DIABETES MELLITUS NURSING CARE PLAN

A nursing care plan commonly known as NCP outlines the nursing care to be provided to a patient in the hospital, family or community. It summaries a set actions the nurse will implement to resolve/support nursing diagnoses identified by nursing assessment. The establishment of the plan is an intermediate stage of the nursing process. It serves as a guideline of the nurse in the delivery and evaluation of care.

Below document shows the actual NURSING CARE PLAN made by nursing students for patient with DIABETES MELLITUS TYPE II.  If you have questions, please contact us through our email: thenursingcornerwebsite@gmail.com.

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NURSING MANAGEMENT (NCP)

CUES	NURSING DIAGNOSIS	SCIENTIFIC EXPLANATION	PLANNING	INTERVENTIONS	RATIONALE	EVALUATION
S> O O>conscious    >appears    weak    >irritable    and restless    at times    >(+) seizure    >with lab    results as      follows: Serum Na-101.2 mmol/l Serum K- 1.75 mmol/l    > with VS as    follows:    BP- 160/100    T- 35.9    P- 87    R-15	Risk for falls related to muscle weakness and episodes of seizures secondary to low levels of potassium in the blood	Because potassium and sodium are needed for normal nerve conduction and muscle function, low plasma potassium and sodium levels can often lead to weakness and can lead to falls or seizures Hypertension can cause deprivation of body cells of O2 secondary to decrease blood flow resulted from vasoconstriction. This can in turn causes weakness of the muscles and dizziness	After 8 hours of nurse-patient interaction, patient will be able to reduce risks of falls as evidenced by an absence of falls, bruises and seizures	1.        Establish rapport 2.        Assess general conditions 3.        Monitor VS 4.        Assist in treatments and provide information regarding patient’s present condition 5.        Discuss consequences of previously determined risk factors 6.        Discuss side effects of anti-hypertensive drugs 7.        Stress importance of monitoring conditions that may contribute to occurrence of falls 8.        Employ seizure precautions 9.        Keep bed in a low position with padded side rails up 10.     Before the client walk, clear the path of obstacles and place non-slippery shoes on the client	1.        To gain trust 2.        For baseline data 3.        To determine alterations which may indicate a need for interventions 4.        To determine individual risks 5.        For follow up instructions and interventions 6.        This can contribute to weakness and balance 7.        To reduce risks 8.        To minimize 9.        risk for injury	Goal met, patient was able to reduced risks of falls as evidenced by an absence of falls, bruises, contusions and seizures

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NURSING MANAGEMENT (NCP)

CUES	NURSING DIAGNOSIS	SCIENTIFIC EXPLANATION	PLANNING	INTERVENTIONS	RATIONALE	EVALUATION
S> O O>conscious    >appears     weak   >(+)dyspnea   >looks pale   >irritable at   times   >with lab   results of: Serum K= 1.75 mmol/min   >with VS as   follows:    BP- 160/100    T- 35.9    P- 87    R-15	Activity intolerance related to generalized muscle weakness secondary to decreased levels of potassium and sodium in the blood	Potassium and sodium are needed for muscle function and a decreased in its level can cause weakness. Hypertension can cause deprivation of body cells of O2 secondary to decrease blood flow resulted from vasoconstriction. This can in turn causes weakness of the muscles and dizziness	After 8 hours of nursing interventions, patient will be able to deal with contributing factors of intolerances and manage activities within individual limits.	1.        Establish rapport 2.        Assess general conditions 3.        Monitor VS 4.        Reduce intensity level or discontinue activities that cause undesired physiological changes 5.        Provide supplemental O2 6.        Plan care to carefully balance rest periods with activities 7.        Provide positive atmosphere, while acknowledging difficulty of the situation for the client 8.        Encourage expression of feelings 9.        Assist with activities and provide use of assistive devices 10.     Provide comfort measures 11.     Assist client in learning and demonstrating appropriate and safety measures 12.     Administered medicines as ordered	1.        To gain trust 2.        For baseline data 3.        To determine alterations which may indicate a need for interventions 4.        To prevent overexertion 5.        To assist client with O2 need 6.        To reduce need for O2 7.        This helps client to minimize frustration and rechannel energy 8.        To gain pertinent data 9.        To protect client from injury 10.     To enhance ability to participate activities 11.     To prevent injuries 12.     For compliance to medication regimen	Goal met, patient was able to deal with contributing factors of intolerances and managed activities within individual limits.

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