Show Diabetes is a prevalent condition. Just recall all the patients you saw today and there’s probably a handful of them who are diabetic. According to the National Center for Chronic Disease Prevention and Health Promotion Division of Diabetes Translation, up to 34.2 million people in the United States have diabetes. And by 2049, the number can increase up to 700 million. 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. What is diabetes?Diabetes or diabetes mellitus is 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. It’s an autoimmune disorder where the body’s immune system attacks its own pancreas, inhibiting its capacity to produce insulin. Type 2 DiabetesType 2 diabetes accounts for 95% of diabetes cases (1) in the US. Onset is usually late in adulthood. It happens when the pancreas is unable to produce adequate insulin to meet the body’s needs or when the body’s cells become resistant to it. Type 2 diabetes can be managed with lifestyle and diet changes as well as the intake of oral hypoglycemic agents (OHAs). Gestational diabetesGestational 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 needsMay be related to – unfamiliarity with information – misinterpretation – lack of recall Possibly evidenced by – verbal statements of concerns or misconceptions – expressions of request for information – improper or inadequate follow-through of instructions – development of preventable complications Desired Outcome – participates in the learning process – exhibits signs of taking responsibility for own learning by asking questions – verbalizes understanding of condition and treatment – correlates signs and symptoms of the disease process and identify corresponding management – perform demonstrated procedures correctly and explain reasons for actions
2. Risk for unstable blood glucoseMay be related to – lack of adherence to diabetes management – inadequate blood glucose monitoring practices – fluctuating physical activity level – stress As evidenced by Desired Outcome – identifies factors that may lead to unstable blood glucose levels – verbalizes understanding of balancing body and energy needs – verbalizes plan in modifying identified risk factors to prevent shifts in glucose level – maintains blood glucose levels within the normal range
3. Risk for infectionMay be related to – decreased leukocyte function – circulatory changes due to high blood glucose levels As evidenced by Desired Outcome – verbalizes understanding of identified risk factors – identifies important interventions in reducing risks for infection – ensures timely wound healing free from purulent discharges and necrosis
See Also: Nursing Care Plan for Risk for Infection Referances: 1. Deshpande, A. D., Harris-Hayes, M., & Schootman, M. (2008). Epidemiology of diabetes and diabetes-related complications. Physical therapy, 88(11), 1254-1264. 2. Heinemann, L. (2010). Insulin absorption from lipodystrophic areas: a (neglected) source of trouble for insulin therapy?. Journal of diabetes science and technology, 4(3), 750-753. 3. Terranova, A. (1991). The effects of diabetes mellitus on wound healing. Plastic surgical nursing: official journal of the American Society of Plastic and Reconstructive Surgical Nurses, 11(1), 20-25. Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2019). Nurse’s pocket guide: Diagnoses, prioritized interventions, and rationales. Philadelphia: F.A. Davis. |