401209 Health Variations 2-Chronic Illness And Disability

401209 Health Variations 2-Chronic Illness And Disability

Free Samples

401209 Health Variations 2-Chronic Illness And Disability

.cms-body-content table{width:100%!important;} #subhidecontent{ position: relative;
overflow-x: auto;
width: 100%;}

401209 Health Variations 2-Chronic Illness And Disability

2 Downloads6 Pages / 1,395 Words

Course Code: 401209
University: Western Sydney University

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia


Case study
You are a Registered Nurse working in the emergency department caring for Ben Summer who is 19 years of age.
Medical history
Ben visited his local doctor after experiencing increased appetite and excessive thirst. He has been unusually tired when playing football and hasn’t been able to perform at his best. He has lost 10 kilograms of weight over a two week period and has been frequently urinating at night. The doctor suspected type 1 diabetes and tested his urine, which was positive for glucose and ketones. A random capillary blood glucose level was 25.0mmol/L and blood ketone level was 1.5mmol/L. Ben was advised to attend the hospital emergency department immediately.
Social history
Ben lives with his mother (Susan), father (John) and 12 year old brother (Jacob). He attends university full time, studying engineering and works at McDonalds on a casual basis. Ben plays football on the weekends and trains two days during the week. He has a girlfriend Rachel and they both enjoy surfing at the beach.
Emergency department review
Two hours after review by the local doctor, Ben’s capillary blood glucose level was 26.0mmol/L and blood ketone level was 1.6mmol/L. Other vital signs were within normal limits. After review by the endocrinologist, Ben was given a provisional diagnosis of type 1 diabetes based on his symptoms and family history of autoimmune disease (His mother has hyperthyroidism, Graves’ disease). His blood test confirmed that he did not have ketoacidosis.
Treatment plan
Ben was prescribed subcutaneous insulin; Aspart (NovoRapid) Flexpen 10 units TDS and Glargine (Lantus) Solostar 30 units nocte. He was referred to the diabetes service for ongoing care.
Case study questions
Using the marking criteria and supporting academic references address the following questions.
Assessment Questions
Part A 
The nursing responsibilities related to the administration of Aspart (NovoRapid) insulin to Ben.

Explain the 11 components of a valid routine subcutaneous insulin medication order and why this is important. Supportyour answer with academic or clinical guideline 
Explain why Ben has been prescribed this  Relate to the pathophysiology of type 1 diabetes and The mechanism of action of NovoRapid insulin. Support your answer with academic

Whatis the onset, peak and duration of action for NovoRapid insulin according to Bullock and Manias (2017)? Explain when NovoRapid should be administered in relation to food intake and  Support your answer with academic references.
Discussthe definition, causes, symptoms and treatment of hypoglycaemia, a common adverse effect of Novo-Rapid. Support your answer with academic references.

Discussthe importance of understanding the medication prior to  Support your answer with academic references.
Discussthe 5 rights of medication administration and why it is important for nurses to follow this 

Support your answer with academic references.

Whatis the most appropriate insulin pen needle length for Ben and why? Support your answer with academic
Whatdiabetes specific nursing assessment would you conduct prior to administration of NovoRapid insulin to ben and why? Support your answer with academic references.

Identifythe site and angle you would inject the NovoRapid insulin and explain why this was selected for  Discuss infection control considerations. Support your answer with academic references.
Whatwould you document and where? Why is documentation important? Support your answer with academicor clinical guideline references.

 Explainthe diabetes specific nursing assessment you would provide for Ben post administration of insulin, when you would provide it and  Support your answer with academic references.

Part B 
The potential impact of type 1 diabetes on Ben.

Discussthe daily physical challenges of living with type 1 diabetes that Ben may  Support your answer with academic references.
Discusspotential emotional impacts of living with type 1 diabetes that Ben may  Support your answer with academic references.


