CASE 2

Ms. Siti has no close relatives that has diabetes, however some of her other
family had diabetes, especially those over 40 years old. At 34 years old Ms.
Siti was obese and led a sedentary lifestyle.

In the past few months, she had been experiencing unusual thirst, dizziness,
blurred vision, and an awkward feeling of numbness in her right foot.
Following her friends advice, she finally visited the family doctor. She was
worried, but never suspected what she would hear.

Im sorry, Ms Siti, but the tests Ive conducted unfortunately reveal that you
have Type 2 diabetes. Your symptoms are exactly like those we see in many
people with the disease. You have a high blood sugar. In people who arent
diabetic, the food that is digested gets taken into the blood. A lot of it is in
the form of sugar. The blood sugar then is taken into their body tissues with
the help of a hormone, called insulin, made by the pancreas organ.

Yes, I have heard about that.

In your case, you are making enough insulin but your cells dont act like it is
there. Your cells dont seem to recognize it. So what happens is that when
you eat, the sugar in your food doesnt get inside your cells; it stays in your
blood, and so the cells starve. All of that sugar thats in your blood from your
meal gets eliminated in your urine. We can measure it easily. Usually this
disease doesnt occur until after the age of 45, but both your sedentary
lifestyle and family history increase the risk. It appears youve been living
with diabetes for almost a year now.

Ms. Siti sat back in silence. Her eyes rested on the floor for a moment. Then
quietly she said,

No. How can it be? How could it be that I did not know? A year? How could I
not tell the symptoms for so long?

It comes upon people slowly, Miss. There are about 10 millions Indonesians
that are diabetic, but a third of them dont know they have it.

While the doctor continued to detail Morgans condition, she was hardly
listening. How would her life change? Would she now have to take insulin
shots for the rest of her life? So many of her friends and family had suffered
from this terrible disease. What would happen to her now?
Instruction:

1. Write the sign & symptoms you find on the case!

2. Find nursing problem and Formulate nursing diagnosis using those data!
3. Write your nursing diagnosis list based on the priority and provide the reason!
4. Make an essay about the commonest nursing diagnosis on client with Diabetes

Mellitus based on the litterature search using google scholar database and provide

the table of litterature.

Example of litterature tabel:

No Author & Year Source (Name of the Title Findings

journals, book, etc)
1