Mr. Gabriel Hernandez, a 58 year old married Hispanic gentleman is admitted to the hospital for hyperglycemia. This is Mr. Herandez’s third admit for hyperglycemia in the past year. He works as a mechanic, he has 4 adult children, 8 grandchildren, and he regularly attends Catholic church services. Mr. Hernandez states he is not sure why his blood sugars keep going high, “Maybe it is just God’s will for me”.
He is a Type 2 diabetic and he currently takes:
glipizide (Glucotrol) XL 10mg qam,
Metformin (Glucophage) 500 mg BID,
and acarbose (Precose) 50 mg TID at the start of each meal.
I. Begin a holistic teaching plan for Mr. Hernandez:
What cultural and spiritual considerations must the nurse take into consideration when coaching this patient toward wellness?
How will you assess the patient’s readiness for learning? How might motivational interviewing be used with this patient?
What assessments are needed to ensure the patient’s holistic needs are met?
What roles do nutrition and exercise play in management of this illness? How will you coach the patient in this area?
Briefly identify the action, side effects, and nursing considerations/ teaching for each of these medications (this may be done as a table in an appendix or in the body of text).
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