Patient Case Review LIVE - Complex Diabetes after Hospital DischargeJan 06, 2021
This was a case I reviewed with my new grad NP mentee recently, that was complicated on SO many levels and unfortunately happens quite a bit.
It's a patient case where it's not just about the complex medical management, but also the pieces of stepping into this role as a nurse practitioner to navigate the health care system and our patients' lives.
The premise is that it's a 40-year old cis-male patient presenting for hospital follow-up after admission for pneumonia and hyperglycemic hyperosmolar syndrome (severely elevated blood sugar in someone with type 2 diabetes), as well as a complex leg wound and possible necrotizing fasciitis.
Complex Patient Case Study
Medicine in the real world can be messy, and I discuss the case, pearls of practice to keep in mind, and what supports to seek and what to watch out for.
Note - I didn't address every single aspect of this case - including principles of mealtime insulin, the wound assessment and pneumonia, but these were improving! Hopefully, this is a helpful overview of the general approach and pearls of practice.
Check it out here:
Managing Diabetes, Hypertension & CKD Review Course
If you'd like support caring for patients with these three chronic conditions, we cover diagnostic criteria, medication management, real case study examples, and when to refer inside this new program. Join the waitlist here and you'll be notified first when it opens up again.