An older female adult has diabetes mellitus. Which patient ...

[bobthebuilder]

An older female adult has diabetes mellitus. Which patient assessment validates the nurse's conclusion that she is in the foreground perspective of the shifting perspectives model of chronic illness?
 
  a. Has an amputation of two toes
  b. Lives at home with her husband
  c. Self-checks blood sugar frequently
  d. Changes battery in her glucometer

Question 2

According to Healthy People 2020, older adults have been identified as a priority, with a goal to improve their health, function, and quality of life. Identify the targeted chronic focus areas for improvement. (Select all that apply.)
 
  a. Diabetes
  b. Arthritis
  c. Congestive heart failure
  d. Dementia
  e. Cancer
  f. Pressure ulcers

[brittanywood]

Answer to Question 1

A

Feedback
A Correct. An older adult thinks and acts about diabetes mellitus in the foreground perspective when signs of disease progression occur. This is evidenced by the need for the amputations because hyperglycemia damages the lining of vessels and can lead to peripheral artery disease. The perfusion to this woman's toes has deteriorated to the extent that the tissue has died; the dead tissue must be re-moved to avoid infection.
B Incorrect. Living at home indicates she has a functional status that is sufficient to maintain independent living.
C Incorrect. This woman is able to monitor her blood sugar independently.
D Incorrect. This woman retains enough functional ability to change a battery.

Answer to Question 2

A, B, C, D
In a push toward wellness, older adults were identified as a priority area for the first time. The targeted chronic areas of focus were identified as diabetes, arthritis, congestive heart failure, and dementia.