Part b Assignment Example | Topics and Well Written Essays - 1000 words

Part b - Assignment Examplentition, decreased appetite, decreased taste sensation, and presence of degenerative illness, older adults are more likely to be nutritionally deficient, which put them at risk for hypoglycaemic episodes (Roach, 2001, p. 321). Likewise, older adults frequently live alone and the non-recognition of the symptoms of hypoglycemia may lead to incidences of injury (Surrena, 2009, p. 387).Mr. Adams Douglas, 51 year-old male, was admitted to the infirmary due to confusion. Assessment revealed a blood sugar of 2.1 mmol/L, a marked hypoglycemia. In addition, Mr. Douglas is receiving medication for diabetes and hypertension and stated that he administered full dose (26 units) of insulin in the morning although Mr. Douglas had not eaten anything prior to administration of insulin. move on assessment also revealed that Mr. Douglas smokes 1 pack of cigarette/day and has been living alone in a single bed unit. Upon admission to the hospital, Mr. Douglas current conditio ns include slurred speech, inability to remain still in the bed, feeling of weakness and lack of energy, and Glasgow Coma Scale of 13/15. Initial medical interventions were implemented in order to rule out hypoglycemic episodes.The first nursing diagnosis is the Risk for Injury think to decreased blood sugar level, secondary to insulin therapy. After two hours of nursing intervention, Mr. Douglas will be barren from any form of injury by maintaining blood glucose levels between 2.7-3.3 mmol/L and identifying signs and symptoms of hypoglycemia.Nursing interventions include the undermentioned assessment of serum glucose levels at bedside before administering oral hypoglycemic agents, before meals, and before going to ease because serum glucose levels are more accurate parameters than urine glucose, which is affected by renal threshold and act upon of aging (Moyet, 2008, p. 856) assessment of signs and symptoms of hypoglycemia such as irritability, confusion, fatigue, weakness, sw eating, shakiness, palpitation,