{"id":184808,"date":"2022-02-20T13:19:51","date_gmt":"2022-02-20T13:19:51","guid":{"rendered":"https:\/\/thestudycorp.com\/?p=184808"},"modified":"2022-02-20T13:19:57","modified_gmt":"2022-02-20T13:19:57","slug":"arun-patel-shadow-health-focused-exam-hypertension-and-type-2-diabetes","status":"publish","type":"post","link":"https:\/\/studyinghq.com\/essay-examples\/nursing\/arun-patel-shadow-health-focused-exam-hypertension-and-type-2-diabetes\/","title":{"rendered":"Arun Patel shadow health \u2013 Focused Exam: Hypertension and Type 2 Diabetes"},"content":{"rendered":"\n

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Arun Patel shadow health \u2013 Focused Exam: Hypertension and Type 2 Diabetes<\/a><\/h2>\n\n\n\n

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\"Focused<\/a>
Focused Exam: Hypertension and Type 2 Diabetes<\/figcaption><\/figure>\n\n\n\n

Focused Exam: Hypertension and Type 2 Diabetes – Transcript<\/h3>\n\n\n\n

Started: Mar 31, 2020 | Total Time:51 min<\/p>\n\n\n\n

\"Your<\/td>hi, i am danielle<\/td>Greet
03\/31\/20 1:00 AM CDT<\/td><\/tr>
\"Arun<\/td>Hey.<\/td><\/td><\/tr>
\"Your<\/td>whats the primary reason for your visit<\/td>Question
03\/31\/20 1:00 AM CDT<\/td><\/tr>
\"Arun<\/td>I\u2019m here to check up on some numbers that I have for my diabetes and my hypertension. Guess they\u2019re not looking too hot.<\/td><\/td><\/tr>
\"Your<\/td>I know that a diagnosis can be frightening, and that keeping your diabetes under control is difficult and stressful. However, this is a manageable condition, and you have the chance to greatly improve your situation with diet and exercise<\/td>Educate
03\/31\/20 1:03 AM CDT<\/td><\/tr>
\"Arun<\/td>Alright. I get it.<\/td><\/td><\/tr>
\"Your<\/td>how long have you had these conditions<\/td>Question
03\/31\/20 1:04 AM CDT<\/td><\/tr>
\"Arun<\/td>I got diagnosed with diabetes five years ago, and hypertension a year ago. But for the more recent stuff . . . over the past three or so months, I\u2019ve gained some weight and felt pretty fatigued. And for probably a month now, I\u2019ve had to pee way more and drink way more water.<\/td><\/td><\/tr>
\"Your<\/td>do you check your blood sugar<\/td>Question
03\/31\/20 1:06 AM CDT<\/td><\/tr>
\"Arun<\/td>I check my blood sugar . . . sometimes. I know with diabetes, you have to check it every day, but I don\u2019t have a lot of time, and needles are tough for me.<\/td><\/td><\/tr>
\"Your<\/td>you need to check you blood sugar regularly and keep a record. I know that you dint like needles but if you dont monitor your diabetes you could end up needing insulin, which involves injections. you should aim to use your glucometer at least four times a week<\/td>Educate
03\/31\/20 1:09 AM CDT<\/td><\/tr>
\"Arun<\/td>Yeah, youre probably right.<\/td><\/td><\/tr>
\"Your<\/td>do you have any allergies<\/td>Question
03\/31\/20 1:10 AM CDT<\/td><\/tr>
\"Arun<\/td>I don\u2019t have any allergies that I know of.<\/td><\/td><\/tr>
\"Your<\/td>any recent hospitalizations<\/td>Question
03\/31\/20 1:10 AM CDT<\/td><\/tr>
