Gestational Diabetes Case Study Subjective

State the patient's chief complaint, reason for visit and/or the problem for which you are providing follow-up.

The client is a 30-year-old 27 weeks pregnant Hispanic-American woman in her third pregnancy. The client is married and has two children living at home and no history of miscarriage.

All symptoms related to the problem are described using the following cue descriptive categories:

Precipitating/alleviating factors (including prescribed and/or self-remedies and their effect on the problem).

The client denies any attempted self-remedies for her gestational diabetes mellitus (GDM), which is defined as experiencing intolerance to glucose that is initially identified during pregnancy (Jafari-Shobeiri & Ghojazadeh, 2015).

2) Associated symptoms

The client reports frequent urination and being thirsty much of the time which are both consistent with a diagnosis of GDM (Mcgill, 2015).

3) Quality of all reported symptoms including the effect on the patient's lifestyle

The client reports no significant adverse effects as a result of GDM.

4) Temporal factors (date of onset, frequency, duration, sequence of events)

The client was first diagnosed with a glucose tolerance test for GDM during this pregnancy.

5) Location (localized or generalized? does it radiate?)

NA

6) Sequelae (complications, impact on patient and/or significant other)

Beyond the increased thirst and frequency of urination, the client reports no discernible impact on herself or her family.

7) Severity of the symptoms

The client...

Pertinent Past Medical History including Pregnancy, Prenatal. Postnatal, Immunizations, Tests, Dental Care, Allergies, Accidents, Childhood illnesses, Operations, Hospitalizations.
Although the client has two previous uneventful pregnancies, she but was not tested for GDM at those times.

c. Family History includes family members, family health history, social history to include, residence, financial situation, outside assistance, family interrelationships, school experiences that are relevant to the problem are stated.

The client is a slightly obese, career homemaker and her husband is currently employed as a factory worker in an automobile parts enterprise which provides full coverage health insurance. The client reports struggling financially on occasion due to their support of an extended family which lives nearby. In addition, the client reports a family history of GDM which is one of the potential causes of GDM, which also include: (a) gestational age, (b) history of gestational diabetes, (c) body mass index, (d) abortions and parity, and (g) a history of macrosomia (Jafari-Shobeiri & Ghojazadeh, 2015). Some evidence also exists that certain environmental factors that cause sustained inflammation may contribute to the onset of GDM (Malmqvist & Jakobsson, 2015). In addition, although the precise cause of GDM remains unclear, LIberatore (2009) reports that, "It is possible that hormones from the mother's placenta block the…