Components of Subcutaneous Insulin
There are eleven components of an effective subcutaneous insulin administration. First, the main aim of the components is to ensure a medication order of an effective routine subcutaneous insulin administering. It indicates the way of training nurses and doctors about the medication. The order must be adhered to as stipulated by the prescription. Secondly, the main instructions must be followed before the medication. All instructions should be documented in a clear form. Thirdly, the demographics are required in order to identify the nature of the disease. Demographics are significant as they ensure the patient gets the right insulin medication. The fourth component involves monitoring of the condition experienced by the patient. Monitoring ensures that the medical staff detects whether the condition of the patient worsens or improves (Dabelea et al., 2014). The fifth component encompasses monitoring of the records that indicate the variation of ketones and blood glucose levels. This monitoring directs the application of insulin in the body. The sixth component addresses the division of insulin orders into supplemental, stat and routine, and suggests whether the patient can take the combination of the three orders. He seventh component deals with the recording of insulin administration into records while the eighth component provides the comments section that are required for the communication between the medical staff and the patient. The ninth component provides instructions for managing hypoglycemia and indicates how to regulate negative effects of diabetes that might affect a patient like Ben. The tenth component addresses the use of hypoglycemia treatment for diabetic teenagers by use of cooperation and consciousness approaches while the final component involves the insulin pharmacy review in regards to administration and staff consultation.
All of the above components are very important when treating a type 1 diabetic patient like Ben. He was suffering from high levels of ketones and glucose. The treatment process will be easier and manageable if all the above components are adhered to (Dabelea et al., 2014).
Reason for the Prescription of Subcutaneous Medication
The doctors prescribed the medication to Ben because the levels of ketones and glucose were detected. The medication lowers the levels and hence avoid harmful effects. Bartholow (2016) indicates that physiology should be considered when treating type 1 diabetes. The immune system responds against the affected pancreatic cells in a rapid manner. One should balance both the environmental and genetic factors as these mechanism is always related to type 1 diabetes. The process is explained below:
The mechanism called the NovoRapid helps to generate insulin in the human body. It reduces the glucose concentration and acts within a few hours after every meal. Therefore, it acts faster than the rapid insulin action (Hovorka et al., 2014). Thus, this was medication was prescribed for Ben because he had a higher level of glucose.
The onset duration of NovoRapid insulin action takes ten to thirty minutes while the normal human insulin takes thirty minutes. Its peak duration takes forty to fifty minutes while the normal human insulin takes eighty to one hundred and twenty minutes. The action duration takes three to five hours whereas the regular human insulin takes eight hours (Hovorka et al., 2014). The NovoRapid should be administered to Ben shortly after meals.
Causes, Signs, and Treatment of Hypoglycaemia
Diabetic patients can be affected by hypoglycaemia when there is no enough sugar in the body. This condition also occurs because of other reasons such as diet, lack of exercise and medications among others. Those affected suffering from hypoglycemia should record the time and date to be shared with the medical staff for necessary medication. Hypoglycemia symptoms include hunger, pale skin, weakness, sweating, dizziness, headaches, anxiety, and confusion. The treatment of hypoglycemia involves eating or drinking fifteen grams of fast-acting carbohydrates such as a cup of milk, 3-4 glucose tablets, 1 tube of glucose gel, 4-6 pieces of hard candy, a half a cup of fruit juice and half a cup of soft drink (Mauer et al., 2013).
Importance of Understanding the Medication
Comprehending the significance of medication before administration is vital for diabetic patients like Ben. Mauer et al. (2013) clarify that it is the only way to comprehend activities associated with our daily lives. Ideally, one should prepare the medication correctly, follow the rights, monitor the patient, deliver the right medication information and education and assess the results of the medication on the status of the patient.
The Five Rights
They include the right patient, the right dose, the right route, the right time and the right drug. They should be considered as the main objective of the medication. They influence the personnel performance and counteract obstacles to task completion (Steinberger and Daniels, 2013).
Pen Needle Length
4-6 mm because Ben had thin subcutaneous fat layer due to his weight loss.
Diabetes-Specific Nursing Assessment
A nursing insulin assessment should be done for Ben to highlight his medical history
Since Ben’s condition was serious, he had to be given the medication without a prescription. His parents should be informed of his condition and treatment. The medication shouldn’t be changed abruptly.
Injection Site
Ben should be injected on the outer part of the buttocks, thighs, and abdomen at ninety degrees to ensure his comfort and efficient drug delivery to the subcutaneous route.
I would record his glucose level, blood pressure, medication and history for future reference and treatment by other practitioners.
Nursing Assessment
I would check his dietary pattern assessment to evaluate the level of ketones and glucose, his smoking condition because it is important that he stops and also if he is given educational support. Thereafter, I would arrange for future meetings to check on his health status.
Part B: Physical Challenges that May Affect Ben
First, Ben may be affected by the neuropathy condition that leads to nerve damage. The condition occurs when a lot of sugar in blood damages the blood vessels that nourish the nerves, particularly in the legs (Bergenstal et al., 2010). This condition leads to pain, numbness, and tingling. Secondly, Ben may suffer from the skin and mouth infections as diabetes can cause fungal and bacterial infections. Also, diabetes might injure the retinal blood vessels and hence may lead to blindness or other rigorous vision diseases such as glaucoma. Ben may also suffer from the foot damage condition due to damage of the nerves in the feet. Lastly, Ben may be at risk of developing high blood pressure (Bergenstal et al., 2010).
Emotional Impacts of Type 1 Diabetes
It is very tough to live with type 1 diabetes. In this case, Ben may be overwhelmed as the pressure to maintain and control glucose level can rise and make him feel angy easily, guilty, or become demotivated when the anticipated results are not achieved. It is vital to note that living with type 1 diabetes can be difficult indeed.
Teenagers forget that the high level of glucose in the blood may affect the mood and make one to feel angry and short-tempered. It is advisable that Ben eats or injects himself to manage the condition.
American Diabetes Association. (2017). 2. Classification and diagnosis of diabetes. Diabetes Care, 40(Supplement 1), S11-S24.
Bartholow, R. (2016). Manual of hypodermic medication. JB Lippincott & Company.
Bergenstal, R. M., Tamborlane, W. V., Ahmann, A., Buse, J. B., Dailey, G., Davis, S. N., … & Willi, S. M. (2010). Effectiveness of sensor-augmented insulin pump therapy in type 1 diabetes. New England Journal of Medicine, 363(4), 311-320.
Dabelea, D., Mayer-Davis, E. J., Saydah, S., Imperatore, G., Linder, B., Divers, J., … & Liese, A. D. (2014). Prevalence of type 1 and type 2 diabetes among children and adolescents from 2001 to 2009. Jama, 311(17), 1778-1786.
Diabetes Prevention Trial-Type 1 Diabetes Study Group. (2012). Effects of insulin in relatives of patients with type 1 diabetes mellitus. New England Journal of Medicine, 346(22), 1685-1691.
Hovorka, R., Canonico, V., Chassin, L. J., Haueter, U., Massi-Benedetti, M., Federici, M. O., … & Wilinska, M. E. (2014). Nonlinear model predictive control of glucose concentration in subjects with type 1 diabetes. Physiological Measurement, 25(4), 905.
Mauer, M., Zinman, B., Gardiner, R., Suissa, S., Sinaiko, A., Strand, T., … & Klein, R. (2013). Renal and retinal effects of enalapril and losartan in type 1 diabetes. New England Journal of Medicine, 361(1), 40-51.
Steinberger, J., & Daniels, S. R. (2013). Obesity, insulin resistance, diabetes, and cardiovascular risk in children: an American Heart Association scientific statement from the Atherosclerosis, Hypertension, and Obesity in the Young Committee (Council on Cardiovascular Disease in the Young) and the Diabetes Committee (Council on Nutrition, Physical Activity, and Metabolism). Circulation, 107(10), 1448-1453.

