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Type 2 Diabetes Nursing Interventions

13+ Diabetes Mellitus Nursing Care Plans

13+ Diabetes Mellitus Nursing Care Plans

Hyperglycemia results when there is an inadequate amount of insulin to glucose. Excess glucose in the blood creates an osmotic effect that results in increased thirst, hunger, and increased urination. The patient may also report nonspecific symptoms of fatigue and blurred vision . Assess blood glucose level before meals and at bedtime. Blood glucose should be between 140 to 180 mg/dL. Non-intensive care patients should be maintained at pre-meal levels <140 mg/dL. Monitor patients HbA1c-glycosylated hemoglobin . This is a measure of blood glucose over the previous 2 to 3 months. A level of 6.5% to 7% is desirable. Assess for anxiety , tremors, and slurring of speech. Treat hypoglycemia with 50% dextrose. These are signs of hypoglycemia and D50 is treatment for it. Assess feet for temperature, pulses, color, and sensation. To monitor peripheral perfusion and neuropathy. Assess the patients current knowledge and understanding about the prescribed diet. Nonadherence to dietary guidelines can result in hyperglycemia. An individualized diet plan is recommended. Physical activity helps lower blood glucose levels. Regular exercise isa core part of diabetes management and reduces risk for cardiovascular complications. A patient with type 2 DM who uses insulin as part of the treatment plan is at increased risk for hypoglycemia. Manifestations of hypoglycemia may vary among individuals but are consistent in the same individual. The signs are theresult of both increased adrenergic activity and decreased glucose delivery to the brain, therefore, the patient may experienced tachycardia, diaphoresis, dizziness, headache, fatigue , and visual changes. Adherence to the therapeutic regimen promotes tissue perfusion . Keeping glucose in the normal range slows progression of microvascular Continue reading >>

Accuracy Of Nursing Interventions For Patients With Type 2 Diabetes Mellitus In Outpatient Consultation

Accuracy Of Nursing Interventions For Patients With Type 2 Diabetes Mellitus In Outpatient Consultation

Accuracy of nursing interventions for patients with type 2 Diabetes Mellitus in outpatient consultation a Suzana Fiore ScainI; Elenara FranzenII; Luciana Batista dos SantosIII; Elizeth HeldtIV IRN for the Public Health Nursing Service at Hospital de Clnicas de Porto Alegre (SESP-HCPA), Ph.D. in Endocrinology at Federal University of Rio Grande do Sul (UFRGS) Medical School in Porto Alegre, Rio Grande do Sul, Brazil IIRN for SESP-HCPA, Masters degree in cardiology from FAMED/ UFRGS, Porto Alegre, Rio Grande do Sul, Brazil IIIRN at Nursing School (EENF) UFRGS, Porto Alegre, Rio Grande do Sul, Brazil IVAdjunct professor at EENF/UFRGS and for the Nursing Graduate Program at EENF/UFRGS, and Psychiatry Graduate Program at FAMED/UFRGS. Ph.D. in Psychiatry from FAMED/UFRGS, Porto Alegre, Rio Grande do Sul, Brazil The objective of this study was to identify the accuracy of nursing interventions from the nursing diagnoses (ND) of patients who consulted in the Program for Diabetes Education, in outpatient care of the university hospital, relating them with sociodemographic characteristics and comorbidities. It was a cross-sectional study of 136 patients with type 2 diabetes mellitus (DM2), with 77 (57%) women, with an average age of 669.38 years, and the presence of comorbidities in 97 (71%), and using medications. A significant association was found between the NDs and the most frequently prescribed interventions: "nutritional counseling" (n=99; 73%), "promotion of exercise" (n=64; 47%) and "teaching: feet care (n=48; 35%); however, not with the sociodemographic characteristics or comorbidities. The interventions most prescribed in nursing consultations showed ND accuracy for the domains of Promotion of Health and Nutrition, which are related to the principles of treatment for D Continue reading >>

