Evaluate the following case study. Determine the actual vs. Potential problems this client may be facing. Keep your nursing diagnosis according to the NANDA guidelines.
Mr. X is a pleasant 67 year African American male who has significant problems with his health history. He lives with his second wife and one of his children in a rental home. The patient has some college and worked in various positions until his health forced him to apply for SDI earlier this year. His history is significant for tobacco and alcohol abuse. The patient states he had his last drink 10 years ago and quit smoking 15+ years ago.
He considers himself a man of faith and received solace from the chaplain visits. His wife and daughter are in good health and will be able to provide good environment for recovery. It is important that the wife and daughter are educated regarding food choices for Mr. X and how to monitor his blood glucose levels. His past medical history shows a poor monitoring and control. Education about the value of monitoring as it relates Mr. X health may help improve compliance.
Mr. X is at Erickson's Ego integrity vs Despair stage. It is normal at this time of life to reflect upon accomplishments and contributions and ask yourself if you have done good over life. An unhealthy preoccupation with missed opportunities will inhibit thinking about the positive contributions that your life has made. Mr. X has a chance to move to the Ego Integrity. I think it may be difficult because history would seem to indicate a struggle to pass through the previous adult phases. With help from the VA system and his support team at home, this may be the opportunity Mr. X moves into the healthy part of his phase.