Please read the following patient profile and answer the questions that follow adhering to the
assessment guidelines detailed below.
Patient Profile:
[OFFICIAL]
Background Information:
Recent advancements in Diabetes disease treatment have introduced new possibilities for patient
care. Consider the case of Ashley, a 68-year-old transgender female with DIABETES, diabetes, heart
failure, and recurrent cellulitis, living in a rural community. Research a contemporary advancement
(introduced within the last 5-8 years) in the treatment of Type 2 Diabetes. Describe the decisionmaking process you would go through as a nurse to determine whether a new treatment is
appropriate for Ashley. What patient-specific factors would you consider? Based on your research,
provide in-depth responses to the following three questions, within 2000 words in total (with a
flexibility of +/- 10%, including references). Your responses should be supported by current (within
10 years) evidence-based literature and reflect a holistic understanding of Ashley’s case,
considering their medical, psychosocial, and cultural background.
Skin Assessment:
No ulcers or wounds noted. Mild dryness on
lower extremities.
Laboratory Results:
HbA1c: 7.8%
Body Mass Index (BMI):
Height: 175 cm
Weight: 90 kg
Calculated BMI: 29.4 (Overweight)
Medication List:
Diabetic Medications:
Metformin 500 mg, twice daily
Antihypertensives:
Amlodipine 5 mg, once daily
Note: Ashley transitioned later in life and faces
challenges related to her gender identity in a rural
setting. She also states she is neurodivergent with
no formal diagnosis.
Name: Ashley Boulton
Age: 68 years
Gender: Transgender Female
Location: Rural community, Western Australia
Medical History:
Type 2 Diabetes Mellitus
Peripheral Vascular Disease
Heart Failure
Peripheral Neuropathy
Moderate Hypertension
Clinical Data:
Vital Signs from last visit (1 month ago):
Blood Pressure: 150/95 mmHg
Heart Rate: 82 bpm
Respiratory Rate: 18 breaths/min
Oxygen Saturation: 94% on room air
Temperature: 36.8°C
[OFFICIAL]
Please address the following questions and ensure you refer to the marking rubrics below for each
question.

1. Clinical Decision-Making: Using academic databases (e.g. CINAHL, Pubmed, Scopus),
   identify a new or emerging treatment relevant to Diabetes and include the following
   requirements in your answer.
   Requirements:

• Minimum of 3 peer-reviewed sources
• Analyse and evaluate the key findings regarding the efficacy and safety of the
  treatment in general (ULO1, ULO4).

1. Application to the patient: Based on clinical reasoning, evaluate whether the treatment is
   suitable for Ashley.
   Requirements:

• Address comorbidities, preferences, and contraindications
• Justify your decision using evidence and patient context (ULO1, ULO4).

1. Patient Education and Involvement: How would you educate and involve Ashley in the
   decision-making process for their treatment?
   Requirements:

• Use an evidence-based approach tailored to the patient’s needs
• Consider health literacy, cultural background, and psychosocial context (ULO3,
  ULO5)

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