Free Membership to World’s Largest Sample Bank

To View this & another 50000+ free samples. Please put
your valid email id.


Yes, alert me for offers and important updates


Download Sample Now

Earn back the money you have spent on the downloaded sample by uploading a unique assignment/study material/research material you have. After we assess the authenticity of the uploaded content, you will get 100% money back in your wallet within 7 days.

UploadUnique Document

DocumentUnder Evaluation

Get Moneyinto Your Wallet

Total 6 pages


*The content must not be available online or in our existing Database to qualify as

Cite This Work
To export a reference to this article please select a referencing stye below:


My Assignment Help. (2019). Health Variations 2-Chronic Illness And Disability. Retrieved from https://myassignmenthelp.com/free-samples/401209-health-variations-2-chronic-illness-and-disability.

“Health Variations 2-Chronic Illness And Disability.” My Assignment Help, 2019, https://myassignmenthelp.com/free-samples/401209-health-variations-2-chronic-illness-and-disability.

My Assignment Help (2019) Health Variations 2-Chronic Illness And Disability [Online]. Available from: https://myassignmenthelp.com/free-samples/401209-health-variations-2-chronic-illness-and-disability[Accessed 18 December 2021].

My Assignment Help. ‘Health Variations 2-Chronic Illness And Disability’ (My Assignment Help, 2019) accessed 18 December 2021.

My Assignment Help. Health Variations 2-Chronic Illness And Disability [Internet]. My Assignment Help. 2019 [cited 18 December 2021]. Available from: https://myassignmenthelp.com/free-samples/401209-health-variations-2-chronic-illness-and-disability.

.close{position: absolute;right: 5px;z-index: 999;opacity: 1;color: #ff8b00;}


Thank you for your interest
The respective sample has been mail to your register email id


$20 Credited
successfully in your wallet.
* $5 to be used on order value more than $50. Valid for
only 1

Account created successfully!
We have sent login details on your registered email.



Myassignmenthelp.Com is dedicated to raise the research aptitude of students.For that we provide, perfect research papers.We help in all areas of research paper drafting be it selecting good research paper topics, helping creating research paper cover page, research paper outline etc. Our PhD experts help students in knowing how to write a research paper from scratch, how to do a literature review, writing abstracts, title, methods and discussions along with conclusion.

