NURS FPX 6011 Assessment 1 Diabetes Patient Concept Map Analysis Carole Lunde is a 44–year–older woman of mixed Native American and European descent and a new mother. She has recently been diagnosed with diabetes, which she was first diagnosed with at 30 weeks of pregnancy. After being told by her OB/GYN that gestational diabetes should clear up after childbirth, She is concerned that she has not recovered due to continued elevated blood glucose (BG). Carole’s BG has been over 200 postprandial and 150-200 fasting.

NURS FPX 6011 Assessment 1 Diabetes Patient Concept Map

Carole could be referred to financial resource organizations like Women, Infants, and Children (WIC) to help her with some financial concerns. WIC helps moms and children under five with nutritional education, health referrals, and breastfeeding support and provides extra nourishment.

Type 2 diabetes is a severe global public health issue that disproportionately affects the poor, especially Native Americans and Alaskans. In 2009, people eligible for the Indian Health Service (IHS) had a 16.1% age-adjusted diabetes prevalence, more than double that of non-Hispanic white individuals (Jiang et al., 2013). Large-scale public health interventions in Native American communities, such as the Diabetes Prevention Program (DPP), have proven that lifestyle modifications can prevent or delay the onset of diabetes for people at risk (Jiang et al., 2013). Healthy lifestyle change in the Native American community highly relies on trust and community collaboration. This will ultimately promote a positive outcome.

Patient Info

44-year-old Native American and European female ten weeks post-partum diagnosed with gestational diabetes at 30 weeks pregnant with persistent hyperglycemia.

References

Alfadhli, E. M., MD, FRCP. (2015). Gestational diabetes mellitus, 36(4), 399–406. 

https://doi.org/10.15537/smj.2015.4.10307

Doenges, M. E. (2019). Nursing care plans guidelines for individualizing client care across the life span (10th ed.). F. A. Davis Company.