Each year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations.

For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

Reference: American Diabetes Association. (2019). Statistics about diabetes. Retrieved from http://diabetes.org/diabetes-basics/statistics/

To Prepare

• Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
• Select one type of diabetes to focus on for this Discussion.
• Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
• Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.

By Day 3 of Week 5

Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples.

By Day 6 of Week 5

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different type of diabetes than you did. Provide recommendations for alternative drug treatments and patient education strategies for treatment and management.

I had started the discharge project on CVA stroke but it is not completed. Please complete it using the rubric and instruction. There is also a sample project from last year about diverticulitis. Please use the attached text books to assist. the patient is fictional. this is a final project and worth 20%. 

Thank you for your help. 

 I NEED A RESPONSE TO THIS ASSIGNMENT

3 REFERENCES

Diagnostic criteria for Alcohol Use Disorder

The diagnostic criteria for Alcohol use disorders has recently changed with the DSM-5.  In the DSM-5 a patient can be diagnosed with an Alcohol Use Disorder on three different severities of mild, moderate and severe.  The level of severity is based on the number of presenting symptoms out of eleven total possible symptoms.  Mild presentation is two to three symptoms, moderate is four to five and severe is six or more symptoms (APA, 2013).   The eleven symptoms for criteria are as follows:

1. “Alcohol is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
3. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects.
4. Craving, or a strong desire or urge to use alcohol.
5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home.
6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol.
7. Important social, occupational, or recreational activities are given up or reduced because of alcohol use.
8. Recurrent alcohol use in situations in which it is physically hazardous.
9. Alcohol use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by alcohol.
10. Tolerance, as defined by either of the following: a) A need for markedly increased amounts of alcohol to achieve intoxication or desired effect, or b) A markedly diminished effect with continued use of the same amount of alcohol.
11. Withdrawal, as manifested by either of the following: a) The characteristic withdrawal syndrome for alcohol b) Alcohol (or a closely related substance, such as a benzodiazepine) is taken to relieve or avoid withdrawal symptoms.” (APA, 2013)

Evidenced-based psychotherapy and psychopharmacologic treatment

The treatment of alcohol use disorder is very dependent on the individual and how committed to the process they are.  The first step of treatment for each person remains the same in detoxing the individual.  Detoxing can occur with or without the assistance of medications depending on the patients’ needs and level of dependence.  Some medically assisted models are Schick Shadel and the use of a CIWA in the inpatient setting.  Once the person has detoxed the medical assistance can continue with one of two main medications depending on the patient’s willingness to stay committed to sobriety.  One medication, Antabuse, will cause an adverse reaction if the patient does drink alcohol (Stahls, 2014).  The other, Naltrexone, will help to mitigate the cravings for alcohol (Stahls, 2014).  Psychotherapy also can help the individual to address underlying issues that cause the person to drink (Sadock, 2013).  Individual and group therapy can be beneficial with CBT to help identify triggers and a new way to cope (Sadock, 2013).  Finally, a group setting that can help with accountability such as Alcoholics Anonymous can also be help for ongoing support and encouragement for sobriety.  

Clinical presenting features

A patient that I have experienced was a middle aged male who was terminated from his job and experiencing a marital separation.  He was terminated from work for attendance issues, quality of work issues and showing up to work under the influence.  His marriage was showing signs of effects of alcoholism because he was experiencing an increase in alcohol use causing strain on finances and was becoming easily agitated followed by blackout event.  The comparison of his symptoms and the DSM would reveal that he was suffering from severe alcohol abuse because of the increased use, the effect on his personal and work life as well as the increased cravings for use. 

American Psychiatric Association.  (2013).  Diagnostic and statistical manual of mental disorders (5th ed.).  Washington, DC: Author.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Stahl, S. M.  (2014).  Prescriber’s Guide: Stahl’s Essential Psychopharmacology  (5th ed.).  New York, NY: Cambridge University Press.

 

For this Assignment, you will pretend that you are a contributing writer to a health blog. You are tasked with explaining important information about an assigned mental health disorder in language appropriate for child/adolescent patients and/or their caregivers. 

To Prepare

• Research signs and symptoms for your diagnosis, pharmacological treatments, nonpharmacological treatments, and appropriate community resources and referrals.

The Assignment

In a 300- to 500-word blog post written for a patient and/or caregiver audience, explain signs and symptoms for your diagnosis, pharmacological treatments, nonpharmacological treatments, and appropriate community resources and referrals.