Brief Description of the Clinical Setting and Practice A 52 year old homeless African American male was admitted to the Intensive Care Unit (ICU) with a hyperosmolar hyperglycemic state from type 2 diabetes. The patient is unkempt, disheveled and has poor dentition who appeared lethargic. He reports being diagnosed with type II diabetes several years ago. He reports he was feeling thirsty and his mouth was dry for the past five days. He has not eaten any food, feels very tired and has been urinating excessively. Patient reports he lives on a cardboard under the bridge since he lost his job and parents kicked him out of their house 3 months ago. He got laid off from his work as a security guard in a hotel 2 years ago and has been unemployed...The end:
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