Based on Tina Jones’ abdominal assessment which was this week’s focus, her results were normal. Tina Jones does not accept abdominal issues such as pain or nausea or in that matter she claims not to have an history of abdominal issues. She however claimed that she had frequent movements in the bowel on a daily basis. Her obese nature had propelled her to lose some weight over the last one month-10 pounds. Her food intake however increased. Tina Jones also reports to pass urine every hour during the day and frequently wakes up at night She also reported that her urine is normal.
The issue of concern regarding Tina Jones is her palpated liver. The physician should consider conducting a CT scan for the abdominal assessment to get clarity on the liver. One of the core functions of the liver is regulating blood sugar. As such diet is critical because a fatty liver is less responsive to insulin which leaves significant amounts of glucose in the blood and worsens type 2 diabetes (Jarvis, 2015).
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Tina Jones needs health education about her food intake. She should cut on the high consumption of carbohydrates. So as to control her glucose levels. This will sequentially be beneficial for her right foot wound. Tina Jones should also see a nutritionist to help guide her with food preferences. Gulati & Misra (2017) reveal that patients with type 2 diabetes should have a diet rich in nutrients and low on calories, saturated fats, and trans fats. Tina should also consider a stool softener. The softeners will help resolve the issue on bowel movement. My last advisory for Tina is to concentrate more on foods that are high in fiber.
References
Gulati, S., & Misra, A. (2017). Abdominal obesity and type 2 diabetes: dietary strategies including edible oils, cooking practices and sugar intake. European Journal of Clinical
Nutrition , 1 , 8.
Jarvis, C. (2011). Physical Examination and Health Assessment-E-Book . Elsevier Health Sciences.
