Type 1 Diabetes Mellitus

You are a registered nurse in" rel="nofollow">in an outpatient facility. Mrs Adin" rel="nofollow">ina Mallacoota, a 65-year old Aborigin" rel="nofollow">inal woman enters the clin" rel="nofollow">inic with her son who has driven her there. She appears puffy around the eyes and ankles and reports that she is ‘very tired.’ Her notes state that she has chronic kidney disease (CKD) secondary to poorly controlled diabetes mellitus. Her BP is 150/100 and her non-fastin" rel="nofollow">ing BGL is 14mmol/l. When you talk to her, she states that she is ‘worried about the future’ and asks if she is goin" rel="nofollow">ing to ‘need new kidneys.’ 1. You determin" rel="nofollow">ine that one nursin" rel="nofollow">ing problem is Mrs Mallacoota’s in" rel="nofollow">ineffective self-management of her type 1 diabetes and your goal of care is around secondary prevention strategies to slow progression of her CKD. Briefly explain" rel="nofollow">in the rationale for why you will be encouragin" rel="nofollow">ing more effective self-management of Mrs Mallacoota’s blood glucose levels. In your answer consider the underlyin" rel="nofollow">ing pathophysiology of type 1 diabetes and CKD, the lin" rel="nofollow">inks between the two conditions, and any relevant guidelin" rel="nofollow">ines and protocols. 2. Identify a second nursin" rel="nofollow">ing problem and justify a goal of care and subsequent nursin" rel="nofollow">ing action for promotin" rel="nofollow">ing positive health outcomes for Mrs Mallacoota in" rel="nofollow">in relation to her CKD. You should consider any relevant underlyin" rel="nofollow">ing physiology/pathophysiology, personal, lifestyle and socioeconomic factors and use evidence-based literature to support your justification. 350 words total (+/- 10%)