In healthcare, service providers face the challenge of not being able to quickly and thoroughly carry out their mandate as a result of patients not being well informed.
In some cases, patients may fail to recover just because of doing certain things during their recovery phase due to a lack of knowledge. Therefore, it is essential to educate patients on their disease process, medications, activity level, procedures, and treatment as well as restrictions to facilitate their quick recovery.
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The teaching plan prioritizes helping the patient to make lifestyle changes to promote health and recovery (maintaining a stable blood sugar), an individualized meal plan, nutrition therapy, hygiene, and stresses on the prescribed treatment program. Traditional low-calorie, low-fat diet with low carbohydrates, and low-glycemic-load regimens such as Atkins and Ornish diets would best help the patient (Wadden, Webb, Moran, & Bailer, 2012). Additionally, plant-based foods such as vegetables, fruits, and grains would benefit the patient.
The patient needs to know that his morbid obese condition is the possible cause of diabetes mellitus and hypertension he suffers from due to high cholesterol in the body. The patient should understand that all the conditions are related since his foot osteomyelitis makes him have limited movement, and he eats junk food while not complying with the diet regimen. Consequently, high blood cholesterol then clogs on the walls of the blood vessels and causes high blood pressure and diabetes due to developed resistance to insulin. The conditions are brought about by obesity.
The procedures and treatment of morbid obesity involve medications, procedures, and lifestyle or behavioral modifications. According to (Wadden, Webb, Moran, & Bailer, 2012), three primary components of behavioral weight control exist that can help the patient; behavioral therapy, exercise, and diet. The patient has foot osteomyelitis, and so he would have limited activity until after treatment.
Powers et al. (2015) clarify that while formulating a detailed teaching plan, working closely with the patient's relatives work. The patient's sister brings him junk food while monitoring the blood sugar level of the patient is vital. He needs to avoid foods rich in too much glucose and fats. She should be informed not to bring for him sugary food but instead help him follow a recommended diet. Furthermore, during treatment, a registered nutritionist would be called upon to help watch the blood sugar levels since the patient has a history of not being compliant with the diet regimen.
Treatment of the patient would involve the use of orlistat as would be prescribed by the doctor, which prevents absorptions of eaten fats. The medication fits the patient since besides being obese, he has other related conditions and has 350 lbs. Its side effects include oily discharge through the rectum, fatty feces, headaches, colds, and stomach pains. Surgery may be opted for if the situation is worse. Procedures for treating diabetes involve avoidance of high blood glucose, complications, and risks. Medication such as metformin, sulfonylureas, meglitinides, and other inhibitors such as GLP-1 receptor agonists can be ministered (Mühlbacher & Bethge 2016).
During the education, the patient’s foot should be a priority because he would only be able to exercise when he gets healed. Treatment include surgery and the procedure would involve draining the infected area, removal of the infected bone and tissues and then restoring blood flow to the area, and finally amputating the limb. Alternatively, through bone biopsy, the bacteria can be identified and then antibiotics administered intraveously, for about a period of six weeks.
In conclusion, the best education plan involves incorporating the patient’s sister, his closest relative who would ensure that he follows the diet, medication and facilitate hygienic conditions around him. Treating his obesity would also automatically lower hypertension and intolerance to insulin.
References
Mühlbacher, A., & Bethge, S. (2016). What matters in type 2 diabetes mellitus oral treatment? A discrete choice experiment to evaluate patient preferences. The European Journal of Health Economics : HEPAC, 17(9), 1125-1140. doi:http://dx.doi.org/10.1007/s10198-015-0750-5
Powers M. A., Bardsley J., Marjorie C., Paulina D., Martha M. F., Amy H. F., Melinda D. M., Linda S., Eva V., Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care Jul 2015, 38 (7) 1372-1382; DOI: 10.2337/dc15-0730 Retrieved from: https://care.diabetesjournals.org/content/diacare/38/7/1372.full.pdf
Wadden, T. A., Webb, V. L., Moran, C. H., & Bailer, B. A. (2012). Lifestyle modification for obesity: new developments in diet, physical activity, and behavior therapy. Circulation, 125(9), 1157–1170. doi:10.1161/CIRCULATIONAHA.111.039453