Nursing Care Plan For Diabetes

Nursing Care Plan For Diabetes

Diabetes is really prevalent. Just recall all the patients you saw today and theres probably a handful of them who are diabetic. According to the National Center for Chronic Disease Prevention and Health PromotionDivision of Diabetes Translation, up to 30.3 million people in the United States have diabetes. Because of how prevalent it is, nurses need to be highly knowledgeable and skilled when it comes to educating and caring for their patients. That includes preparing the right nursing care plan for diabetes. Diabetes ordiabetes mellitusis a metabolic disease where blood glucose levels are abnormally high. Symptoms of high blood glucose levels include: In general, there are three types of diabetes and each one varies in terms of treatment and management. Type 1 diabetes is also called insulin-dependent and juvenile-onset diabetes. This type of diabetes often begins early in childhood. Its an autoimmune disorder where the bodys immune system attacks its own pancreas, inhibiting its capacity to produce insulin. Type 2 diabetes accounts for the 95% of diabetes cases in the US. Onset is usually late in adulthood. It happens when the pancreas is unable to produce adequate insulin to meet the bodys needs or when the bodys cells become resistant to it. Type 2 diabetes can be managed with lifestyle and diet changes as well as intake of oral hypoglycemic agents (OHAs). Gestational diabetes is characterized by pregnancy-induced insulin resistance. It affects roughly 2% to 10% of pregnancies. Diabetic patients need complex nursing care. Here are some of the most important NCPs for diabetes: 1. Deficient knowledge regarding disease process, treatment, and individual care needs verbal statements of concerns or misconceptions improper or inadequate follow-through of instructions de Continue reading >>

Nursing Interventions For Diabetes Mellitus

Nursing Interventions For Diabetes Mellitus

Nursing Interventions for Diabetes Mellitus Diabetes mellitus is a metabolic disorder that is caused by many factors, with symptoms such as chronic hyperglycemia and impaired metabolism of carbohydrates, fats and proteins, as a result of: deficiency of insulin secretion, insulin activity, or both. Various diseases, syndromes and symptoms can be triggered by diabetes mellitus, such as: Alzheimer's disease, ataxia-telangiectasia, Down syndrome, Huntington's disease, mitochondrial disorders, miotonis dystrophy, Parkinson's disease, Prader-Willi syndrome, Werner syndrome, Wolfram syndrome, Leukoaraiosis, dementia , hypothyroidism, hyperthyroidism, hypogonadism, and others. Imbalanced Nutrition: More than Body Requirements related to intake in excess of activity expenditures Assess current timing and content of meals. Assist patient to identify problems that may have an impact on dietary adherence and possible solutions to these problems. Emphasize that lifestyle changes should be maintainable for life. Assist patient to establish goals for weekly weight loss and incentives to assist in achieving them. Advise patient on the importance of an individualized meal plan in meeting weight-loss goals. Reducing intake of carbohydrates may benefit some patients; however, fad diets or diet plans that stress one food group and eliminate another are generally not recommended. Discuss the goals of dietary therapy for the patient. Setting a goal of a 10% (of patients actual body weight) weight loss over several months is usually achievable and effective in reducing blood sugar and other metabolic parameters. Explain the importance of exercise in maintaining/reducing body weight. Caloric expenditure for energy in exercise Carryover of enhanced metabolic rate and efficient food utilization Continue reading >>

Nutrition Recommendations And Interventions For Diabetes

Nutrition Recommendations And Interventions For Diabetes

A position statement of the American Diabetes Association Medical nutrition therapy (MNT) is important in preventing diabetes, managing existing diabetes, and preventing, or at least slowing, the rate of development of diabetes complications. It is, therefore, important at all levels of diabetes prevention (see Table 1). MNT is also an integral component of diabetes self-management education (or training). This position statement provides evidence-based recommendations and interventions for diabetes MNT. The previous position statement with accompanying technical review was published in 2002 (1) and modified slightly in 2004 (2). This statement updates previous position statements, focuses on key references published since the year 2000, and uses grading according to the level of evidence available based on the American Diabetes Association evidence-grading system. Since overweight and obesity are closely linked to diabetes, particular attention is paid to this area of MNT. The goal of these recommendations is to make people with diabetes and health care providers aware of beneficial nutrition interventions. This requires the use of the best available scientific evidence while taking into account treatment goals, strategies to attain such goals, and changes individuals with diabetes are willing and able to make. Achieving nutrition-related goals requires a coordinated team effort that includes the person with diabetes and involves him or her in the decision-making process. It is recommended that a registered dietitian, knowledgeable and skilled in MNT, be the team member who plays the leading role in providing nutrition care. However, it is important that all team members, including physicians and nurses, be knowledgeable about MNT and support its implementation. MNT, a Continue reading >>

Nanda Nursing Interventions

Nanda Nursing Interventions

Diabetes mellitus is a disorder in which the level of blood glucose is persistently raised above the normal range. Diabetes mellitus is a syndrome with disordered metabolism and inappropriate hyperglycemia due to either a deficiency of insulin secretion or to a combination of insulin resistance and inadequate insulin secretion to compensate. Diabetes mellitus occurs in two primary forms: type 1, characterized by absolute insufficiency, and the more prevalent type 2, characterized by insulin resistance with varying degrees of insulin secretory defects. Diabetes mellitus is a group of metabolic diseases characterized by elevated levels of glucose in the blood (hyperglycemia) resulting from defects in insulin secretion, insulin action, or both (ADA], Expert Committee on the Diagnosis and Classification of Diabetes Mellitus, 2003. Impaired nutrition: less than body requirements related to the reduction of oral input, anorexia, nausea, increased metabolism of protein, fat. Patients can digest the amount of calories or nutrients appropriate Stable weight or additions to the range usually 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, sen Continue reading >>

[accuracy Of Nursing Interventions For Patients With Type 2 Diabetes Mellitus In Outpatient Consultation].

