- by Aegis Medicare Home Health Services
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- Feb 01 2018
Nursing Care Plan for Diabetes
Diabetes mellitus is a chronic disease characterized by insufficient production of insulin in the pancreas or when the body cannot efficiently use the insulin it produces. Nursing management of diabetes include:
- Effective treatment to normalize blood glucose.
- Decreasing complications using insulin replacement.
- Balanced diet.
Assessment of a patient with Diabetes should include:
- Assess for signs of hyperglycemia.
- Assess blood glucose level before meals and at bedtime.
- Monitor patients HbA1c-glycosylated hemoglobin.
- Assess for anxiety, tremors, and slurring.
- Assess feet for temperature, pulses, color, and sensation.
- Assess the pattern of physical activity.
- Administer basal and prandial insulin.
- Report BP of more than 160 mmHg.
- Monitor urine albumin to serum creatinine for renal failure.
- Variation of blood glucose levels.
- A risk for being invaded by pathogenic organisms.
- Imbalanced nutrition
- Fluid volume deficit
- Impaired Skin Integrity
- Activity Intolerance
- Anxiety related to lack of knowledge
- Nursing Care Planning and Goals
- Demonstrate adequate hydration evidenced by stable vital signs, palpable peripheral pulse, skin turgor and capillary refill well.
- Observe the number of calories taken and energy level.
- Demonstrate techniques, lifestyle changes to prevent infection.
- To stress the importance of the health and teaching being done for the client.
- Maintain blood glucose levels within the normal range.
- Ensure timely wound healing free from purulent discharges and necrosis.
- Recognize and compensate for existing sensory impairments.Acknowledge feelings of helplessness.
- Instruct patient to take oral hypoglycemic medications as directed.
- Instruct patient to take insulin as directed.
- Instruct patient on the proper preparation and administration of insulin.
- Teach patient to rotate insulin injecting sites.
- Explain that insulin dosages may need to be adjusted.
- Encourage and assist with oral hygiene.
- Encourage adequate dietary and fluid intake.
- Support participation in self-care and give positive feedback for efforts.
- Monitor vital signs
- Assess peripheral pulses, capillary refill, skin turgor, and mucous membranes.
- Record the specific gravity of urine.
- Measure weight every day.
- Provide fluid therapy as indicated
- Determining the patient’s diet and eating patterns.
- Give regular insulin treatment as indicated.
- Involve patients in planning the family meal as indicated.
- Observe signs of infections and inflammation.
- Improve efforts to prevention by good hand washing for all people in contact.
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