Aim of assessment

The purpose of this assessment is to enable students to demonstrate:

- An understanding of safe, appropriate and responsive quality nursing practice when administering pharmacological interventions to people with type 1 diabetes
- An understanding of the relationship between pharmacological interventions and the cause, pathophysiology and clinical manifestations of type 1 diabetes
- An understanding of the impact of type 1 diabetes on the individual
- An evaluation of relevant literature to support an understanding of the pharmacological and nursing management of a person with type 1 diabetes and express this in a clear and succinct writing style

Case study

You are a Registered Nurse working in the emergency department caring for Ben Summer who is19 years of age.

Medical history
Ben visited his local doctor after experiencing increased appetite and excessive thirst. He has been unusually tired when playing football and hasn't been able to perform at his best. He has lost 10 kilograms of weight over a two week period and has been frequently urinating at night. The doctor suspected type 1 diabetes and tested his urine, which was positive for glucose and ketones. A random capillary blood glucose level was 25.0mmol/L and blood ketone level was 1.5mmol/L. Ben was advised to attend the hospital emergency department immediately.

Social history
Ben lives with his mother (Susan), father (John) and 12 year old brother (Jacob). He attends university full time, studying engineering and works at McDonalds on a casual basis.Ben plays football on the weekends and trains two days during the week. He has a girlfriend Rachel and they both enjoy surfing at the beach.

Emergency department review

Two hours after review by the local doctor, Ben's capillary blood glucose level (BGL) was 26.0mmol/L and blood ketone level was 1.6mmol/L. Other vital signs were within normal limits. After review by the endocrinologist, Ben was given a provisional diagnosis of type 1 diabetes based on his symptoms and family history of autoimmune disease (His mother has hyperthyroidism, Graves' disease). His blood test confirmed that he did not have ketoacidosis.

Treatment plan
Ben was prescribed subcutaneous insulin; Aspart (NovoRapid) Flexpen 10 units TDS and Glargine (Lantus) Solostar 30 units nocte. He was referred to the diabetes service for ongoing care.

The assessment must comply with the following:

- Students must respond to each of the questions provided using academic writing - question/ answer format using full sentences and paragraphs.
- An introduction and conclusion are NOT required.
- Please type your responses on the template provided in the assessment tab on vUWS.
- The assessment has double-spaced lines. Arial 12 size font.
- Referencing must be presented in APA 6, according to Citing