[accuracy Of Nursing Interventions For Patients With Type 2 Diabetes Mellitus In Outpatient Consultation].

[Accuracy of nursing interventions for patients with type 2 diabetes mellitus in outpatient consultation]. Scain SF, et al. Rev Gaucha Enferm. 2013. Servio de Enfermagem em Sade Pblica do Hospital de Clnicas de Porto Alegre (SESP-HCPA), Doutora em Endocrinologia pela Faculdade de Medicina (FAMED) da Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil. The objective of this study was to identify the accuracy of nursing interventions from the nursing diagnoses (ND) of patients who consulted in the Program for Diabetes Education, in outpatient care of the university hospital relating them with sociodemographic characteristics and comorbidities. It was a cross-sectional study of 136 patients with type 2 diabetes mellitus (DM2), with 77 (57%) women, with an average age of 66 +/- 9.38 years, and the presence of comorbidities in 97 (71%), and using medications. A significant association was found between the NDs and the most frequently prescribed interventions. "nutritional counseling" (n=99; 73%), "promotion of exercise" (n=64; 47%) and "teaching: feet care (n=48; 35%); however, not with the sociodemographic characteristics or comorbidities. The interventions most prescribed in nursing consultations showed ND accuracy for the domains of Promotion of Health and Nutrition, which are related to the principles of treatment for DM2: healthy eating, physical exercise and health education. Continue reading >>

Nursing Care Plan And Diagnosis For Diabetes

Nursing Care Plan And Diagnosis For Diabetes

Nursing Care Plan and Diagnosis for Diabetes This nursing care plan is for patients who have diabetes. 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. A normal blood sugar level ranges between 70-150. Anything below 70 is considered hypoglycemia and anything above 150 is considered hyperglycemia. In this care plan we will be talking about hyperglycemia. In patients who havea high blood sugar the classic three Ps will present such as polyuria, polydipsia, and polyphagia. Uncontrolled diabetes is mostly common caused by patient knowledge deficient of notknowing how to manage their diabetes properly.Many patients lack the knowledge about diet regimes, how to give insulin properly, sliding scale dosages, common signs and symptoms of high blood sugar, dosing insulin when sick,and how insulin works. It is the nurses responsibility to educate the patient about diabetes. Some doctors will educate the patient but many times this falls to the nurse. Remember that uncontrolled diabetes can lead to blindness, peripheral vascular disease, and heart problems. Below is a nursing care plan with diagnosis and nursing interventions/goals for patients with diabetes. What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan? This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions. Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan. Care Plans are Continue reading >>

Nursing Interventions For Diabetes Mellitus

Nursing Interventions For Diabetes Mellitus

Administer insulin or an oral antidiabetic drug as prescribed. Have the patient participate in a supervised exercise program. Treat hypoglycemic reactions promptly by giving carbohydrates in the form of fruit juice, hard candy, honey or I.V. dextrose. Provide meticulous skin care, especially to the feet and legs. Assist the patient to develop coping strategies. Keep accurate records of vital signs, weight, fluid intake, urine output, and caloric intake. Monitor diabetic effects on the cardiovascular, peripheral vascular, and nervous systems. Observe for signs of urinary tract and vaginal infections, and monitor the patients urine for protein, an early sign of nephropathy. Recommend regular ophthalmologic examinations. Teach the patient how to care for his feet. Teach the patient and the family how to monitor the patients diet. Nursing Interventions: Lyme Disease Plan care to provide adequate rest. Ask patient ab... Continue reading >>

