Developing a Case Management Plan Jimmy Jansen is a 44-year-old man with type 1 diabetes mellitus. He was recently referred to your home health agency for case management follow-up at home. He is experiencing multiple complications from his diabetes, including the recent onset of blindness and peripheral neuropathy. His left leg was amputated below the knee last year because of a gangrenous infection of his foot. He is unable to wear his prosthesis at present because he has a small ulcer at the stump site. His chart states that he has been only “intermittently compliant” with blood glucose testing or insulin administration in the past despite the visit of a community health nurse on a weekly basis over the past year. His renal function has become progressively worse over the past 6 months, and it is anticipated that he will need to begin hemodialysis soon.

To effectively treat the patient with type 1 diabetes mellitus, I would only refer the patient to a nephrologist who would help to assess his renal function and to conduct hemodialysis.

On the other hand, I would implement several interventions on the patient with type 1 diabetes mellitus as their case manager. This would include adopting interventions to normalize the insulin activity of the patient and their blood glucose level, adopting interventions to educate the patient effectively on issues related to type 1 diabetes, and providing interventions to change the patient lifestyle to avoid the risk of infections. I would also add up interventions to ensure that the patient receives a healthy diet and is adequately educated on issues related to type 1 diabetes (Cárdenas-Valladolid et al., 2018).

The first intervention I would implement as a case manager for the type 1 diabetes patient would be to stabilize the patient’s glucose. I will therefore assess the patient for hyperglycemia and assess the patient’s blood glucose levels before meals and at bedtime, monitor the patient’s weight daily, and monitor the patient’s glycosylated hemoglobin. I would then administer insulin consistently to the patient and also teach the patient how to perform effective glucose monitoring at home. I would also educate the patient on how to take insulin as directed.

On the other hand, the second intervention I would conduct on the type 1 diabetes patients would be to adequately educate the patient on all issues related to type 1 diabetes and to ensure that the patient understands the symptoms of low blood glucose levels, adequate insulin injection and the treatment of hypoglycemia and the diet they would need to take (Anderson & Moore, 2017).

The word intervention I would conduct on the type 1 diabetes patient would be to educate the patient on various interventions they would utilize to avoid the risk of infection, such as the gangrenous infection he experienced in the past. To avoid infections, the patient will therefore need to change his lifestyle and come up with a specific strategy to reduce the risk of infections (Anderson & Moore, 2017).

On the other hand, I would involve a nutritionist in the type 1 diabetes patient’s plan of care. The nutritionist would help to develop an adequate food plan for the patient and to ensure that the patient follows the suggested food plan (Anderson & Moore, 2017).

 Plan for Follow-Up and Evaluation

Mr. Jansen would need to visit the home health agency every two weeks for evaluation and follow-up of his progress in managing type 1 diabetes.

References

Anderson, N. T., & Moore, E. P. (2017). A Clinical Practice Lifestyle Intervention for Type 2 Diabetes. The Journal for Nurse Practitioners, 13(1), e35–e38. https://doi.org/10.1016/j.nurpra.2016.07.021

Order this paper