c) Why are these appropriate for Sarah? Insulin can be injected into the abdomen, thigh, or arm where there is a fatty tissue. Accroding toPerkins, A. (2017). Insulin basics.Nursing made Incredibly Easy, journal, The abdomen is the most preferred place for insulin injection. This is because the insulin administered is absorbed most consistently. The site for injection should be rotated frequently , that is change the injection spot subsequently ,to avoid fat/ lipid breakdown in the site of injection. The angle of the needle should be at 45º.The insulin should be injected subcutaneously into the layer of fat beneath the skin rather than into the muscles. If injected to the muscles, the body absorbs insulin too fast and reduces the time of action and it is also rather more painfulQuestion 7.Mark 5a) When would Sarah’s BGL need to be tested after administration of NovoRapid?b) Why would a BGL be required at that time? NovoRapid insulin starts to work 10-20 minutes after administration. Saah’s BGL may be checked after 30 minutes to monitor the glucose regulation.according to Davidson, and Hebblewhite,(2018).BGL should be checked before meals, before going to bed and sometimes at night. Blood glucose level should be tested at least 3 times a day. This is to ensure there is timely blood glucose monitoring for the prevention of extreme diabetic problems. Question 8.Mark 5Discuss the daily physical challenges of living with type 1 diabetes that Sarah may face. Diabetes is a chronic condition that impacts on the social and physical lives of patients heavily.
CASE STUDY 6In a report by Hagger, et.al 2016) Youth–Australia Study confirms T1DB places both behavioural and psychological weight on young people and their families. The disease requires 24/7 hours in management hence affecting greatly on Sarah's physical routine. Diagnosis of diabetes may be a grieving and a stressful episode. Sarah's diabetic condition may interfere with her swimming lessons and dance classes. Her parents are busy working hence she may experience a hard time injecting the medications all alone. Question 9.Marks 10Discuss the potential emotional impacts of living with type 1 diabetes that Sarah may face.Hamman, 2011 defined diabetes distress (DD) as the unique, often hidden,emotional burdens and worries that a patient experiences when they are managing a severe chronicdisease such as diabetes. High levels of DD are common and distinct from clinical depression. DDscreening tool is a unique 17-question survey used for assessing emotional burden, physical-relateddistress, regimen-related distress, and interpersonal distress. Such tool is quite handy inunderstanding a patient's emotional need in the overall management of diabetes.