NCP for DM - Diabetes Mellitus
Nursing Care Plan for Diabetes Mellitus
Assessment
- Family Health History
Are there families who suffer from diseases such as patient ? - Patient Medical History and Prior Treatment
How long a client suffering from diabetes, how to handle, gets what type of insulin therapy, how to take medicines regularly do, what do the patients to cope with their illness. - Activity / Rest :
Tired, weak, Difficult Moves / walking, muscle cramps, decreased muscle tone. - Circulation
Is there a history of hypertension, AMI, numbness, tingling in the extremities, ulcers on the feet that long healing, tachycardia, changes in blood pressure. - Ego Integrity
Stress, anxiety - Elimination
Changes in the pattern of urination (polyuria, nocturia, anuria), diarrhea - Food / Fluids
Anorexia, nausea, vomiting, do not follow the diet, weight loss, thirst, the use of diuretics. - Neurosensory
Dizziness, headache, tingling, numbness in muscle weakness, paresthesias, visual disturbances. - Pain / Leisure
Abdomen tense, pain (moderate / severe) - Respiratory
Cough with or without purulent sputum - Security
Dry skin, itching, skin ulcer.
Nursing Diagnosis
Impaired nutrition: less than body requirements related to the reduction of oral input, anorexia, nausea, increased metabolism of protein, fat.
Nursing Intervention
Objective :
The patient's nutritional needs are met
Result Criteria :
Patients can digest the amount of calories or nutrients appropriate
Stable weight or additions to the range usually
Intervention :
- Weigh the body weight per day or according to the indication.
- Determine the diet and eating patterns of patients and compare it with foods that can be spent on patients.
- Auscultation bowel sounds, record the existence of abdominal pain / abdominal bloating, nausea, vomit that has not had time to digest food, maintain a state of fasting according to the indication.
- Give the liquid diet containing foods (nutrients) and the electrolyte immediately if the patient has to tolerate it orally.
- Involve the patient's family at this meal digestion according to the indication.
- Observation of the signs of hypoglycemia, such as changes in level of consciousness, skin moist / cold, rapid pulse, hunger, sensitive to stimuli, anxiety, headaches.
- Collaboration examination of blood sugar.
- Collaboration of insulin treatment.
- Collaboration with dietitians.
NCP for DM - Diabetes Mellitus
Nursing Care Plan for Diabetes Mellitus