The American Diabetes Association report 2017 shows that approximately 1.3M American children and adults have Diabetes mellitus (Fox, 2015). In addition to this, type-one diabetes has been reported to be a worse killer disease than AIDS and breast cancer. These patients require special treatment and adoption of a particular lifestyle to contain the illness. This involves strict dietary controls, insulin injections among others.
To create awareness of the disease to the violinist, the RN should deeply educate the patient on the causes and risks of diabetes mellitus if left unmanaged. The patient is the central theme, and therefore all interventions should be administered to him. This can be done through an in-depth conversation between the patient and diabetes specialists or a critical examination of a diabetes newsletter. In regards to the risk, the patient should be thoroughly educated on how to manage the disease. Strict emphasis should be placed on the insulin injections (Burchum, 2016), regular exercise, balanced diet, and healthy lifestyle. Above all, PowerPoint presentations should be done to project the images of people living with diabetes and the effects on those that forfeit treatment.
There are several factors that the RN needs to consider when dealing with this patient. Firstly, the touring destinations constitute a significant factor. There is need to examine whether these destinations have an adequate supply of insulin in cases of emergency (Cariou, 2015).
Also, the different time zone is a critical factor to consider (Pavela, 2018). Long-acting insulin injections are administered at regular intervals hence traveling east or west where time zones change drastically might pose a threat to this patient.
Lastly, the RN needs to consider the lifestyle led by the patients. Most of the artists engage in an unhealthy lifestyle that contravenes the strict dietary and lifestyle controls stipulated for diabetes patients (Hinkle, 2014).
To integrate this regimen into the lifestyle of the patient, it is essential for him to always travel with a diabetes physician who will administer all the required insulin injections, advice on the kind of lifestyle to lead, what practices to avoid and keep him in check. Above all, this physician will always be present in times of emergency. Therefore, all the risks will be mitigated.
References
Burchum, J. R., & Rosenthal, L.D. (2016). Lehne's Pharmacology for Nursing Care (9th ed.). St. Louis, MO: Elsevier. o Chapter 57: Drugs for Diabetes Mellitus
Cariou, B., Fontaine, P., Eschwege, E., Lievre, M., Gouet, D., Huet, D., ... & Charbonnel, B. (2015). Frequency and Predictors of Confirmed Hypoglycemia in Type 1 and Insulin-Treated Type 2 Diabetes Mellitus Patients in a Real-Life Setting: Results from the DIALOG Study. Diabetes & Metabolism, 41(2), 116-125.
Fox, C. S., Golden, S. H., Anderson, C., Bray, G. A., Burke, L. E., De Boer, I. H., ... & Inzucchi, S. E. (2015). Update on Prevention of Cardiovascular Disease in Adults with Type 2 Diabetes Mellitus in Light of Recent Evidence: A Scientific Statement from the American Heart Association and the American Diabetes Association. Circulation, 132(8), 691-718.
Hinkle, J., & Cheever, K. (2014). Brunner and Suddarth's Textbook of Medical-Surgical Nursing (13th ed.). Philadelphia, PA: Wolters Kluwer Health. o Chapter 51: Assessment and Management of Patients With Diabetes Mellitus
Pavela, J., Suresh, R., Blue, R. S., Mathers, C. H., & Belalcazar, L. M. (2018). Management of Diabetes During Air Travel: A Systematic Literature Review of Current Recommendations and their Supporting Evidence. Endocrine Practice, 24(2), 205-219.
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