In my clinical placement, I went to Chennai, City in India for my overseas clinical attachment. There, I was posted to a surgical, medical, cardiovascular ward and intensive care unit and medical ward to have 2 weeks clinical placement. I was given the assignment to care for 4 patients in a cubicle ward under the supervision of my mentor. I have interviewed a patient Mr. S who is a 64-year-old India Indian male.
His highest education level is high school. He is a sole provider and is working as a taxi driver to support his family members. He will mostly do shift work which is morning, afternoon and night shift. However, he did not do the afternoon shift as he needs to take care of 1 of his daughter who has who has incapacities and who is extremely connected to him. Mr. S has both past medical and surgical history. His past medical history is hypertension, hyperlipidemia and chronic type 2 diabetes which he was having it for as far back as 25 years and has poor control of it.
For his past surgical history, he had undergone appendicectomy in 2010. He was admitted to the hospital for having diabetes mellitus infected wound ulcer over his left foot. Diabetes mellitus is an ailment known for its multifaceted intricacies, and foot ulceration, which regularly brings about lower furthest point removals (Armstrong & Lavery, 2003). A diabetic foot ulcers are a noteworthy entanglement of diabetes mellitus and frequently go before lower-extremity amputation (Frykberg, 2002). One of the Social factors that I have distinguished is patient’s occupation. He has been filling in as a taxi driver for over 30 years. A person who works for 7 days for more than 55 hours may extend the risk for Type 2 diabetes by practically 30 % (Bakalar,2014). Mr.
S disclosed to me that he needs to work extend periods of time to help his incapacitated daughter. Because of his work, he did not have room schedule-wise to go for his medical check-up. The last time he went for his medical check-up, the doctor recommends him insulin. He should take it frequently consistently yet he did not comply with it because of his night shift and he disregards it. At that point of time, I started to ask him concerning his injury with respect to what good reason he did not consult the doctor when the injury occurred. He revealed to me it is only a small wound and he covered it with a gauze.
He likewise does not believe that the injury will end up plainly genuine. He was centered around his work as he needs to cover the rent for his taxi and discover the wellspring of salary. As a result, he did not and could not manage the time to consult the doctor.
At that point, I started to get some information about his way of life like has he been exercising frequently. He disclosed to me that he did not exercise at all because of his working hours and family duty. With his noncompliance with his medication which is insulin, it leads to his foot ulcer. Diabetic patients who are noncompliant do not understand that appropriate self-care will have a constructive outcome in the future (Coleman,2017). Therefore, they are at risk of developing complications that may affect the eyes, kidneys, heart, nerves, feet and more. After some time, uncontrolled diabetes can lead to permanent damage of these areas as well as stroke, coronary illness, and visual impairment.
As a nurse, I would recommend Mr. S to improve his Work-Life Balance. He should not overwork and set aside a few minutes for himself. He needs to make a commitment to manage his diabetes.
To do so, he should start to monitor his blood sugar level and ask his diabetes treatment team for help when he needs it. Apart from that, he also needs to make healthy eating and physical activity part of his daily routine. Exercising is the important part of the diabetes management plan. By exercising, the muscles will use sugar (glucose) for energy which can help the body to use insulin more efficiently. Other than working out, Mr.
S also need to pay more attention to his feet to prevent from getting any foot ulcer once more. He should look out for any cuts and blisters which can lead to serious infections. High glucose can lessen bloodstream and harm the nerves in your feet (Mayo Clinic,2014). He should consult the doctor immediately if he has a sore or other foot problem that does not begin to heal within a couple of days instead of delaying the time. Apart from that, I need to educate Mr.
S knowledge and understanding on the importance of taking his medication regularly. It is important for him to comply with his medication as it helps controlling chronic conditions, treating temporary conditions, and overall long-term health and well-being.