PBHL5001 Managing Diabetes as a Chronic Condition Report Assessment 1 Brief

PBHL5001 Unit Aassessment task maps to the following ULOs: 

ULO1: Examine the process of self-monitoring of blood glucose and interpret results. 
ULO2: Compare and contrast glucose lowering medications used in diabetes management. 
ULO3: Apply nutrition therapy and physical activity guidelines to the management of pre- diabetes and diabetes. 
ULO4: Discuss the psychosocial issues associated with diabetes self-management and the role of the multidisciplinary healthcare team. 

PBHL5001 Rationale 

Your task for this assessment is to write an evidence-based report which describes a person- centred care plan (assessment, management, and review) for your client Alice. You are required to critically analyse Alice'scase presentation, with reference to diabetes clinical guidelines and peer-reviewed literature, to identify the main issues/problems. This assessment requires you to interpret blood glucose readings, and assess dietary intake, physical activity levels, and psychological status. You are required to present a detailed care plan that includes short- and long-term goals, expected outcomes, referrals and identification of potential barriers. Use scientific evidence to support and justify the recommendations you make. Use the information from the PBHL5001 workshops, online modules and your own research to complete this assessment.

PBHL5001 Task Description 

Case Study: Alice 

Alice is a 29-year-old woman. She presented to her GP a few days ago with a candida infection and reported excessive fluid intake due to summer heat. She was otherwise asymptomatic. A urine dipstick test revealed glucose and trace ketones. After further tests Alice was diagnosed with type 2 diabetes and commenced on Metformin 500mg 1 x day (nocturne) with evening meal. 

Alice reports that her mother has type 2 diabetes, which was initially diagnosed during her pregnancy with Alice. Her mother also has "foot trouble" resulting from diabetes and she walks with a cane. Alice's paternal grandmother and grandfather both have type 2 diabetes. Alice lives with her mother and 3 other siblings. Alice reports that her siblings are constantly bringing junk food into the house and she feels there is no hope that she will be able to lose weight. She loves sport and, in the past, has done quite well at both individual and team sports. Alice feels limited in the exercise she can do now because of her weight. Alice reports walking to work when she can but often takes the car. Her office job is a 10-minute walk from her home and on average Alice walks to work once per week. Alice is willing to try to make changes to improve her lifestyle, but is not prepared to make large changes all at once. She has already tried cutting out breakfast and lunch to try to lose weight and this has not worked as she finds she binges on food when she gets home because she is so hungry.

She reports feelings of sadness, hopelessness, and a lack of motivation since her diagnosis, leading to medication non-adherence (often not taking Metformin) and missed appointments with her endocrinologist. She has come to you for her first initial diabetes review.

PBHL5001 A record of Alice's typical food intake is as follows: 

PBHL5001 A record of Alice's current BGL is as follows: