Subject 5 Health And Social Care Case Studies

Clinical Case Study

Clinical Problem 1

Subject X is a 48 year old man, who lives in Antrim. He was a driver for a medium sized manufacturing company and drove long distances; however he has recently changed his job. Subject X visited his GP recently requested a health check because he felt unwell. A practice nurse carried out several tests in order to complete his health check. The following information was gathered.

Weight 101.6 kg

Height 1.77 m

Waist Circumference 109 cm

Blood Pressure 160/85 mmHg

Total Cholesterol 6.0 mmol/L

Fasting Blood Glucose 7.4 mmol/L

The practice nurse found that Subject X’s BMI was able to be calculated by using the information from above. BMI is a measurement of whether an individual is healthy weight

This could cause greater risks to his health as he is 15cm over the recommended waist circumference measurement for a man. Subject X has a higher risk of developing heart disease and type 2 diabetes. From the waist measurement recorded, the GP would advice Subject X on the health problems associated with a high waist circumference mark and how he could lower the health problems which may occur. Lowering calorie intake everyday and encouraging a lot of exercise could help to lower Subject X’s waist circumference and therefore lower the health risks associated. Waist circumference can tell health professionals and individuals many positives or negatives about their health. If an individual is carrying too much fat around the waist they have more of a risk of coronary heart disease, type two diabetes and some cancers. If females have a waist measurement of 80cm or more they have a higher risk of health problems. If males have a waist circumference of 94cm or more, they are more likely to develop health

Subject X’s reading result was 7.4 mmol/L. The results of a fasting test with respect to glucose levels in the body are: Normal: 3.9 to 5.5 mmol/l (70 to 100 mg/dl). Prediabetes or Impaired Glucose Tolerance: 5.6 to 7.0 mmol/l (101 to 126 mg/dl). Diagnosis of diabetes: more than 7.0 mmol/l (126 mg/dl). Diabetes.co.uk- The global diabetes community [online]. (2016).This shows that Subject X’s reading is at a high risk of developing type 2 diabetes. There are many risk factors for diabetes, being overweight, having a large waist measurement, family history and a high asting Blood Glucose reading. Subject X has some of these risks and therefore increases his problems greatly. The practice nurse should refer Subject X to his GP for a Glucose Tolerance Test, this test will indicate if he has diabetes and therefore he can truly be