Analyze the case study (“Maria’s Story”) by addressing the assigned questions below. While an ...

Analyze the case study (“Maria’s Story”) by addressing the assigned questions below. While analyzing the case, be sure to identify the major problems and issues. Draft a response or strategy for addressing the specific major problems and issues mentioned in this story. Make recommendations to improve the patient’s health, based on the specific symptoms and concerns discussed in this story. Discuss any negative consequences that may occur if the patient’s health issue is not addressed, based on what is told in this story. Explain how the cardiovascular system may be a contributing factor. What preventative measures can Maria take? Which specialist(s) would you consult to prevent these potential problems? Given that our common cases in this textbook deal with a diabetic patient and a quadriplegic patient, select two diagnostic tests that could assess and monitor their conditions. Also list and discuss associated problems along with a justification for each test and what results you might expect. Maria, Diabetic Patient Diagnostic test 1 Justification Expected results Diagnostic test 2 Justification Expected results Your response should be at least one page in length. At least one outside source from the library must be used, and please adhere to APA Style when creating citations and references for this assignment. APA formatting, however, is not necessary. Please use google scholar with additional research to this assignment Reference Colbert, B. J., Ankney, J. J., & Lee, K. (2018). Anatomy, Physiology, & Disease (3rd ed.). Pearson Education (US). https://online.vitalsource.com/books/9780134876740 Maria’s Story Maria is a 35-year-old diabetic who now takes good care of herself. Diagnosed with autoimmune type I at 12 years old, Maria rebelled against the dietary restrictions, daily insulin injections, and blood monitoring. During adolescence she had wild blood sugar swings, hypoglycemic episodes that would cause her to black out one day and be off the chart with hyperglycemia the next. She ignored all the “scare tactics” her doctors and parents tried to lay on her. She figured it was no big deal. She’d deal with her diabetes when she was good and ready. In her early 20s, Maria’s retinas began to hemorrhage. Luckily the problem was caught early enough to save her eyesight. Then a minor cut on her leg turned into an ulcer that had to be treated surgically. Alarmed, she did some Web surfing and realized that she was flirting with disaster. She talked to her doctor and a nutritionist and began to stick to her diet and exercise program and to monitor her blood glucose level daily. For several years her blood glucose was relatively stable, marked by occasional periods of hyperglycemia or hypoglycemia. When she turned 30, things began to unravel. Even when she followed her treatment plan rigorously, her blood sugar was sometimes difficult to control. She tried an insulin pump to stabilize her blood sugar. Nothing worked. She passed out several times in public and then began to have other problems. She had several skin infections and began to have sharp pain in her hands and feet. Her kidneys began to fail. In an attempt to control her diabetes, her doctor suggested a pancreas transplant. Maria (our diabetic) may develop complications that may impair her wound-healing process. She is getting concerned as she gets older that this may become more of a problem and is aware of preventative measures. She is not exactly sure why the physicians are so worried about her cardiovascular status. Maria is a diabetic and will also have multisystem involvement. You may remember Maria, who is an insulin-dependent diabetic. Recently, on the advice of her doctor, she began an exercise program. She started slowly, walking for 20 minutes per day. After a month of walking she decided to take an aerobics class. Two weeks into the class, one of her knees became painful and stiff. Her doctor explained to her that, as a diabetic, she is at a risk for tendinosis. Maria was diagnosed with diabetes mellitus when she was 12 years old. After not taking care of herself in her teen years, she had been doing much better until recently. Though she is following all her doctors’ advice, her diabetes is currently not well controlled. Maria has always wanted to have children, but she has read horror stories about diabetes and pregnancy. Her doctor has told her that if she is healthy, she could try to get pregnant when the time is right. There are significant risks, however, including a high-birth-weight baby. Snapshots from the Journey Cardiovascular System Often referred to as the circulatory system, the cardiovascular system, shown in Figure 5–12, is the main transportation system to each cell of our body, much like the streets, sidewalks, and subways of our city. Through this system, water, oxygen, and a variety of nutrients and other substances necessary for life are transported to the cells, and waste products are transported away from the cells. Also like our city, these routes can become clogged or blocked, causing major problems. Imagine what happens to a busy four-lane highway if two of the lanes are shut down because of construction or an accident. The traffic slows and pressure builds up due to the congestion, much like the blood flow does when the arteries become partially obstructed. The buildup of pressure (hypertension) can be very dangerous. The main components of this system are the heart, arteries, veins, capillaries, and—of course—bloodLike a system of rivers and canals, the cardiovascular system is responsible for transportation of oxygen, hormones, and nutrients to the tissues of the body and for removing the by-products of metabolism by the cells. The cardiovascular system is a closed, pressurized system much like the engine cooling system of a car.The cardiovascular system also helps maintain proper fluid balance of the body and assists in the control of body temperature.The cardiovascular system is a major player in the body’s defense from infection.The heart is an organ that is actually two pumps working together to move blood.The heart’s right pump moves blood collected from the body to the lungs, where oxygen is loaded and carbon dioxide is removed to be exhaled by the lungs.The heart’s left pump takes the freshly oxygenated blood and pushes it through the body so cells can be kept healthy.Arteries carry blood away from the heart.Veins carry blood to the heart.Capillaries are blood vessels with walls the thickness of only one cell, which readily allows for transfer of oxygen and nutrients to the tissues in the body.This thinness of capillary walls also allows for waste products of the cells’ metabolism to be picked up by the blood for removal.The major components of blood are plasma, erythrocytes (red blood cells, the main transporter of oxygen), leukocytes (white blood cells, protectors from infection), and platelets (aid in the clotting of blood).Blood pressure is regulated by a complex interaction between heart activity, fluid volume, and blood vessel diameter. The kidney is very important in regulation of BP.