Client ProfileRonald Sherbino is a 73-year-old male. Recently widowed from his wife of 52 years. He has one son wholives close by and a daughter who lives in Vancouver. He was diagnosed 3 years ago with diabetes whichprior to his wife’s passing was well controlled. He also suffers from chronic pain after a kneereplacement in 2017. He lives alone in the family home and does not have visitors often due to thesocial distancing advisement and his son’s work schedule. He visits the Emergency Department on theurging of his son who is worried about his welfare after stopping in to check on him and finding himconfused and dishevelled. The son reports that his dad had not been acting like himself on the phoneand has discovered he has not filled his prescriptions in over a month. Ronald is admitted to the generalmedicine unit to get his blood sugars under control.Case StudyRonald’s initial presentation to the ED revealed a blood glucose level of 24 mmol/L and he was positivefor ketones. Confused to date and place. After a 5-day admission Ronald’s blood sugars have stabilizedand discharge planning has begun. During a health teaching session about a new insulin that has beenadded to his regime Ronald discloses “I don’t see the point in learning this. I’m going to stop checkingmy blood sugars when I get home. I just want to die.” Later on in the day Ronald asks the RPNadministering his evening insulin “how much insulin would it take to put me in a coma?” The nurse asksif he has thoughts of harming himself. Ronald replies that he doesn’t want to manage his life alone andstates next time he won’t answer the phone when his son calls. He also expresses anger towards his sonfor taking him to the hospital. Chris, Mr. Sherbino’s son, is extremely upset when talking with the nursesexpressing guilt that he didn’t realize his dad wasn’t doing well sooner and that he should have madehim move into his home when his mother passedwhy suicide assessment is important for ronald?identify what is the priority nursing interventions and why it is important.why providing emotional support and ensuring patient’s safety importang?
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