Sergio a 65-year-old Hispanic man, is scheduled to be discharged from
hospital after being admitted for hyperglycemia. He was diagnosed with Diabetes Mellitus Type II many years ago, and has been on insulin for two years. His blood sugar on admission was 589. This is Sergio's third admission in 6 months; he is retired and was widowed one year ago. He is active in his church, gardens, and likes to work on small projects around the house. His medical history incudes Diabetes Mellitus Type II, insulin dependent, Hyperlipidemia, and osteoarthritis.
When Sergio's daughter, Mariam arrives to take him home, she asks to speak to the nurse in the hallway. She tells the nurse she doesn't want her father discharged because he is non-compliant with medications and diet at home. She says, "I can't be responsible for him stating "I have small children at home and am worried sick that he is doing this on purpose because he has been so depressed since my mother died. She did everything for him." Maria also shares that her father has been seeing a curanderos, who treats him with traditional methods. She says Sergio refuses to take his medicine and only follows what the curanderos tells him to do. She doesn't agree with this and confides that she hopes to find a way to prevent her father from seeing the "medicine man". Maria wants to know if the nurse can have her father's discharge canceled and asks if the doctor can admit him to a nursing home where they can "...make sure he eats right ad takes his medicine and not the herbs h has been using." Finally, she then pleads, "Please just tell the doctor he won't take his medicine."
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