SOLVED144

Key Assessment Findings: High Blood Pressure (150/80 mm Hg): T.R.’s blood pressure is elevated, which is a common symptom of hypertension. Hypertension can lead to serious complications such as heart disease and stroke if not managed properly. Obesity (Weight: 200 lbs. for a 5’5″ female): Obesity is a risk factor for many health conditions, including type 2 diabetes, heart disease, and certain types of cancer. It can also exacerbate osteoarthritis by putting extra pressure on the joints, particularly the knees. Occasional Numbness and Tingling in Feet: This could be a sign of peripheral neuropathy, which is often associated with diabetes. High blood sugar levels can damage nerves over time, leading to these symptoms. Open Wound on Underside of Left Large Toe: This could be a diabetic foot ulcer, a common complication of diabetes. Poor circulation and nerve damage can make it difficult for wounds to heal and increase the risk of infection. The key assessment findings for T.R. indicate several factors contributing to her diabetic status and associated complications. Her morbid obesity, hypertension, abnormal cholesterol levels, and family history of diabetes all point towards a predisposition to diabetes mellitus. Obesity is closely linked with insulin resistance, a hallmark of type 2 diabetes, while hypertension and dyslipidemia are common comorbidities associated with poorly managed diabetes. Furthermore, her past medical history of gestational diabetes signifies a prior insulin resistance state, increasing her susceptibility to developing type 2 diabetes later in life. Lifestyle factors such as smoking, alcohol consumption, and working in a fast-food restaurant exacerbate her condition by further affecting glycemic control. Additionally, her symptoms of fatigue, occasional lightheadedness, and peripheral neuropathy suggest poor glycemic control, potentially leading to long-term complications such as cardiovascular disease and neuropathy (ADA, 2022). Rewrite this discussion
SCIENCE
HEALTH SCIENCE
NURSING

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