From the scenario, I have come to understand that Ms Jones, who has Type II diabetes, the condition seems to be rooted in her family history. At her age, she is most likely to suffer from type 2 diabetes which is deemed adult-onset diabetes. It is a form of diabetes which is characterized by high blood sugar, resistance to insulin, and insufficient insulin. Ideally, that is pointed by the way Ms Jones complains a lot on increased thirst and unexplained loss of weight. Besides, such a person can experience frequent urination. Moreover, type 2 diabetes makes her body to resist the effects of insulin or either restrain the body from using insulin. Also, diabetes condition has caused her level of sugar (glucose) in her blood to be too high, thus causing some symptoms such as experiencing excess thirstiness.
The most difficult and challenging thing in this scenario is that Ms Jones does not monitor her blood sugar and does not take any medications to control her diabetes. On a different note, I can point out another issue of asthma which is common among some of Ms Jones’ relatives which mean that it is genetic. Some of her family members who have type 2 diabetes and mostly those who are overweight and having high BMI relative to the insulin resistance could be at risk. In the incident where Ms Jones scrapped off her foot against a stepping stool describing her pain to be the scale of 7 out of 10 is quite understandable. As an individual with diabetes and possibly having a weight problem, these factors aggravate pain on the plantar surface, causing strains on the nerves in the feet. Considering diabetes as a risk factor, the unlimited flow of blood to the feet makes Ms Jones’ wound challenging to heal. More so, Ms Jones using the inhaler have some health effects in her blood sugar. In this case, she may need some medication to control high blood sugar if she takes a dose of inhaled corticosteroids. Ideally, inhaled steroids may increase risks of diabetes ( Rayner et al., 2019).
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I recommend that they observe medication and ensure they monitor their blood sugar levels. Ms Jones should also make sure she avoids those factors that trigger her asthma, such as exposure to cats, dust, or running upstairs. She should also avoid standing for long until her injury heals and stop putting much weight on her planar surface until her wound heals.
She should also observe some measures such as eating more fibre foods and carbohydrates, fruits, vegetables and grains to keep her blood glucose level steady. She should likewise eat at regular intervals to satisfaction. Lastly, she should control her weight and maintain her heart health by involving her body in aerobic activity.
Reference
Rayner, L. H., Mcgovern, A., Sherlock, J., Gatenby, P., Correa, A., Creagh ‐ Brown, B., & deLusignan, S. (2019). The impact of therapy on the risk of asthma in type 2 diabetes. The clinical respiratory journal , 13 (5), 299-305.