Assessment Of The Patient With Established Diabetes

Assessment Of The Patient With Established Diabetes

Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use. You may find the Pre-diabetes (Impaired Glucose Tolerance) article more useful, or one of our other health articles. See also the separate Diabetes Education and Self-management Programmes article. When, how and who? Patients with diabetes frequently attend their healthcare practitioners, either specifically for diabetes-related issues, for complications of their chronic illness, or for unrelated problems. They may see their GP, practice nurse, hospital diabetologist, diabetes specialist nurse, dietician and many others, from time to time. Each visit can be viewed as an opportunity to assess and improve the patient's understanding of their illness, and their ability to control the disease. This article provides a summary of the areas of assessment relevant to type 1 diabetes and type 2 diabetes, which will need to be adapted, depending on an individual patient's type of diabetes. Aims of assessing the patient with diabetes To educate the patient and enable them to monitor and manage their diabetes as well as possible. To assess any problems in glycaemic control and address them to improve it. To detect any complications of diabetes and treat them as appropriate. To educate and reinforce healthy lifestyle advice. To assess the patient's overall health and to treat any associated or coincidental illness, physical or mental. To provide support and advice to the patient on how to cope with living with a chronic illness and how they can best alter their lifestyle to maintain their health. A checklist for a routine, annual or opportunistic review of the patient with diabetes History There is much to cover Continue reading >>

Types Of Diabetes Mellitus Disease With Nursing Intervention

Types Of Diabetes Mellitus Disease With Nursing Intervention

You are here: Home / Adult Nursing / Types of Diabetes Mellitus Disease with Nursing Intervention Types of Diabetes Mellitus Disease with Nursing Intervention Diabetes mellitus disease commonly referred to a group of metabolic disease characterized by hyperglycaemia resulting from insufficiency secretion of insulin, less insulin action or both. Types of Diabetes Mellitus Disease or Classification of Diabetes Mellitus: There are three major types of diabetes which are discussed in the below: 1. Type-1 Diabetes Mellitus Disease or Diabetes Mellitus Type 1: Type- 1 Diabetes Mellitus is known as Insulin Dependent Diabetes Mellitus (IDDM) or Juvenile diabetes. Pancreases fail to produce enough beta cells or insulin. 2. Type-2 Diabetes Mellitus Disease or Diabetes Mellitus Type 2: Type-2 Diabetes Mellitus is known as Non Insulin Dependent Diabetes (NIDDM), beta cells produce insufficient Insulin. Insufficient production of insulin during pregnancy by the mother. This diabetes recovers following pregnancy, but they are at risk for developing type -2 diabetes mellitus later in life. Sign and Symptoms of Diabetes Mellitus Disease or Diabetes Mellitus Symptoms: Sign and symptoms of diabetes mellitus are in the following: Fast onset because of no insulin producing, Frequent genital infections ( Balanitis/ vaginitis), Intsermediate acting (Neutral protamine hegadorn) Continuous subcutaneous insulin ( CSII) Rapid acting insulin infused continuously 24 hours through an insulin pump, at 1 or more basal rates. Type-2 DM is treated first with weight reduction, a diabetic diet and exercise. When these first measures fail to control the hyperglycaemia, oral medications are to be used. which stimulates release of insulin from pancreatic islets, reduce blood glucose. Those are chlopropamid Continue reading >>

Diabetes Mellitus

Diabetes Mellitus

Melvin, a 32-year- old,always complains of his increasing need for water. He also feels an increasing need to urinate almost every now and then,and always feels hungry. There is tingling on his extremities and numbness. His once clear vision is now experiencing cloudiness. He already feels tired just a few hours after waking up even though he does not have any job and only stays at home. The wound on his right knee has been there weeks but no improvement is seen. 11 Nursing Management The major sources of the glucose that circulates in the blood are through the absorption of ingested food in the gastrointestinal tract and formation of glucose by the liver from food substances. Diabetes mellitus is a group of metabolic diseases that occurs with increased levels of glucose in the blood. Diabetes mellitus most often results in defects in insulin secretion, insulin action, or even both. The classification system of diabetes mellitus is unique because research findings suggest many differences among individuals within each category, and patients can even move from one category to another, except for patients with type 1 diabetes. Diabetes has major classifications that include type 1 diabetes, type 2 diabetes, gestational diabetes, and diabetes mellitus associated with other conditions. The two types of diabetes mellitus are differentiated based on their causative factors, clinical course, and management. Diabetes Mellitus has different courses of pathophysiology because of it has several types. Insulin is secreted by beta cells in the pancreas and it is an anabolic hormone. When we consume food, insulin moves glucose from blood to muscle, liver, and fat cells as insulin level increases. The functions of insulin include the transport and metabolism of glucose for energy, sti Continue reading >>

