NURSING CARE PLAN

Diagnostic Statement Imbalanced nutrition less than body requirements related to inability to utilize nutrients to meet metabolic needs as manifested by increased thirst, frequent urination and hyperglycemia. S/O: polyphagia : increased thirst noted : frequent urination : blood glucose364 mg/dL : diagnosed with Diabetes Mellitus type 2 Need P H Y S I O L O G I C N E E D Desired Outcome After 8 hours of nursing intervention, the patient will: General: y Be able to be free of signs of malnutrition Specific: y Demonstrate behaviors, lifestyle changes such as food choices y Display normalization of blood glucose test Interventions Independent: y Monitor and record vital signs y Changes in VS indicate impending illness/disease To determine nutritional and elimination problems To promote wellness To determine the source o the problem and eliminate it to prevent occurrence of malnutrition. Goal partially met. The client was able to demonstrate behaviors and lifestyle changes such as food choices. The results of blood glucose test are fluctuating from normal to higher value. Continue monitoring vital signs and patient status. To check for impending illness and prevent additional injury. Rationale Evaluation Statement Interventions Rationale

Monitor and record I &O

Provide bedside care

Assess causative factors contributing to imbalanced nutrition

y Background knowledge: 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 y

Discuss eating habits and encourage diabetic diet as prescribed by the Doctor Educate the client regarding the importance of eating healthy food.

To determine what information to be provided to client/SO Education provides ample information that the client may not be aware of,

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and inadequate insulin secretion to compensate. Imbala nced nutrition less than body requirements means that the intake of nutrients insufficient to meet metabolic needs. hence leading to the kind of eating habits and diet he is following. y Plan with the client his desired meals. y Involving the client to his plan of care gives the client the feeling of independence. It also personalizes the plan of care since the client does make the choices in some aspects of the plan. This may decrease appetite and lead to early satiety.

Reference: Medical Surgical th Nursing 10 edition by Brunner and Suddhart

Discourage beverages that are caffeinated carbonated. or These

may decrease appetite and lead to early y Instruct client to limit sugar intake. Eating sugar in moderation

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will help client keep their blood glucose levels on track. y Instruct client to balance carbohydrate and protein intake y Complex carbohydrates take longer to digest, which helps you stay full longer and keeps your blood sugar level more even. Eating carbohydrates along with protein or a little fat helps reduce the impact on your blood sugar levels. Regular eating habits are especially important for diabetics. The body is better able to regulate blood sugar levels and weight when the patient maintains a regular meal schedule.

Encouraged

to

establish regular eating habits.

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y y Encouraged to have frequent oral care.

To cleanse mouth and prevent oral diseases.

y y Encourage exercise.

Metabolism and utilization of nutrients are enhanced by activity If a person is tired, the body will crave sugar and other quick energy fixes. This can easily lead to overeating, rising and falling blood sugar levels, and mood swings.

Encourage to have adequate rest periods.

Dependent: y Administer medications prescribed by AP such as insulin injections.

To minimize occurrence of hyperglycemia .