Human Needs Case Study

Human Needs Case Study

Case:
Mr. Juan Duran is a 60-year-old patient who has been coming to the Diabetes Clinic at the VA for a few months. One day, the Clinic Director, Jim Carlson, finds him wandering the hallway, appearing somewhat dazed, with a bag of supplies for blood glucose testing and insulin administration. Mr. Duran tells him that he has been instructed to start insulin for his diabetes but does know how. He does recall receiving any appointment or instructions. Mr. Carlson finds the Diabetes Nurse Educator, Jenny Connell, and asks her to fit Mr. Duran in for an unscheduled appointment.

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Jenny Connell starts the appointment with a thorough assessment of Mr. Duran. In addition to the physical assessment, she covers psycho-social-spiritual issues. She discovers that Mr. Duran has had diabetes for about 10 years and, recently, his blood glucose levels and HgbA1c cannot be controlled with oral medications and exercise. The physician wants to start him on insulin. Here are notes that she took from her assessment:
Sixty-year-old Mexican American patient. He is exceedingly polite and respectful of health care personnel (and does not like to interrupt or ask too many questions). He has been in the United States more than 50 years; he is a Navy veteran. Married; lives with wife in a comfortable apartment in Chula Vista, CA.
Duran speaks fluent English, but his wife English is limited. They speak Spanish at home.
Because Mr. Duran has limited vision, his wife has to administer the insulin.

Had one (single) daughter, who was found murdered in the apartment parking lot less than 2 weeks ago, leaving Mr. and Mrs. Duran to care for her child.
Duran seems befuddled by the insulin and syringes and is stoic when he talks about the loss of his daughter. Grand Nursing Theories Based on Human Needs.

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Instruction (2 parts)
1. A comparison of what you have learned from the case study to related theories you have studied this week. Mention the specific nursing theories : (Betty Neuman and Dorothea Orem). Explain how both of the theories to the case study.
2. A comparison of the case study to your nursing practice, giving one or two examples from your nursing experience in which you might have applied a particular theory covered.

Your reflection should be a minimum of five to six paragraphs.
No Cover page or Reference page is needed.
No citations needed- you are getting the theory discussion from your required reading for the week.
Therefore- Your grade will reflect 2 components as listed above. So be sure to include #2- a comparison to your practice in your response, giving an example of how that theory/theories relate to your practice

Human Needs Case Study

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