Developing A Type 2 Diabetes Care Plan

Developing A Type 2 Diabetes Care Plan

A management plan after a diabetes diagnosis can help you make healthy changes in your life. Knowing what to include in a well thought-out diabetes care plan can outline ways to live well with this condition. If you've recently been diagnosed with type 2 diabetes , you may have a lot to learn about the disease itself, how to change your diet , what medications to take, possible long-term complications, and more. How do you take this all in? Since it’s not easy to learn everything all at once, educating yourself about type 2 diabetes requires a well thought-out care plan that outlines ways to live well with this condition. Kathy Honick, RN, a diabetes educator at Barnes Jewish Hospital in St. Louis, says such a plan should cover: By incorporating these issues into a plan, you — and your family — can learn the dos and don’ts of diabetes. As you work on controlling your blood sugar, you may need to learn about portion control and how to make the right food choices . According to Honick, "understanding how the choice of foods and beverages affects diabetes control, including the ability to identify and limit carbohydrates in meal planning," is the goal. The more you learn about how many carbohydrates and how much fat and protein you can safely eat in a given meal, the easier it will be to make good choices. Healthy lifestyles include physical activity. Regular exercise can help control your diabetes and may even decrease the amount of medications you need to take. A diabetes educator can help you learn about the types of activities that can best help you, but always check with your doctor before beginning any new exercise regimen. As someone with type 2 diabetes, you’ll need to monitor your blood sugar on a regular basis. Several automated devices are available t Continue reading >>

Nurse Practitioner Management Of Type 2 Diabetes

Nurse Practitioner Management Of Type 2 Diabetes

Go to: Abstract Multifactorial barriers prevent primary care clinicians from helping their adult patients with type 2 diabetes achieve good control of hemoglobin A1c (HbA1c) levels. Patients’ depression and low self-efficacy can complicate diabetes management by impairing tasks needed for effective disease self-management. To evaluate whether nurse practitioners in collaborative practices with primary care clinicians are effective in helping improve control of HbA1c, blood pressure (BP), and low-density lipoprotein cholesterol (LDL-C) in adults with uncontrolled hyperglycemia, and to assess whether nurse practitioner-guided care affects depression and self-efficacy in these patients. De-identified preintervention and postintervention data were collected from prospective review of medical charts of patients in a managed care organization’s primary care clinics. Preintervention and postintervention HbA1c values were evaluated as the primary outcome measure. Preintervention and postintervention values for BP, LDL-C, body weight, and depression and self-efficacy scores were secondary outcome measures. After intervention, 50% of 26 patients achieved HbA1c benchmarks, 95.6% achieved systolic and diastolic BP benchmarks, and 57.8% achieved LDL-C benchmarks. Wilcoxon paired samples tests showed significantly increased self-efficacy (z = −3.42, p < 0.001) from preintervention to postintervention. Depression scores decreased slightly from preintervention (mean = 0.44, standard deviation = 1.34, median < 0.001) to postintervention values (mean = 0.18, standard deviation = 0.73, median < 0.001), but this decrease was not significant. Integrating nurse practitioners into primary care teams to provide innovative methods of support to adults with uncontrolled hyperglycemia impro Continue reading >>

Nursing Care Plan For Diabetes

Nursing Care Plan For Diabetes

Grab Free Cheat Sheet Quick! Is this aPTT Count Dangerous? Hesitant? Never Feel Anxious About Lab Values Again... Diabetes Mellitus is when blood glucose (sugar in the blood) is unable to move into the cells and help in the making of ATPAKA energy. The body makes insulin to assist with this process. Insulin is a hormone that allows the sugar in the blood to move across the cell wall so the body can use to to produce ATP. There are two types of diabetes. Type I and Type II. Type I is an autoimmune disorder where the cells attack the insulin producing cells in the pancreas. Thus the body is producing very little or no insulin leaving the sugar in the blood and the cells starve. Type II is when the cells dont respond to the insulin trying to get sugar into them, called insulin resistance. Thus the sugar stays in the blood and the cells starve. The cause for Type I diabetes is unknown, but hypothesized to be potentially genetic or triggered by a virus. The cause for Type II diabetes is caused by a storm of events culminating such as weight gain, lack of activity, genetics, and stress levels. Blood sugar control with minimal side effects. Diabetes Mellitus (Type I and Type II) Nursing Care Plan Blood sugar monitoring: Normal range 70-180 mg/dL *patient may have a different target blood sugar level, make sure to know what each patients target is. The physician will make a target blood glucose level. Teach the patient that they need to monitor their blood glucose.They need to call their primary care physician if they have blood glucose levels higher than their target for multiple days or if they have 2 readings of greater than 300 mg/dL. Teach the patient how to use their glucometer and record their results. Insulin administration -Rapid Acting: Humalog Novolog -Fast/short Ac Continue reading >>

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