Case Study 8—Emily K. – 12 Year Old with Type 1 Diabetes With Answers Problem-Based Learning/Critical Thinking Ackley and Ladwig’s Nursing Diagnosis Handbook, 13th Edition Makic (2024)

Makic: Ackley and Ladwig’s Nursing Diagnosis Handbook, 13th Edition Case Studies (2024) Problem -Based Learning/Critical Thinking Case Study 8—Emily K. – 12 Year Old with Type 1 Diabetes Case Scenario Emily K. is a 12 -year-old adolesc ent who was diagnosed with type I diabetes 9 months ago. Initially, Emily did well with her insulin and diet therapy and was very involved in the management of her diabetes. She and her parents responded positively to the diagnosis and to your teaching. Em ily and both of her parents learned to administer her insulin. She continued to play soccer and softball, despite her mother’s fear that she will “make herself sicker.” Her father says, “Let her play; don’t make a baby out of her.” However, over the past 3 months, Emily has become a “frequent patient” in the pediatrician’s office and in the emergency department, alternating between hyperglycemia and hypoglycemia. Nursing Assessment Emily now refuses to administer her own insulin, cries each time she gets her insulin injections, and constantly sneaks candy and cookies from the cabinet. She missed more than 15 days of school during the last 9 -week marking period and is in danger of failing. She no longer plays soccer or softball; instead, she spends almost a ll of her time in her room watching television. Emily constantly fights with her two younger brothers and refuses to do her family “chores.” Her parents disagree about discipline, especially when it comes to Emily. Her mother refuses to discipline Emily, s aying, “She can’t help it that she’s angry, she’s so sick.” Her father, on the other hand, says, “She needs to learn to be a big girl and deal with this. It’s not going to go away.” A. ASSESS 1. Identify the significant symptoms by underlining them in th e assessment. 2. List those symptoms (those you have underlined) that indicate the client has a health problem. 3. Group the symptoms that are similar. B. DIAGNOSE 1. Select possible nursing diagnoses for this client. Do this by looking at the list of nursing diagnoses in, the book, Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence -Based Guide to Planning Care . Case Study 8-2 Possible nursing diagnoses: 2. Validate the possible nursing diagnoses. Compare the signs and sy mptoms (defining characteristics) that you have identified from your client assessment with the defining characteristics for the nursing diagnosis that you have selected. Also read the definition and determine if this diagnosis fits this client. Validated nursing diagnoses include: 3. Write/select a nursing diagnostic statement for one of the nursing diagnoses by combining the nursing diagnosis label with the related to (r/t) factors. a. The label is the title of the nursing diagnosis as defined by NANDA -I. Include the Domain and Class. b. A related to (r/t) statement describes factors that may be contributing to or causing the problem that resulted in the nursing diagnosis. NANDA -I label: Related Factors (r/t): The complete nursing diagnostic statement is: C. PLAN 1. Select appropriate NOC outcome from the Ackley/Ladwig text. NOC outcome: Fill out the grid with NOC indicators and the appropriate Likert scale. Select the appropriate point on the Likert scale to measure the client’s current status. INDICATOR 2. Or write outcomes to help resolve the symptoms (i.e., defining characteristics). Refer to Section III of the Ackley/Ladwig text for the nursing diagnosis care plan. Outcomes: 3. Select an appropriate NIC intervention from the Ackley/Ladwig text.