This may entail changing meal plans, diabetes medicines, or altering physical activity. 11. White, P. (1974). So let’s look at tissue and skin integrity. How can I apply them? Instruct patient that insulin vial that is in use should be kept at room temperature. Thus the sugar stays in the blood and the cells starve. To help assess the adequacy of nutritional intake. 0900-0930: Power Point presentation describing Diabetes Mellitus and complications of Diabetes … The signs of hypoglycemia are the result of both increased adrenergic activity and decreased glucose delivery to the brain, therefore, the patient may experience: changes in LOC, tachycardia, diaphoresis, dizziness, headache, fatigue, cold and clammy skin, hunger, shakiness, and visual changes. So interventions and we’re going to monitor my feet, and any other wounds and ulcers I have and I’m going to educate that patient on foot care. 2. Glucose values are used to adjust insulin doses. Patient will acknowledge key factors that may contribute to unstable glucose levels. (1997). They love to be around the sugar. Instructions Course Project—Part 2 (attached is the Part 1 of the project, please use this information to elaborate Part 2, the chart should not be included) Instructional Unit: Goals, Objectives, and the Teaching Plans In a Microsoft Word document of 6-7 pages formatted in APA style, submit your instructional unit, which should include three lesson … We’ve got to make sure that we’re taking care of that glucose. Therapeutic Communication Techniques Quiz. Now go out and be your best self today and as always, happy nursing. Lesson Plan—Diabetes Too Much Sugar is Not a Good Thing Goal: To understand Type I and Type 2 Diabetes, the differences between the two types, and how to recognize and deal with diabetic emergencies. They love to consume the sugar. The diabetes teaching plan is aimed at helping the patient make educated lifestyle changes that will promote health and a stable blood glucose level. For the purpose of this lesson, the teacher will provide education on diabetes mellitus based on Adult Learning Theory and Information Processing. (Picmonic), Diabetes Type 1 The absorption of insulin is more consistent when insulin is always injected in the same anatomical site. So if we have this patient go into DKA, then that potassium is going to go really high. Nursing care planning goals for patients with diabetes include effective treatment to normalize blood glucose and decrease complications using insulin replacement, balanced diet, and exercise. We’re going to do a skin assessment, watch their feet, watch their wounds, watch their ulcers, make sure that we know where they’re at. Instruct patient to take insulin as directed: 8. And so it was really, really important that we’re watching that fluid electrolyte balance. Start a trial to view the entire video. Instruct patient on the proper storage of insulin.Insulins should be refrigerated, should not be allowed to freeze, should avoid extremes of temperatures, and avoid exposure to direct sunlight. We’re going to translate that. diabetes treatment plan is working. Weight loss of around 5-10% of the total body weight can reduce or eliminate the need for medications and significantly improve blood glucose levels. If you’ve got a patient who is leaning towards like a hypoglycemia, then of course you’ll have symptoms of that. This WebQuest asks the nursing student to develop a teaching plan for a patient with Type 2 Diabetes … The nurse understands that type II diabetes is considered a milder form of diabetes because of which of the following? -Rapid Acting Diabetes is a chronic disease, which occurs when the pancreas does not produce enough insulin, or … We look at their hemoglobin A1c, right? Well, the number one really obvious one is they’re going to have an increased BGL or blood glucose. Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2016). 3. The body makes insulin to assist with this process. The nurse should stress the importance of complying with the prescribed treatment program through effective education of the patient. Select all that apply. Keeping glucose in the normal range slows the progression of microvascular disease. Which of the following would NOT be an appropriate education topic regarding foot care for this newly diagnosed client? 15. The nurse is caring for a client with poorly managed diabetes mellitus. The cause for Type I diabetes is unknown, but hypothesized to be potentially genetic or triggered by a virus. Peak: 2-5 hours So again, decreased sensation means there’s more likelihood for them to develop these wounds without even knowing. What about the dehydration? Diabetes is a prevalent condition. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. Diabetes is where the body is unable to control blood sugar levels due to either the body not being able to produce enough insulin or because the body is resistant to insulin. What are the nursing care plans and nursing diagnosis for diabetes mellitus (DM)? Classifications of diabetes mellitus include: Nursing care planning goals for patients with diabetes include effective treatment to normalize blood glucose levels and decrease complications using insulin replacement, balanced diet, and exercise. Which of the following information should the nurse include as part of this teaching? Explore patient’s health beliefs about physical exercise and review exercise program recommendations with the patient.Stress that the patient should exercise at the same time and in the same intensity each day. Discussion boards 1. So what kind of data are we going to see on a patient who has diabetes? Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. Why and how do we even use Nursing Care Plans? So again, we’re working through a hypothetical patient here and we’re just going to say that diabetes as a whole is the only problem they have. Let’s see. Let’s see, what else are we going to monitor? All references to such names or trademarks not owned by NRSNG, LLC or TazKai, LLC are solely for identification purposes and not an indication of affiliation. 2. Lesson plan of DIABETES MELLITUS 1. So whatever your target range is, you’re gonna try to get your sugar there. Again, remember evaluation is usually looking back at what told us we had a problem and seeing it fixed. There are two types of diabetes. Cryer, P. E., Davis, S. N., & Shamoon, H. (2003). Sustained hyperglycemia has been shown to affect almost all tissues in the body and is associated with significant complications of multiple organ systems, including the eyes, nerves, kidneys, and blood vessels. We’re going to get our concise terms. Right. So what is the problem for this patient? Sorry, this is supposed to be a triangle. We’re going to make sure we know what our high level priorities are, and then we’re going to get it all on paper. 3. 