Chapter 9, Problem 3CAQ

Summary Introduction

To discuss:

The possible hindrance like Ms. J’s weight, history of non-adherence and past visit to emergency department will affect the treatment, the biases that affect while providing treatment, and the self-awareness to reduce the effect of bias on the quality of care provided to Ms. J.

Case summary:

Ms. J is a 44-year-old overweight insulin dependent, who is homeless due to the downsizing of her company. She stays in various family members and friends house. She works in a part-time and unable to find a fulltime job. She came to the emergency department with the blood sugar of 322 and hemoglobin of A1C of 11%. Ms. J is assigned to a nursing student S to take care of her. S finds out that Ms. J is constantly admitted in the hospital due to diabetes management. S also finds out that she cannot afford medication due to unemployment. When S inquires about Ms. J., she says in fear that she will die due to diabetes since her mother also died with diabetes. S clarifies her, that the regular management of diabetes will not kill people. S also finds Ms. J a social worker who could find her a community health center nearer her home who support her with her diabetes, S asks the social worker to find employment resources for Ms. J so that she can manage her diabetes and find a healthy living.