\"Arun<\/td>I haven\u2019t ever been hospitalized in that sense of the word. But I have seen a doctor before, about my hypertension and diabetes numbers, and I\u2019m here to check in about them.<\/td><\/td><\/tr>
\"Your<\/td>what are your home medications<\/td>Question
03\/31\/20 1:10 AM CDT<\/td><\/tr>
\"Arun<\/td>Hydrochlorothiazide for my hypertension, metformin for diabetes, and escitalopram for anxiety.<\/td><\/td><\/tr>
\"Your<\/td>what dosage do you take (Clarified to What doses are your medications?.)<\/td>Question
03\/31\/20 1:10 AM CDT<\/td><\/tr>
\"Arun<\/td>Let\u2019s see . . . the water pill is a 50 milligram . . . the anxiety pill is a 20 milligram . . . and the metformin is an 850 milligram tablet. (Clarified to what dose my medications are.)<\/td><\/td><\/tr>
\"Your<\/td>do you miss any does (Clarified to Do you miss doses of your medication?.)<\/td>Question
03\/31\/20 1:11 AM CDT<\/td><\/tr>
\"Arun<\/td>I\u2019m good about taking all my doses. I just take my metformin with breakfast, lunch, and dinner. And I take the water pill and the anxiety pill just with breakfast. I\u2019ve been on metformin for 5 years, and I don\u2019t think I\u2019ve missed a dose. (Clarified to if I miss doses of my medication.)<\/td><\/td><\/tr>
\"Your<\/td>do you exercise<\/td>Question
03\/31\/20 1:13 AM CDT<\/td><\/tr>
\"Arun<\/td>I don\u2019t exercise. I just don\u2019t have the time.<\/td><\/td><\/tr>
\"Your<\/td>tell me about your diet<\/td>Question
03\/31\/20 1:13 AM CDT<\/td><\/tr>
\"Arun<\/td>My diet could be better, to be honest. I eat a lot of carbs and fried foods, and I tend to go for pizza when I\u2019ve had a really bad day. I don\u2019t feel like my diet is out of control exactly, but I\u2019ve been thinking about cutting down.<\/td><\/td><\/tr>
\"Your<\/td>do you drink<\/td>Question
03\/31\/20 1:13 AM CDT<\/td><\/tr>
\"Arun<\/td>I never drink.<\/td><\/td><\/tr>
\"Your<\/td>what level of income do you make<\/td>Question
03\/31\/20 1:15 AM CDT<\/td><\/tr>
\"Arun<\/td>I make around $25,000 off of my graduate school stipend. I have to be pretty careful with my budget.<\/td><\/td><\/tr>
\"Your<\/td>family history<\/td>Question
03\/31\/20 1:15 AM CDT<\/td><\/tr>
\"Arun<\/td>My folks have some stuff going on, which is probably why I\u2019ve got some stuff going on. My dad has hypertension like me, and my mom has diabetes like me. She has high cholesterol, too.<\/td><\/td><\/tr>
\"Your<\/td>i am sorry to hear that you are having a hard time with your family. I am sure that is adding to current stress and anxiety<\/td>Empathize
03\/31\/20 1:16 AM CDT<\/td><\/tr>
\"Arun<\/td>Ha, thanks.<\/td><\/td><\/tr>
\"Your<\/td>i am sorry about your financial difficulties<\/td>Empathize
03\/31\/20 1:17 AM CDT<\/td><\/tr>
\"Arun<\/td>Thank you.<\/td><\/td><\/tr>
\"Your<\/td>difficulty urinating<\/td>Question
03\/31\/20 1:18 AM CDT<\/td><\/tr>
\"Arun<\/td>I can pee just fine. In fact, I\u2019ve been having to pee way more these days.<\/td><\/td><\/tr>
\"Your<\/td>any chest pain<\/td>Question
03\/31\/20 1:18 AM CDT<\/td><\/tr>
