Diabetes Management

Scenario: You are seeing a 64-year-old Hispanic male for his diabetes management. He reports that his morning capillary blood sugar readings are ranging in the 150 to 190 range. Last month his Hgb A1C was 7.4 He is on Metformin 1000mg twice a day and Glipizide 5mg daily. He walks a couple miles three to five times a week. A dietary review reveals that his daily total carbohydrate intake is in the range of 75 to 100 grams. Last eye exam did not reveal any problems. He wears reading glasses when needed. He does report some intermittent burning sensation in his feet. Ht 6’2”, Wt 200 lbs, BP 118/72, P 72, R 17 Heart regular rhythm, without murmur or gallop Lungs clear Monifilament testing does not reveal any decreased sensation in the feet Please develop a discussion that responds to each of the following prompts. Where appropriate your discussion needs to be supported by scholarly resources. Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion. Initial post Utilize the information provided in the scenario to create your discussion post. Construct your response as an abbreviated SOAP note (Subjective Objective Assessment Plan). Structure you​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​r ‘P’ in the following format: [NOTE: if any of the 3 categories is not applicable to your plan please use the ‘heading’ and after the ‘:’ input N/A] Therapeutics: pharmacologic interventions, if any – new or revisions to existing; include considerations for OTC agents (pharmacologic and non-pharmacologic/alternative); [optional – any other therapies in lieu of pharmacologic intervention] Educational: health information clients need in order to address their presenting problem(s); health information in support of any of the ‘therapeutics’ identified above; information about follow-up care where appropriate; provision of anticipatory guidance and counseling during the context of the office visit Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’ with the patient/patient’s care giver; if appropriate -placing the patient in a Transitional Care Model for appropriate pharmacologic and non-pharmacologic care; if appropriate – consult with or referral to another provider while the patient is still in the office; Identification of any future referral you would consider making Support the interventions outlined in your ‘P’ with scholarly resources. Please be sure to validate your opinions and ideas with cita​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​tions and references in APA format.

 

Sample Solution

at times supplanted by a quick n-bit convey spread viper. A n by n exhibit multiplier requires n2 AND doors, n half adders, and n2 , 2n full adders. The Variable Correction Truncated Multiplication technique gives a proficient strategy to re-ducing the power dissemination and equipment necessities of adjusted exhibit multipliers. With this strategy, the diagonals that produce the t = n , k least critical item pieces are disposed of. To make up for this, the AND doors that create the halfway items for section t , 1 are utilized as contributions to the changed adders in segment t. Since the k excess changed full adders on the right-hand-side of the cluster don’t have to create item bits, they are supplanted by adjusted decreased full adders (RFAs), which produce a convey, yet don’t deliver a total. To add the consistent that revises for adjusting mistake, k , 1 of the MHAs in the second column of the exhibit are changed to altered concentrated half adders (SHAs). SHAs are identical to MFAs that have an informat

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