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Ref No: 35785 (PID)

Introduction

The risk assessment topic I have chosen is “patient’s nutritional management” which is supported by evidence-based research. This is done by showing my understanding of the complex care delivery to the young patient and how it may impact her and family holistically (McCrory, 2019). I will evaluate and reflect upon my role as a nurse in delivering safe, MDT, high-quality care concerning patients’ nutritional management suffering from diabetes. I will also discuss factors affecting my role as a nurse, factors affecting the family of the patient, and factors affecting the clinical settings of the hospital (Haines et al., 2018)

Main body

The main body has consisted of the incident of the 9-year-old young patient. Patient’s nutritional management by MDT and nurse using NMC code of 2018 (NMC, 2018) and keeping in mind the 4Ps and 6Cs of nursing. The rationale as to why the patient will need complex care delivery and how will she get it keeping in mind the underpinning theory (Cuthbertson, Robb, and Blair, 2020). Further, the role of the nurse and how certain factors can affect the nurse’s role, the patient herself, her family, and clinical setting.

Description

The description is consisted of elaborating the incident of the patient. The 9-year-old female patient was type 1 diabetic and came in an emergency to the hospital with elevated blood sugar levels of 330mg/dl. The patient was involved in a road traffic accident (RTA) where she went unconscious on the spot. The patient got several minor injuries as the RTA was not of high impact. Luckily, she didn’t have her mother with her but her father only. However, her father got minor injuries. Her father was a manager at a food restaurant and his job consisted of 12 hours a day. The patient also had a falling incident 2 weeks ago but she was doing okay, she had bruises on her arm which were not healing. The patient would also feel fatigued, pain in the arm, and body cramps and she was taking paracetamol and over-the-counter medications for that. Further, she was on insulin. But in the past month, her blood sugar levels were elevated evidenced by polyuria, polydipsia, and polyphagia. On assessment and biochemical findings it was found that her HbA1c levels were high at 7.6mmol/l (normal <5.6mmol/l). Her random blood sugar levels were at 330mg/dl (normal <140mg/dl). Her blood cholesterol level was 390mg/dl (normal: <200mg/dl), LDL levels were 170mg/dl (normal: <100mg/dl), HDL levels were 20mg/dl (normal>40mg/dl), and triglycerides were 250mg/dl (normal: <150mg/dl). Her lipid profile was thus high and abnormal due to frequent eating fast food and ready to eat items outside. Her waist circumference was more 33inches……….