14. And if that’s the case and they’ve got some wounds and some authors, we’re going to see problems with healing, right? So long term we might look at their hemoglobin A1c this is going to tell me they have better overall regulation, wounds. Stress the importance of achieving blood glucose control.Control of blood glucose levels within non diabetic range can significantly reduce the development and progression of complications. We’re going to educate them on wound care for their feet, and we’re going to educate them on how to handle their blood sugars depending on what’s going on, right? So our number one thing here, we already said this is going to be our glucose regulation or our glucose metabolism. They’re going to have neuropathies, especially those who’ve had diabetes for quite a while, especially if they’re not very well controlled, they’re definitely going to have some neuropathies usually in their hands and feet. But short term I can say, hey, my wounds not getting any worse, we’re not getting any worse. Frequent SMBG is another important factor in diabetes management. Diabetes is really prevalent. What told us it was a problem is also what this is going to tell us it was better. We’re going to transcribe it, use whatever form or template you need to use, but just get it on paper so that you can communicate it well. google plus. Well we just said potassium decreases with insulin and increases in acidosis and that cellular dehydration happens a lot if we have the hyperosmolarity from the hyperglycemia. We know they’re going to pee a lot. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. The lower theA1C is, the lower the risk of having health problems. Duration: 3-5 hours, -Fast/short Acting Ishizuka, T., Ogawa, S., Mori, T., Nako, K., Nakamichi, T., Oka, Y., & Ito, S. (2009). Low Potassium, if they’re getting a lot of insulin and possibly even a high potassium if they’re acidotic. Start Trial. So time to transcribe. This nursing care plan is for patients who have diabetes. So how do I know? A nurse is caring for a client that has just been diagnosed with Type II Diabetes. Nursing assessment and nursing interventions are listed in bold and then followed by their specific rationale in the next line. Let’s look at these things. Excess glucose in the blood creates an osmotic effect that results in increased thirst, hunger, and increased urination. Nursing Care Plan … A nurse is working with a client who has been diagnosed with type 2 diabetes and who demonstrates poor blood glucose control. 12. Show More Pathophysiology. Patient has a blood glucose reading of less than 180 mg/dL; fasting blood glucose levels of less than <140 mg/dL; hemoglobin A1C level <7%. 20. 11. We start linking our data together so that we know what was the problem and how did I know it was a problem. Finding help online is nearly impossible. So definitely things that we need to be watching for for this patient because they’re showing this dehydration issue. 2. Onset:1-4 hours 4. Review: Spend at least ten minutes every week reviewing all your previous notes. And then we’re going to see that elevated hemoglobin A1c, remember this tells us how well we’re controlled over the last 90 days. Regular exercise is a core part of diabetes management and reduces risk for cardiovascular complications. Educate the patient on maintaining consistency in the amount of food and the approximate time intervals between meals.A consistent amount of food and time interval between meals helps prevent hypoglycemic reactions and maintain overall blood glucose control. 16. I’m going to monitor for signs and symptoms of dehydration and signs and symptoms of things like DKA or HHNS. So there’s a lot of other little details that you might actually see with this patient in addition to the ones that are specific to diabetes. Onset: 30 minutes-1 hour While not all these diagnoses may apply to your patient, always consider other factors such as education level, history, and social supports when choosing a nursing diagnosis. A risk diagnosis is not evidenced by signs and symptoms. So why would monitor k? So things that can be improved probably their fluid status, definitely their blood glucose levels, right? Select all that apply. Right? (Biodigital), Glucose Absorption in Type 2 Diabetes What do I do if my sugar’s too high? Type 1 diabetes, also known as insulin dependent diabetes mellitus, (IDDM), accounts for approximately 10% of diabetes cases. Provide instructions to patients using self-monitoring blood glucose (SMBG). So most of these are subjective. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. This is what they look like. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. Just depending on what’s going on. What do I do if my sugar is too low? Again for diabetics, a lot of times we’re looking for something like less than 140, maybe less than 120. Instruct patient to avoid heating pads and always to wear shoes when walking.Patients have decreased sensation in the extremities due to peripheral neuropathy. The patient may obtain erroneous blood glucose values when using incorrect techniques in SMBG. pinterest. This is our hypothetical patient. The A1C target for most people with diabetes … The patient may also report nonspecific symptoms of fatigue and blurred vision. Watch out for signs of morning hyperglycemia.Morning hyperglycemia, as the name suggests, is an elevated blood glucose level arising in the morning due to insufficient level of insulin. So we’ve got it all our data, we’ve picked out the relevant information, and now we’re gonna choose our problems and prioritize. Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. Peak: 30 minutes- 3 hours Because the high glucose was really what impacts everything else that goes on with this patient. Prev Article Next Article . Students plan a healthy meal for elderly diabetics. Select all that apply. Administer hypertensive as prescribed.Hypertension is commonly associated with diabetes. Which of the following should the nurse emphasize? The nurse is providing information to the client about how best to prevent foot and lower leg ulcers. Well, my potassium levels are within normal limits and I have no signs and symptoms of dehydration. This lesson is part of the NURSING.com Nursing Student Academy. Poor circulation because of all the vascular issues means slow wound healing. Duration: Up to 12 hours, -Intermediate Action Remember when you’re writing a care plan, if it’s anything that has to do with medications, you typically want to write as prescribed or as ordered, right? Hyperglycemia disrupts gastric motility in the stomach, duodenum, and jejunum and may affect choice of interventions. NCLEX Practice Questions: Free Nursing Test Bank and Review, Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. Control of BP prevents coronary artery disease, stroke, retinopathy, and nephropathy. Diabetes Control and Complications Trial Research Group. Fatigue in patients with diabetes: a review. Type I and Type II. 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