Geria Project

8/6/2019 Geria Project

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Stuart, JeanetteStuart, Jeanette

Garcia,Garcia, LourdesLourdes

Caswell, LeaCaswell, Lea Dagos, CherieDagos, Cherie

Bautista, KitBautista, Kit Bagui, SidBagui, Sid


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Sulat ni Tatay at Nanay


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INTRODUCTION


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Albert Sy, 64 years old, 200 lbs, widow,

diabetic and on injectible insulin, part

left leg amputation and depressed.


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What is Diabetes ?

When you have Diabetes your

body does not use insulin very

well or does not make enough

insulin.

Because of this, you have

high blood sugar.


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Where does insulin comefrom?

The Pancreas makes insulin.

The Pancreas is locatedbehind the stomach.


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What is an Insulin?What is an Insulin?

A hormone secreted by the beta cells,A hormone secreted by the beta cells,which are one of four types of cells inwhich are one of four types of cells inthe Islets of Langerhans in thethe Islets of Langerhans in thepancreas.pancreas.

Insulin allows glucose to move intocells to make energy


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Affected Parts of the body


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PATHOPHYSIOLOGYThe pathophysiology of Type 1 diabetes mellitus

suggests that it is an autoimmune disease, in

which the body's own immune system generatessecretion of substances that attack the beta cells

of the pancreas. Consequently, the pancreas

secretes little or no insulin.


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Causes

Auto immune response

Genetic factors

Virus

Diabetes Secondary to

Other Conditions


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Polydipsia/Extreme Thirst


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Polyuria/Frequent Urination


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Polyphagia /Always Hungry


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Blurred Vision


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Nausea


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Lethargy / Fatigue


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Sudden weight loss for noreason


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Recurrent infection and slowhealing of wounds


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Numb or tingling hands orfeet


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TreatmentTreatment

Taking insulin Eatinghealthy

foods

Exercising regularly and maintaining ahealthy weight


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Monitoring blood sugar


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Blood flow problem

Sexual problems

High Cholesterol

Heart Disease

Oxygen

Respiratory problems Joint problemsHypertension

Glucose levels

Heart attacks


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Maintain a normal blood pressure


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Nursing Care PlanNursing Care Plan


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Activities of Daily LivingActivities of Daily Living

6:006:00 -- 6:30 am6:30 amPraying timePraying time

6:30 - 7:00 amTaking a bath, brushing of teeth


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7:00 7:30 A.M.Exercise


7:30 A.M.Insulin shot


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8:008:00 8:30 A.M.8:30 A.M.BreakfastBreakfast

8:30 9:00 A.M.Reading Newspaper


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10:3010:30 A.M.A.M.Blood Glucose MonitoringBlood Glucose Monitoring

10:00 11:00 A.M.Playing puzzle


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11:0011:00 12:00 noon12:00 noonWatching TV with familyWatching TV with family

11:30 A.M.Insulin Shot


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12:0012:00 1:00 P.M.1:00 P.M.Lunch and Brushing of teethLunch and Brushing of teeth

1:00 3:00 P.M.Rest or Sleep


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Activities of Daily LivingActivities of Daily Living3:30 5:30 P.M.

Visiting time (with relatives or friends)/Karaoketime


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5:305:30 6:30 P.M.6:30 P.M.Listening to the musicListening to the music

6:00 P.M.Insulin Shot


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6:306:30 7:30 P.M.7:30 P.M.Dinner and BrushingDinner and Brushing

of teethof teeth

7:30 8:30 P.M.Rest or Watching TV with

Family


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9:30 PM9:30 PMBlood Glucose MonitoringBlood Glucose Monitoring

8:30 12:00 MNSleep


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11:00 P.M.11:00 P.M.Insulin shotInsulin shot

12:00 12:30 A.M.Midnight snack


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12:3012:30 6:00 A.M.6:00 A.M.SleepSleep


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SundaySundayBR Oatmeal, Fortified, Instant - 4 Oz

Milk, Cow's, Nonfat (skim) 1 Cup

MS Apple, Raw - 1/2 Medium

L Chicken Sandwich - 1 Serving

Carrot, Baby, Raw - 6 Oz

AS Raisin, Seedless 25 RaisinPeanut, Dry Roasted, No Salt 1 Oz

D Jambalaya - 1 Serving

Broccoli Vinaigrette - 1 Serving

ES Yogurt, Strawberry, Nonfat 8 Oz1237 Calories(kcal); 84 Protein(g); 174Carbs(g); 28 Fat(g); 5 Sat Fat(g); 227Cholest(mg); 25 Fiber(g); 1291Sodium(mg)


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MondayBR Milk, Cow's, Nonfat, Vit-a (skim)- 8 Oz

All-bran, Rte - 1/2 CupMS Pear, Raw - 1 Pear

L Cheese And Fruit Submarine Sandwich - 1 Serving

Salad Dressing, French, Diet - 1Tbsp

Iceberg Lettuce, Raw - 1/2 CupAS Carrot, Raw - 10 Large Strip

D Mixed Vegetables, Boiled, No Salt - 4 Oz

Kale, Boiled, No Salt - 1/2 Cup

Eggplant Parmesan - 1 Serving

Spaghetti Pasta, Cooked, Enriched - 1 Cup

ES Applegurt - 1 Serving

1276 Calories(kcal); 74 Protein(g); 211 Carbs(g);

24 Fat(g); 11 Sat Fat(g); 55 Cholest(mg);

38Fiber(g); 1633Sodium(mg)


