The nurse plans the care for an older man who has Medicare, lives on Social Security and a small pension, and has type 2 diabetes mellitus
Which aspect(s) of this man should the nurse integrate into a positive approach to his health and well-being? (Select all that apply.) a. Pays for some diabetic supplies.
b. Enjoys regular physical activity.
c. Practices effective glucose control.
d. Lives alone in a high-rise apartment.
e. Lacks low-cost, reliable transportation.
f. Attends weekly dinner club for diabetics.
B, C, F
The enjoyment of physical activity is a positive aspect of this man and thus can be included in the nurse's plan because he already incorporates an important part of diabetic care into his life and, potentially, enjoys the health benefits of exercise. Practicing effective glucose control de-monstrates this man's resilience and capacity to manage effectively the challenges associated with a chronic illness and thus is a strength the nurse can use in a positive approach toward his health and well-being. This man has a social network that helps him to live with diabetes and to prevent the long-term complications of diabetes. This is a definite strength the nurse uses to help him achieve his optimal health and well-being.
With limited financial resources, paying for some of his diabetic supplies is a burden to overcome and cannot be used in a positive approach toward health and well-being. Living alone is not ideal for an older adult, especially one with diabetes, because of the potential for loneliness and complications from diabetes such as hypoglycemia. Living alone is a negative aspect of this man's life and one which has to be resolved for his safety and well-being. The nurse cannot in-clude this man's transportation issues into a positive plan; the lack of reliable transportation is a problem to overcome and not a strength on which to capitalize.
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