1) Evaluate the outcomes of the interventions. Which values would you report to the RN?
2) Reflect on the decision-making process and the use of the NCSBN Clinical Judgement Model
Patient Scenario:
Name: Emily Davis
Date of Birth: May 15, 1978
Allergies: None reported
Medications: Metformin 1000 mg BID, Insulin (as prescribed based on blood glucose
levels)
Medical History: Type 2 Diabetes Mellitus, Obesity
Surgical History: C-section (2003)
Social History: Works as a graphic designer, married with one child, smokes occasionally,
consumes alcohol socially, eats fast-food 2-3 times per week.
Family History: Mother has Type 2 Diabetes Mellitus, father has Hyperlipidemia
History of Present Illness: Emily presents with complaints of increased thirst, frequent
urination, and blurred vision over the past month. She reports feeling more tired than
usual and has had difficulty controlling her blood glucose levels. She also mentions
recent weight gain and some difficulty with her diet.
Focused Disease Process: Poorly Controlled Type 2 Diabetes Mellitus.