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TuesdayBR Milk, Cow's, Nonfat, Vit-a (skim) - 1 Cup

Ham And Eggs - 1 Serving

MS Egg Bagel - 1 Mini-bagelCheddar Cheese - 1 Cubic-inch

Milk, Cow's, Nonfat, Vit-a (skim) - 8 Fl Oz

L Mixed Vegetables, Boiled, No Salt - 1/2 CupTuna On Pita Bread - 1 Serving

AS Broccoli, Raw - 1/2 CupSalsa, Chunky Chili Dip, Canned - 2 TbspApple, Raw - 1 Medium

Cheddar Cheese - 1 Cubic-inch

D Salad Dressing, French, Diet 2 OzSloppy Joes - 1 Serving; Cauliflower, Frozen - 1/2 Cup

Iceberg Lettuce, Raw - 4 Oz

ES Cantaloupe, Raw - 1 WedgeMilk, Cow's, Nonfat, Nfms, Vit-a (skim) - 1 Cup

1159 Calories(kcal); 84 Protein(g); 160 Carbs(g);

24 Fat(g); 11 Sat Fat(g); 105 Cholest(mg);

16 Fiber(g); 1674 Sodium(mg)


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Thursday

BR Milk, Cows Nonfat, Vit-a (skim) 1 CupBlackberry, Raw cup All-Bran. Rte 1 Cup

MS Fruit Smoothie 1 Serving

L Spinach Pasta WithOlive Oil 1 Serving

ZucchiniW

ith

skin, Boiled, No Salt 1 CupAS Celery, Raw 2 Medium Stalk

D Turnip Greens, Boiled, No Salt 1 CupBeefTenderloin 1 ServingBrown Rice, Long Grain, Cooked 1 Cup

ES Cottage Cheese, 1% Fat 2 OzMixed Fruit, Dried Oz

1258 Calories(kcal); 67 Protein(g); 177Carbs(g); 40 Fat(g); 16 Sat Fat(g); 101cholest(mg); 41 fiber(g); 1002 sodium(mg)


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Saturday

BR Milk, Cows Nonfat, Vit-a (skim) 1/2 CupSpecial K, Rte Cup

MS Carrot, Raw 1 CupSalad Dressing, French, Diet 1 Oz

L Enchilada Vegetable Wrap 1 Serving

AS Apple, Raw 1 Medium

D FishWithTomatoes 1 ServingSpaghetti Pasta, Cooked, Enriched 1 Cup

ES Watermelon, Raw 1 Cup

1238 Calories(kcal); 61 Protein(g); 174 Carbs(g); 36Fat(g); 14 Sat Fat(g); 98 cholest(mg); 17 fiber(g);1301 sodium(mg)


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Eating healthy foods Avoid simple sugars like cakes and chocolates. InsteadAvoid simple sugars like cakes and chocolates. Instead

have complex carbohydrates like rice, pasta, cereals andhave complex carbohydrates like rice, pasta, cereals andfresh fruits.fresh fruits.

Do not skip or delay meals. It causes fluctuations inDo not skip or delay meals. It causes fluctuations in

blood sugar levels.blood sugar levels.

Eat more fiberEat more fiber--rich foods like vegetables.rich foods like vegetables.

Cut down on your salt intake. Limit table salt, or flavor

intensifiers that contain salt, such as monosodium glutamate

(MSG).

Avoid alcohol. Dietary guidelines recommend no moreAvoid alcohol. Dietary guidelines recommend no more

than two drinks for men and no more than one drink perthan two drinks for men and no more than one drink per

day for women.day for women.


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Increase fluids especially H2OIncrease fluids especially H2O

Cut down on fatty foods. Avoid frying food. FriedCut down on fatty foods. Avoid frying food. Friedfood absorbs the fats from the cooking oils, increasingfood absorbs the fats from the cooking oils, increasingyour dietary fat intake. Instead, bake or broil food. Ifyour dietary fat intake. Instead, bake or broil food. Ifyou do fry, use polyunsaturated oils.you do fry, use polyunsaturated oils.

Low cholesterol diet

Do not eat meat more than once a day. Eat fish andpoultry more often than red or processed meats becausethey are less fattening.

Do not eat more than 4 eggs per week.Although

they are a good source of protein, and they're low insaturated fat, eggs are very high in cholesterol.

Choose fresh fruit for dessert, rather than cookies,Choose fresh fruit for dessert, rather than cookies,cake, or pudding.cake, or pudding.


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Exercising regularly and maintaining ahealthy weight

Regular exercise is an importantRegular exercise is an importantpart of diabetes control.part of diabetes control.

Daily exercise . . .Daily exercise . . .

* Improves cardiovascular fitness* Improves cardiovascular fitness* Helps insulin to work better and* Helps insulin to work better andlower blood sugarlower blood sugar* Lowers blood pressure and* Lowers blood pressure andcholesterol levelscholesterol levels* Reduces body fat and controls* Reduces body fat and controlsbody weightbody weight

Always carry quick sugar sourcesAlways carry quick sugar sourceslike candy or softdrink to avoidlike candy or softdrink to avoidhypoglycemia (low blood sugar)hypoglycemia (low blood sugar)during and after exercise.during and after exercise.

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Geria Project