You may actually be able to count their urine output to see the Polyuria, but most of those will be subjective. So what kinds of things are we going to do for this patient? We might monitor potassium levels. 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… Just a little review of a diabetic care plan. Type II is when the cells don’t respond to the insulin trying to get sugar into them, called insulin resistance. Non-intensive care patients should be maintained at pre-meal levels <140 mg/dL. 1. 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. 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? Maybe your target is less than 140. We’ve got to monitor that blood glucose level. I’m also going to see those high blood sugars. Diabetes Mellitus is when blood glucose (sugar in the blood) is unable to move into the cells and help in the making of ATP…AKA energy. So time to translate it. 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. The patient may obtain erroneous blood glucose values when using incorrect techniques in SMBG. This is what they look like. This is a measure of blood glucose over the previous 2 to 3 months. So detect any changes and treat them early. 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. Explain the importance of weight loss to obese patients with diabetes.Weight loss is an important factor in the treatment of diabetes. Observe and review the patient’s technique in self-monitoring blood glucose (SMBG). 19. Then we’re going to figure out how to address it. 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. 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. Regular exercise is a core part of diabetes management and reduces risk for cardiovascular complications. 9. They love to consume the sugar. Each patient needs a comprehensive treatment … Right? A normal blood sugar … White, P. (1974). This WebQuest asks the nursing student to develop a teaching plan for a patient with Type 2 Diabetes … So what outcomes are we going to look for? Can cranberry supplementation benefit adults with type 2 diabetes? 0900-0930: Power Point presentation describing Diabetes Mellitus and complications of Diabetes … So if we have this patient go into DKA, then that potassium is going to go really high. Diabetes Assessment The diabetes teaching plan is aimed at helping the patient make educated lifestyle changes that will promote health and a stable blood glucose level. Their potassium level went really low. Hyperglycemia disrupts gastric motility in the stomach, duodenum, and jejunum and may affect choice of interventions. And long term I want to see those wounds heal without complication. Again, remember evaluation is usually looking back at what told us we had a problem and seeing it fixed. References and recommended sources to further your reading about this care plan guide for Diabetes Mellitus: You may also like the following posts and care plans: Nursing care plans related to the endocrine system and metabolism: Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. People who have diabetes fall into one of two categories, referred to as Type 1 and 2. Monitor for signs of hypoglycemia.A patient with type 2 diabetes who uses insulin as part of the treatment plan is at increased risk for hypoglycemia. A nurse is caring for a client who has diabetes and has developed hypoglycemia. Let’s get this on paper. 1. But short term I can say, hey, my wounds not getting any worse, we’re not getting any worse. And then of course if you’ve got a severe case, you might see some signs of DKA or HHNS just depending. 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