HNN120 Lecture Notes - Lecture 7: Diabetes Mellitus Type 2, Dietitian, Blood Sugar
HNN 120 Week 7 Seminar Note
CASE STUDY
You are on placement in an orthopaedic unit. Bob, a 62 year old man, is admitted for
amputation of his left foot, as a result of a chronic ulcer secondary to Type 2
Diabetes Mellitus (T2DM). Bob was a truck-driver and was still working casually until
last year when he started having trouble using the clutch. Bob seems stoic about his
situation, saying “I got myself into this state, too many meat pies and not enough
exercise!” As you care for Bob, consider the following:
In your team, answer the following questions:
1. What is the role of the nurse within the multidisciplinary team (MDT)?
a) Nurses play an important role in the multidisciplinary team.
b) Patient. advocate.
c) Health Teacher, important information
d) Primary carer
e) Manager (the nurse manager contributes to fostering a safe and healthy
environment to be supportive to the multidisciplinary team, which
ensures a safe patient outcome.)
f) Implementing nursing intervention
g) Hand over information to other staff to ensure the update information
without missing.
2. Which members of the MDT would be likely to be involved with Bob’s care?
a. Doctor- anaesthetist, surgical team (plastic, orthopaedic, endo-
diabetes), Registrar, pain team)
b. Dietitian (education food times, alcohol consumption, portion size, etc.)
*nurse need to make the referral to the dietitian online
c. Physio- mobility provide appropriate Aid exercise
d. OT (occupational therapist) look things like to be home visit; assess and
come up with a plan to help pt. manage at home relatively dependently
e. Diabetic educators- BGC (blood glucose concentration) medication
f. Social worker- in the hospital support (emotional financial) help pt.
transfer positions in the clinical settings.
g. Psychiatric
h. Nurses-theatre, community, ED (emergency department), admission,
ward
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Document Summary
You are on placement in an orthopaedic unit. Bob, a 62 year old man, is admitted for amputation of his left foot, as a result of a chronic ulcer secondary to type 2. Bob was a truck-driver and was still working casually until last year when he started having trouble using the clutch. Bob seems stoic about his situation, saying i got myself into this state, too many meat pies and not enough exercise! as you care for bob, consider the following: Benefits: wide range of skills, provide a better/optimal patient outcome, big scope of practice, different treatment methods evidence based care(mev) ===regular meeting and encouraging open communication: different working styles high rotation. ===familiarize members in the team and adapt to the teamwork style which is guided by pt. outcome. c. ===it is essential to have a leader in place to lead the correct direction: unclear goals of pt.
