NUR 327 Women & Newborn Health Care

Nursing Care plan

1.Assessment
Subjective Data Objective Data
Pt stated “I am having DN-type 1 since I was
HGT:81mg/dl at morning
10 years “
Pt stated “there is no family history of DDM
HGT:144mg/dl at afternoon
in her family “
on insulin
Weight:97KG

2.Diagnosis
Statement of Patient Pt is having DM-type 1 since childhood.
Problem
Nursing Diagnosis Risk for Unstable Blood Glucose Level r/t Insulin deficiency
(NANDA)
3.Planning
The patient will be able to identify self-care actions to maintain blood glucose levels at the target level by
Objectives (NCO)
discharge.
4.Implementation
Nursing Intervention (NIC) Rationale
Assess S&S of hyperglycemia or hypoglycemia. To provide immediate management.
The information provides the basis for individualized
Assist the patient in identifying eating patterns that
dietary instruction related to the clinical condition that is
need to be modified.
associated with fluctuation in blood sugar.
An individualized meal plan depends on the patient’s
Refer to a registered dietitian for individualized diet
body, weight, blood glucose values, activity patterns, and
instruction.
specific clinical condition
nsulin is required to lower blood glucose levels in
Administer insulin medications as directed
type 1 diabetes
Provide sweets or juices as directed for A rapidly absorbed form of glucose is indicated to
hypoglycemia. manage hypoglycemia.
 Instruct the patient experiencing hypoglycemia Food intake is appropriate in most cases of
about appropriate actions to raise blood glucose. hypoglycemia to raise blood glucose levels.
Educate the patient about the importance of A prescribed meal plan will help the patient maintain
following a prescribed meal plan. stable blood glucose levels
Discuss the importance of balance exercise with The patient needs to understand the relationship of
food intake. exercise, food intake, and blood glucose levels.
Review the progress toward goals during each Patient involvement in the treatment plan enhances
patient visit adherence to the treatment plan.
5.Evaluation

-pt will understand the importance of a meal plan and showed readiness to follow it

-pt will gain knowledge about how to manage a decrease in blood sugar.