sensitivity whenever the abdominal area was touched (Ferrara & Saccomano, 2017). The parents had noticed that the previous day, the patient had not stooled as normal. The six month old patient had previously shown the history of stooling thrice a day and this was not the case in the previous day.
After getting this initial information, I performed a physical examination that confirmed
abdominal pain in the middle of the abdomen (Blackmer & Farrington, 2010). The pain was recurrent in the middle and was seen by the child flinching and tensing up whenever I touched that specific area. A further physical examination of the body temperature showed that it was normal. I decided to inquire further to know what could have triggered the constipation.
The parents disclosed that they had recently tried to introduce some of their traditional
seasoning in the child’s food. This was a cultural requirement that needed to be fulfilled when the child reaches that age. They had put some traditional seasoning in very small amounts in the child’s food and they reasoned that this could be the underlying cause for the constipation. This according to their culture is common and does not lead to any adverse reactions.
My “aha” moment was when I was able to link the dots in relation to the recent change of the ingredients used in cooking for the 6 months old patient. Knowing that children of this age often show sensitivity when being introduced to new food, I diagnosed the condition as a functional gastrointestinal disorder (GI). I advised the parents to discontinue seasoning the child’s food with the traditional seasoning.
I finished the diagnosis by recommending and prescribing treatment that was two-fold.
The first was to use a special squirt bottle with a laxative that could immediately avail relief in stooling (Jiles & Hamrick, 2017). I also prescribed medication that involved an oral enema.
Additionally, I recommended that the parents give the child plenty of water. This is in line with the classroom studies of pediatric diagnosis of gastrointestinal problems. Making initial inquiries from the parents should be confirmed by undertaking a physical examination to confirm the problem.

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