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Settings and Forms of Care ;

Settings and Forms of Care ;
Individual professionals are an essential component to modern healthcare. It is equally important that these professionals have a setting and framework for their
practice.
1.     The goal of this assignment is to invoke meaningful group discussion and collaboration to enhance your individual responses.  Be sure to read the rest of the
directions carefully
2.    Read the following case study
3.    Identify a total of twelve (12) healthcare professionals, the setting in which the healthcare professional would interact with the patient, and the role the
professional would take in this patients care and recovery.  Remember the different areas of care (there is no minimum required to be identified per area, just a total
of 12):
a.    Diagnostic Care
b.    Preventative Care
c.    Therapeutic Care
d.    Maintenance Care
4.    Be sure to include detailed information about how each healthcare professional will be involved in this patients care.  Due to this being a group assignment, a
very detailed response is expected.
5.    Don’t forget that the location of the patient makes a difference.  Healthcare access is much different in Grundy, Virginia than Roanoke, Virginia.  You may
need to research what is available to the patient locally and assess when the patient may have to travel to receive appropriate care.  If the patient does need to
travel, how will the patient travel and where is the nearest professional that can help the patient?
Case Study:
Sandra- Diabetes Mellitus, Type I
Hometown: McCoy, Virginia
Age: 13
Sandra has been an active 13-year-old until recently. She has enjoyed relatively good health except for an occasional cold or episode of influenza. She has never been
hospitalized. She has an older brother (age 17) with type 1 diabetes diagnosed at age 10. A few months ago, Mrs. C noticed that her daughter seemed pale and less
active than usual. Sandra stated that she had been feeling tired and was seriously thinking about quitting the volleyball team. It seemed that she was always hungry
and thirsty and she was constantly eating snacks. Despite both an increase in food and fluid intake, she lost weight. Her clothing began to feel “too big” for her. She
also noticed that she was going to the bathroom much more often than previously. Furthermore, she often became irritable and had difficulty concentrating on her
homework. Mrs. C became alarmed by all of the changes that she was suddenly observing in her daughter and took Sandra to the family physician. Sandra was diagnosed
with type 1 diabetes mellitus. Sandra and her parents were taught proper insulin administration, blood glucose testing, urine testing, foot care, and menu planning.
The patient was started on a daily schedule of insulin.
Last night before supper, the patient took her usual dose of insulin, lispro, for a blood glucose concentration of 193 mg/dL. She began feeling nauseated right before
retiring to bed and she woke up with a stomach ache around midnight and began vomiting. Her blood glucose at that time was 397 mg/dL. Her mother asked her to try
sipping diet ginger ale and eating a few crackers, but she was unable to keep anything down. She vomited several more times and then began breathing very heavily. It
was at this time that Mrs. C suspected ketoacidosis and took her daughter to the hospital emergency room. Sandra denies fever or chills. However, she confirms mild
diarrhea for the past 36 hours. Furthermore, several of her classmates had been recently ill with flu-like stomach symptoms. She denies cough, sore throat, and painful
urination.
A physical exam and lab testing confirmed Mrs. C.’s suspicion, Sandra had diabetic ketoacidosis. She was admitted to the pediatric intensive care unit and was
administered intravenous fluids and insulin. After 3 days, she stabilized and was prepared for discharge back to her home.
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