Latest Healthcare Samples

div#loaddata .card img {max-width: 100%;

5N1794 Safety And Health At Work
Download :
0 | Pages :

Course Code: 5N1794
University: University College Cork

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Ireland

Assignment 1
Answer to question 1
I have conducted a survey at my workplace maned Lady’s Hospice and Care Services to observe the working environment. The aim of the survey is to find if it is a safe, healthy, secured and fulfilling place to work. A visual survey was conducted to locate and record the safety signs in the workplace. The objective of the survey is to observe and list different types of signs, location, their prom…
Australia Maple Ridge Management Introduction to film studies University of New South Wales Masters in Business Administration 

400837 Health And Socio Political Issues In Aged Care
Download :
0 | Pages :

Course Code: 400837
University: Western Sydney University

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Palliative care services are designed to improve the life of patient with progressive disease. People receiving palliative care have illness that has no prospect of cure.  As per the World Health Organisation, palliative care is a care given to patient suffering from life threatening illness to improve their quality of life by preventing and providing relief from sufferings by early recognition , assessment and trea…
Australia Minchinbury Management University of New South Wales 

PUBH6304 Global Health
Download :
0 | Pages :

Course Code: PUBH6304
University: The University Of Newcastle

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS) is the spectrum of medical conditions caused due to human immunodeficiency virus (HIV) following which the patient suffers from a series medical complications due to suppression of the immune system of the body. With the progression of the disease, the patient is likely to suffer from a wide range of infections like tuberculosis and other opportu…
United States Newark Management University of New York Masters in Business Administration 

CON 321 Health Related Research
Download :
0 | Pages :

Course Code: CON321
University: University Of Southern Maine

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: United States

Leadership in the hospital is the ability to influence the staff toward providing quality health care. Leadership involves influencing human behavior to create a positive working environment (Langlois, 2012). Good leadership enables healthy relationships among staffs in the hospital enhancing quality delivery of health care services. Leadership is responsible to building teams that have trust, respect, support and effecti…

BL9412 Public Health
Download :
0 | Pages :

Course Code: BL9412
University: University Of The West Of England

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: United Kingdom

According to the researchers, it can be said that the management of the health care organizations has become a difficult task nowadays and the reason behind this is the occurrence of various issues in this sector (Hall et al., 2014). Therefore, the administrative employees of the organization should incorporate various revolutionized strategies for enriching the worth of care provided by the hospital to its clients and re…
Australia Ryde Management Information system strategy University of New South Wales (UNSW) Masters in Business Administration 


Our Essay Writing Service Features

Qualified Writers
Looming deadline? Get your paper done in 6 hours or less. Message via chat and we'll get onto it.
We care about the privacy of our clients and will never share your personal information with any third parties or persons.
Free Turnitin Report
A plagiarism report from Turnitin can be attached to your order to ensure your paper's originality.
Safe Payments
The further the deadline or the more pages you order, the lower the price! Affordability is in our DNA.
No Hidden Charges
We offer the lowest prices per page in the industry, with an average of $7 per page
24/7/365 Support
You can contact us any time of day and night with any questions; we'll always be happy to help you out.
$15.99 Plagiarism report
$15.99 Plagiarism report
$15.99 Plagiarism report
$15.99 Plagiarism report
$3.99 Outline
$21.99 Unlimited Revisions
Get all these features for $65.77 FREE
Do My Paper

Frequently Asked Questions About Our Essay Writing Service

Academic Paper Writing Service

Our essay writers will gladly help you with:

Business Plan
Presentation or Speech
Admission Essay
Case Study
Reflective Writing
Annotated Bibliography
Creative Writing
Term Paper
Article Review
Critical Thinking / Review
Research Paper
Thesis / Dissertation
Book / Movie Review
Book Reviews
Literature Review
Research Proposal
Editing and proofreading
Find Your Writer

Latest Feedback From Our Customers

Customer ID:  # 678224
Research Paper
Highly knowledgeable expert, reasonable price. Great at explaining hard concerts!
Writer: Raymond B.
Customer ID: # 619634
Essay (any type)
Helped me with bear and bull markets right before my exam! Fast teacher. Would work with Grace again.
Writer: Lilian G.
Customer ID: # 519731
Research Paper
If you are scanning reviews trying to find a great tutoring service, then scan no more. This service elite!
Writer: Grace P.
Customer ID: #499222
Essay (any type)
This writer is great, finished very fast and the essay was perfect. Writer goes out of her way to meet your assignment needs!
Writer: Amanda B.
Place an Order

Calculate the price of your order

You will get a personal manager and a discount.
We'll send you the first draft for approval by at
Total price:

Powered by WhatsApp Chat

× How can I help you?