List of Nursing Diagnosis

Nursing Care Plan for Diabetes Mellitus

Nursing Diagnosis : Acute Pain related to injury of biological agents (decreased peripheral tissue perfusion)

NOC :

• level of pain
• pain controlled
• level of comfort

Clients can :
1 Controlling pain, with indicators :

• Know the factors that cause.
• Know the onset of pain.
• Non-pharmacological aid measures.
• Analgesic use.
• Reported pain symptoms to the health care team.
• Pain controlled.

2. Shows the level of pain, the indicator :

• Reported pain.
• Frequency of pain.
• The duration of pain episodes.
• The expression of pain ; face.
• Changes in respiration rate.
• Changes in blood pressure.
• Loss of appetite.

Interventions (NIC)

Pain Management :

• Perform a comprehensive pain assessment includes the location, characteristics, duration, frequency , quality and ontro precipitation.
• Observation of nonverbal reactions of discomfort.
• Use therapeutic communication techniques to determine the client's experience of pain before.
• Environmental controls that affect pain such as room temperature, lighting, noise.
• Reduce pain ontro precipitation.
• Choose and pain management (pharmacological / non- pharmacological).
• Teach non- pharmacological techniques ( relaxation , distraction, etc.) to mengetasi pain.
• Give analgesics to reduce pain.
• Evaluation of pain -reducing action / ontrol pain.
• Collaboration with a physician if there are complaints about the administration of analgesics to no avail.
• Monitor client acceptance of pain management.

Analgesics Administration :

• Check program providing analogetik ; the type, dosage, and frequency.
• Check history of allergy.
• Determine the analgesic of choice, the optimal route of administration and dose.
• Monitor vital signs before and after the administration of analgesics.
• Give analgesic especially timely when the pain arises.
• Evaluation of the effectiveness of analgesics, signs and symptoms of side effects.

Nursing Diagnosis for Diabetes Mellitus: Imbalanced Nutrition Less Than Body Requirements related to an increased metabolism of proteins, fats.

Goal: patient's nutritional needs can be met.

the expected outcomes:
Patients can ingest calories or nutrients right.
Stable weight or addition to the usual range.

Nursing Interventions imbalanced Nutrition Less Than Body Requirements - Nursing Care Plan for Diabetes Mellitus

Independent

1. Measure weight as indicated.
Rational:
Assessing adequate food intake.

2. Determine the diet program, diet, and compare it with foods that can be spent on the client.
Rational:
Identify deficiencies and irregularities of therapeutic needs.

3. Auscultation of bowel sounds, record abdominal pain, or abdominal bloating, nausea, vomiting and maintain a state of fasting as indicated.
Rational:
Hyperglycemia, fluid and electrolyte balance disorders decrease gastric motility or function (distension or paralytic ileus).

4. Give liquid foods that contain nutrients and electrolytes. Furthermore, providing a more solid foods.
Rational:
Oral feeding is better given to the client's conscious and gastrointestinal function well.

5. Identify the preferred food.
Rational:
Cooperation in planning meals.

6. Involve the family in meal planning.
Rational:
Increase the sense of involvement, providing information to families to understand the nutritional needs of the client.

7. Observation sign of hypoglycemia (altered levels of consciousness, or cold clammy skin, rapid pulse, hunger, sensitive stimuli, anxiety, headache, dizziness).
Rational:
On carbohydrate metabolism (blood sugar will be reduced and while still given insulin, the hypoglycemic events occurred without showing changes in level of consciousness.

Collaboration

8. Make checks blood sugar with a finger stick.
Rational:
Analysis on a bed of blood sugar monitoring is more accurate than the sugar in the urine.

9. Monitor laboratory tests (blood glucose, acetone, pH, HCO3)
Rational:
Blood sugar decreases slowly with the use of fluid and insulin therapy can be controlled so that glucose enter the cells and be used for a source of calories. Currently, acetone levels decreased and acidosis can be corrected.

10. Give regular insulin treatment with iv
Rational:
Regular insulin has a rapid onset and quickly too helps move glucose into the cells. Giving through IV because of absorption from the subcutaneous tissue is very slow.

11. Give glucose solution (destroksa, half normal saline).
Rational:
Glucose solution was added after insulin and blood sugar liquids carrying about 250 mg / dl. With nearly normal carbohydrate metabolism, care be taken to avoid hypoglycemia.

12. Consultation with a dietician.
Rational:
Useful in calculating and adjusting the diet to meet nutritional needs.


Defining Characteristics of Imbalanced Nutrition Less than Body Requirements

Imbalance Nutrition Less than Body Requirements related to psychological factors