Read and review the Learning Exercise : Jimmy Jansen is a…
Read and review the Learning Exercise :
Jimmy Jansen is a 44-year-old man with type 1 diabetes mellitus. He was recently referred to yourhome health agency for case management follow-up at home. He is experiencing multiplecomplications from his diabetes, including the recent onset of blindness and peripheral neuropathy.His left leg was amputated below the knee last year as a result of a gangrenous infection of his foot.He is unable to wear his prosthesis at present because he has a small ulcer at the stump site. Hischart states that he has been only “intermittently compliant” with blood glucose testing or insulinadministration in the past despite the visit of a community health nurse on a weekly basis over thepast year. His renal function has become progressively worse over the past 6 months, and it isanticipated that he will need to begin hemodialysis soon.His social history reveals that he recently separated from his wife and has no contact with an adultson who lives in another state. He has not worked for more than 10 years and has no insurance otherthan Medicaid. The home he lives in is small, and he says that he has not been able to keep it upwith his wife gone. No formal safety assessment of his home has been conducted. He alsoacknowledges that he is not eating right because he now must do his own cooking. He cannot driveand states, “I don’t know how I’m going to get to the clinic to have my blood cleaned by the kidneymachine.”
- What referrals would you make?
- What interventions would you implement yourself?
- What is your plan for follow-up and evaluation?