Information giving lifestyle 1

By8oxam

Information giving lifestyle 1

Written by Leya Bedar

Student brief

You have been asked to see Parth, who has a BMI of 38. He has been identified as pre-diabetic. Please discuss how you can manage this through lifestyle changes.

Patient brief

Name: Parth Marmana

DOB: 05/05/1990 = 32 years old

BACKGROUND

You went to see the doctor last week for a check up. You were told over the phone that you were ‘pre-diabetic’ and asked to come in for this appointment to discuss this.

You have never heard of ‘pre-diabetes’ but your cousin has Type 1 diabetes, and takes insulin injections. She wears something on her arm that measures her blood sugar levels.

LIFESTYLE

 • DIET: You eat healthily – if asked for more detail:  ready meals, and takeaway like burgers, but you always get them with salad.

• EXERCISE: You exercise regularly – if asked for more detail:  you go for a stroll in the park with your friends twice a week for 10-20 minutes.

• WEIGHT: You have always been a bit chubby. Your weight doesn’t really bother you, although you do feel like being big makes you less attractive, so you have been thinking about trying to lose weight.

You have tried to lose weight in the past by going on a 500 calorie diet, but you could barely manage one day. You don’t think you can lose weight because you have already tried by doing this and it didn’t work.

• READINESS TO CHANGE: You are willing to make some changes, but you have a busy lifestyle as you have a part time job as a cleaner and another part time job as a call centre worker. These changes will have to not take too much time or be too costly.

 OTHER HISTORY

No past medical history.

No relevant drug history or allergies.

No relevant family history.

Part time job as a cleaner and another part time job as a call centre worker.

Do not live with anyone.

You do not smoke.

You do not drink alcohol.

QUESTIONS TO ASK:

  • What is going to happen if I don’t make any changes?

  • How can I lose weight quickly? (If BMI is addressed)

  • If I get diabetes, will I need injections?

 

 

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