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1. Introduction
2. Diabetes mellitus
The effects of the disease may be acute or chronic, involving many organs, including the
eye, the kidney, peripheral nerves and large arteries. Primary diabetes mellitus is
traditionally divided into either insulin dependent (IDDM or Type 1) or noninsulin
dependent (NIDDM or Type 2). The classification is important because of the different
genetic backgrounds, clinical presentations, metabolic effects, treatment and
consequences of the two types. Diabetes may also be secondary to other disorders
3. General information
Name : Mr. SM
Age : 60 years
Gender : Male
Marital status : Married
Place : -------
IP. No. : --------
Hosp. No. : --------
Date of admission : -------
Ward/Unit : -----------------
Diagnosis : Diabetes mellitus type II, diabetic foot ulcer-rt
Occupation : Farmer for 15 years,
Retired from military service, worked in ----
Culture
Religion : Hindu
Caste : Thiyya
Developmental history
Normal birth at home
No birth related or neonatal complications
Norma childhood
Started schooling at the age of 5 years
Immunized for major infectious diseases
He was a football player till the age of 32
He was recruited to military in Southern Command as a football player, played for
military for 6 years, left military and joined in ----- as a staff.
Scholastic History
He had normal schooling till PDC
Socioeconomic Status
He has 7-8 acres of farm land
6. What has been his past experience with illness?Past Illness History
History of Koch’s disease 10 years back, took medicine for 6 months
Patient had a gun shot injury about 20 years back on the left forearm
He is diabetic for the last 10 years.
Family History
Inference: Patient has accepted the illness as a suffering which he has developed due to
inheritance, but his food habits points to the life style has contributed to the illness
significantly. He used to get double food in military because he was a football player in
the MRC. He used to take 6 eggs per day till the age of 40 and reduced to 1 egg per day.
11. Anxiety related to effects of illness, recovery, cost of treatment, and future state
He is worried about the foot ulcer which is not heaing. His blood sugar fluctuates
between normal and high value. He plans to follow all the instructions well that ulcer will
not develop in future. He says he can bear the expense of treatment here, that he has 7-8
acres of agriculture land. That is enough to look after his expense for treatment.
Yes, he is worried whether the ulcer will get healed. When he developed ulcer in his left
leg 6 months back, his two toes were amputated in a local hospital. He was advised a
below knee amputation, but he decided to get discharged from there and came to -----. So
he could save his leg.
14. Which cultural differences can interfere with the patient’s treatment?
Patient is from ---district of ----.
He expects details of his blood sugar level regularly, but the nursing staff was not
giving attention to his concerns
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