Question

Community Case: Health Literacy Case Part 1 Ernesto, a 53-year-old Hispanic male, was admitted to the hospital with severe hyperglycemia and is now newly diagnosed with type 2 diabetes. Ernesto's wife died 2 years ago, and he lives alone, next door to his adult son, Marcos. Ernesto speaks little English and was discharged from the hospital after 3 days. The discharge nurse at the hospital instructed Ernesto on his new medications without Marcos present because the bed was needed for another client. As the nurse instructed him, Emesto nodded yes to the instructions. Questions for students: 1. What is your overall opinion of the discharge process by the hospital nurse? State three areas of priority concerns. 2. Are you comfortable that Ernesto understood the discharge instructions? What could have been done differently? 3. Which ethnicities are more prone to a diabetes diagnosis? 4. What are three specific areas of follow-up care that you anticipate for Ernesto?

Answer 1

ANSWER- 1) Three areas of priority concerns are-

• nurse advice to patient eat high fiber diet like green vegetables, whole grains and fruits.
• avoid fat containing food, spicy food
• monitor the blood sugar level regularly.
• advice for light exercises like walking.
• advice the patient to take medication and injection insulin as prescribed.
• advice the patient for foot care.
• advice the patient if blood sugar level get high inform to physician.
• advice the patient to avoid alcohol and smoking.

3) pacific islanders and american indians are more prone to diabetes diagnosis.