Ncp_diabetes Mellitus Type II

7/29/2019 Ncp_diabetes Mellitus Type II

1/10

X. NURSING CARE PLAN

1.

ASESSMENTSCIENTIFIC

EXPLANATIONPLANNING INTERVENTION/RATIONALE EVALUATION

S > Paunti- unting

nababawasan angtimbang ko.

O > weight loss( BMI= 18.08 under

weight)> pale conjunctiva

and mucousmembrane

> weakness

> hyperactive bowelsounds

>poor muscle tone

NURSING

DIAGNOSIS:

Imbalance nutrition:less than body

requirements relatedto inability to use

glucose

The client is having a

weight loss because ofthe reason that the

patient has increased

metabolism anddecrease in catabolism.

Within one hour of

proper nursinginterventions, the

patient will

understand theconsequences of

being underweight.

Weight the client properly:

R: to know if the client isunderweight for her age and

height.

Determine what time of theday when the client appetite is

the greatest. Offer low sugarmeal at that time.

R: to meet the metabolic needs as

the patient will not worsen hersituation.

Teach the client about theappropriate diet for her sick as

low sugar diet.R: to have knowledge about what

her diet and metabolic needs.

Ask the family to prepare theclient meals most of the time:

clear unsightly supplies andexcretion.

R: a pleasant environment helps

promote intake.

Within one hour

proper nursingintervention patient

has been understand

the consequences ofbeing underweight.


2/10

Ask the patient to continue her

medications prescribed by her

physician such as metformin.R: to treat her disease.


3/10

2.

ASESSMENTSCIENTIFIC


S > Hindi ko alam

kung kelan ako

pupunta sa doctor kopag may

nararamdaman akongkakaiba.

O > history of lack ofhealth seeking

behavior.> lack of financial

resources> lack of health

resources such as

medications> lack of

knowledge to signs

and symptoms ofdiabetes mellitus

NURISNG

DIAGNOSIS:

Ineffective healthmaintenance related

to lack of financial

Inabilities to identify,

manage, or seek out of

help to maintain healthbecause of having not

enough financialresources.

Within two hours of

proper nursing

intervention, thepatient will identify

on how to meet goalsfor health

maintenance.

Provides sufficient outside

support like written noticescalendars to assist with follow

through on the agreed actions.

R: cues play a significant role instimulating completion of desire

health actions.

Establish a written contractwith the client to follow the

agreed upon health careregimen.

R: reinforcement of written

agreements.

Have the client and family to

demonstrate at least twice ofany procedures to be done at

home.R: practicing procedures, exposes

problems, enhances skill level andpromote confidence in performing

new behaviors.

Provide aids to assist incompliance with the plan of

care like preparing

medications, schedules, and

Within two hours the

patient of proper

nursing interventionsthe patient has been

identified on how tomeet goals for the

health care

maintenance.


4/10

resources. put a weeks medications indaily containers.

R: to organize in meeting thegoals of the client.

Ask the clint to continue themedication prescribed by the

doctor

R: to continuously managing andtreat her disease.


5/10

3.

ASESSMENTSCIENTIFIC


S > Palagi akong

pagod.

O > weak inappearance

> pallor

> depressed looking>disinterest to

surrounding>decrease

performance ofactivities of daily

living.

NURISNG

DIAGNOSIS:

Activity intolerancerelated to weakness.

Patient has an

overwhelming,sustained sense

exhaustion anddecreased capacity for

physical and mental

work at usual level.

Within one hour of

proper nursinginterventions patient

will describe ways toassess and track

patterns of fatigue.

Provided good ventilation byopening the windows and

turning on the fans

R: to promote relaxation topatient.

Suggest restorative activities

using nature such as sittingoutside, bird watching and

gardening.

R: being outside and enjoyingnature are restorative thus can help

people recover their strength andthink more clearly.

Review me dictions for sideeffects.

R: there are certain medications

that cause fatigue.

Help the client to do cognitive

reframing shade informations

about fatigue and how to livewith it including need for

positive self talk.R: client medication legitimizes

fatigue and enhances the client

Within one hour

proper nursinginterventions, the

patient has beendescribe ways to

assess and track

patterns of fatigue.


6/10

control through self care andpositive self talk.

Teach strategies for energyconservation such as sitting

instead standing, and duringshowering, strong items at

waist level.

R: energy conservation strategiescan decrease the amount of energy

used.

Teach the client to carry aproduct calendar, make list of

required activities, and postreminders around the house.

R: fatigue is associated withmemory loss and sometimes

difficulty of thinking.


7/10

4.

ASESSMENTSCIENTIFIC


S > Mahiraptanggapin na

nagkaroon ngganitong kalagayan.

May mga bagay na

hindi ko nagagawangayon na nagagawa

ko noon.

O > recurrent feelingof sadness

> anger

> confused inappearance

> depressed in

appearance> frustrated looking> weak

> irritable

> pale looking

NURSING

DIAGNOSIS:

Patient is havinganxiety because of

gradual decrease ofthe patient of activities

of daily living.

Within one hour ofproper nursing

interventions, thepatient will accept

the fact and express

the feelings of guilt,fear, anger or

sadness.

Spend time with the client and

family.

R: to win trust and rapport.

Position the client tocomfortable position.

R: to promote comfortability.

Encouraged the used ofpositive coping techniques.

a. Taking actions like keepingbusy, keeping personal interest,

and doing something to gain a

feeling of control over lifeR: making busy can help to forget

the problem.b. Cognitive coping like

encourage the client to writeexperiences.

R: promote self- esteem

c. Intrapersonal coping liketalking to close friend

R: to find anyone to openproblems.

d. Emotional coping like coping

and praying a desired.


interventions, thepatient has accepted

the fact and was able

express the feelings ofguilt, fear, anger or

sadness.


8/10

Anxiety related toless performance of

some activities ofdaily living.

R: to express what she feels

Expect the client to meet

responsibilities and givepositive reinforcement.

R: to forget her problem and helpthe patient to move on.


9/10

5.

ASESSMENTSCIENTIFIC


S > Lagi akongnauuhaw

O > polyuria ( 5-6

times a day)

> weakness> sudden weight loss

( BMI= 18.08underweight)

> decreases tongueturgor > decreased

skin turgor

> dry skin andmucous membrane

NURSING

DIAGNOSIS:

Risk for deficient

fluid deficit related tofrequently urination.

The patient is havingdeficient fluid volume

because a diabeticclient is having

polyuria or increases

urine output resultingto fluid volume

deficit.


interventions, patientwill have a good

skin, tongue turgor

and moist skin,mucous membrane.

Increase fluid intake.

R: to change the fluid that has

been loss.

Assist the patient for ambulation.

R: to promote circulation of blood

Teach the family about the

complications of deficient fluidvolume and when to call a

physician.

R: to have knowledge about theexisting problem.

a. Teach the family and clientabout apprise diet and fluid

intake.

R: to have knowledge on how totreat the existing problem.

b. Teach the client and familyon how to measure and record

the intake and output accuratelyR: to determine if the client is

having deficient fluid volume.

Advise the client to continue


interventions, thepatient has a good

skin, tongue turgor

and moist skin,mucous membrane.


10/10

medications prescribed by thephysician.

R: to treat her problem.

Documents

Ncp_diabetes Mellitus Type II