\"Arun<\/td>I never really have chest pain.<\/td><\/td><\/tr>
\"Your<\/td>how you deal with your anxiety<\/td>Question
03\/31\/20 1:20 AM CDT<\/td><\/tr>
\"Arun<\/td>Usually when I\u2019m anxious, I just breathe slow and take a few minutes, but I\u2019ve been so much more worried lately it doesn\u2019t work very well. Honestly, the only new thing I\u2019ve been doing to deal with all this stress is eat comfort food. I\u2019ve probably gained 15 pounds since I last came to the doctor three months ago.<\/td><\/td><\/tr>
\"Your<\/td>managing you anxiety can be challenging, and I\u2019m sorry it has made such a huge impact on your life<\/td>Empathize
03\/31\/20 1:21 AM CDT<\/td><\/tr>
\"Arun<\/td>Thanks for saying that.<\/td><\/td><\/tr>
\"Your<\/td>a healthy diet is important to control your hypertension and disbetes<\/td>Educate
03\/31\/20 1:22 AM CDT<\/td><\/tr>
\"Arun<\/td>Good to know.<\/td><\/td><\/tr>
\"Your<\/td>in order to manage your diabetes and hypertension, you will need to manage your weight<\/td>Educate
03\/31\/20 1:24 AM CDT<\/td><\/tr>
\"Arun<\/td>I hadn\u2019t thought of that.<\/td><\/td><\/tr>
\"Your<\/td>i need to educate you on your new medications<\/td>Question
03\/31\/20 1:31 AM CDT<\/td><\/tr>
\"Arun<\/td>I appreciate it.<\/td><\/td><\/tr>
\"Your<\/td>take at same time everyday<\/td>Question
03\/31\/20 1:32 AM CDT<\/td><\/tr>
\"Arun<\/td>Yeah. Got it.<\/td><\/td><\/tr>
\"Your<\/td>stop taking your previous medications<\/td>Question
03\/31\/20 1:32 AM CDT<\/td><\/tr>
\"Arun<\/td>Alright. I\u2019ll stop taking my other medication.<\/td><\/td><\/tr>
\"Your<\/td>monitor for signs of low blood sugar<\/td>Question
03\/31\/20 1:32 AM CDT<\/td><\/tr>
\"Arun<\/td>I\u2019ll start keeping snacks in my school bag.<\/td><\/td><\/tr>
\"Your<\/td>monitor for signs of an allergic reaction<\/td>Question
03\/31\/20 1:33 AM CDT<\/td><\/tr>
\"Arun<\/td>I\u2019ll let you now right away if I see anything like that.<\/td><\/td><\/tr>
\"Your<\/td>it is important to check your blood sugar<\/td>Question
03\/31\/20 1:34 AM CDT<\/td><\/tr>
\"Arun<\/td>Alright \u2013 I can do that.<\/td><\/td><\/tr>
\"Your<\/td>stop taking your other medication<\/td>Question
03\/31\/20 1:34 AM CDT<\/td><\/tr>
\"Arun<\/td>Alright. I will.<\/td><\/td><\/tr>
\"Your<\/td>report signs of cough fatigue and headache<\/td>Question
03\/31\/20 1:34 AM CDT<\/td><\/tr>
\"Arun<\/td>Thanks for the heads up.<\/td><\/td><\/tr>
\"Your<\/td>contact us immediately if your tongue swells<\/td>Question
03\/31\/20 1:35 AM CDT<\/td><\/tr>
\"Arun<\/td>Ah. Alright.<\/td><\/td><\/tr>
\"Your<\/td>avoid salt substitutes<\/td>Question
03\/31\/20 1:35 AM CDT<\/td><\/tr>
\"Arun<\/td>Gotcha.<\/td><\/td><\/tr>
\"Your<\/td>and standing too quickly<\/td>Question
03\/31\/20 1:35 AM CDT<\/td><\/tr>
\"Arun<\/td>Hmm. Alright.<\/td><\/td><\/tr>
\"Your<\/td>can i help you with anything else.<\/td>Question
03\/31\/20 1:36 AM CDT<\/td><\/tr>
\"Arun<\/td>Ok. See you later.<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"

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