Bi

colUni
ver
sit
yTabacoCampus
NURSINGDEPARTMENT

STUDENTNURSE: JOYCEEG.BO LEVEL/

GROUPNO.
:BSN3B–GROUP5
HOSPITAL:
CLI
NICALINSTRUCTOR:RICHARDT.RANI
OLARN DATE/
SHI
FT:
APR2,
20228:
00AM –5:
00PM

PLANNI
NG I
NTERVENTI
ONS EVALUATI
ON

GOAL OUTCOME I
NDEPENDENT RATI
ONALE
NURSI
NGDI
AGNOSI
S
COLLABORATI
VE
DATE ASSESSMENT
DEPENDENT

Subj
ect
ivedat
a: Riskf orunstabl
e After4hour sof After4hour sof Watchoutforsi
gns Ast hename Af t
er3hour sof
ofmo r
ning suggest s,Mor ni
ng
"Kinakapusanakong bloodgl ucoselevel nursinginterv ent
ions, nur si
ng nur si
ng
hiningalagiat relatedtoinsuli
n thepat i
entwi llpati
ent i
nt erventi
ons, hyper
glycemi
a. hyper glycemi aisan i
nt ervent i
ons, the
sumasaki tang def i
ciencyorexcess willacknowl edgekey pat i
entwi l
lachieve elevat edbl ood goalwaspar tiall
y
bali
katatpangako.
" glucosel evel
factorsthatmay andmai ntain metast heclient
asverbal
izedbythe arisingi nthe
cl
ient.
contribut
et ounst able glucosei n wasont he
mor ningduet oan
glucoselev els. satisfactoryrange. i
nsuf f
icientlevelof
processof
Obj
ect
ivedat
a: par ti
cipatingthe
i
nsul in.Causes
Pr
ogressi
ve i
ncl udet hedawn treatment sand
dy
spnoea phenomenon ther elativ
eswer e
(normal blood verbalized
glucosel evelsunti
l under standingof
3AM, thenl evel
s thesai ddi sease.
begi nt or i
se),
i
nsul inwani ng
(progr essive
i
ncr easei nglucose
l
ev elsf rom bedtime
Bi
colUni
ver
sit
yTabacoCampus
NURSINGDEPARTMENT
tomor ning),and
Somogy i ef
fect
(noctur
nal
hypoglycemiat hen
rebound
hyperglycemia).

Administ
erbasaland Adherencetot
he
pr
andiali
nsul
in. ther
apeuti
c
regimenpromot es
ti
ssueper f
usion.
Keepingglucose
i
nt henormal
rangeslowst he
progressi
onof
mi cr
ovascular
disease.

Hy per
tensi oni s
ReportBPofmor e commonl y
than160mm Hg associatedwi th
(syst
oli
c).Admini
ster diabetes.Cont r
ol
hypert
ensiveas ofBPpr event s
prescr
ibed.
coronaryar tery
disease, stroke,
reti
nopat hy, and
nephropat hy .
Bi
colUni
ver
sit
yTabacoCampus
NURSINGDEPARTMENT
Str
essthe Controlofbl ood
i
mportanceof glucosel evels
achi
evi
ngblood withi
nt he
gl
ucosecontr
ol. nondiabet i
cr ange
cansigni fi
cantly
reducet he
developmentand
progressionof
compl i
cat i
ons.

The
Expl
aint he
recommendati
on
i
mpor tanceofhavi
ng
i
st hr
eemealsof
consistentmeal
equalsi
ze,
evenly
contentortimi
ng.
spacedmeal
ti
mes( 5-6hours
apart)
,withoneor
twosnacks.
Pacingfood
i
ntakethroughout
thedayplaces
moremanageabl e
demandsont he
pancreas.

Theneedl
eor
Forpati
ent
susi
ng tubi
nginan
i
nsuli
npumps, i
nsuli
npumpmay
 Bi
colUni
ver
sit
yTabacoCampus
NURSINGDEPARTMENT
educatethepati
ent becomeoccl uded
ont hei
mportanceof (f
rom batt
ery
maintai
ningi
ts drai
nageor
patency. depl
eti
onof
i
nsuli
n),which
mayincreasethe
pati
ent’
sriskfor
DKA.

Fatiguer elatedto Aft

er8hour sof Aft
er8hour sof After8hour sof
Discusswit
hthe Educat i
onmay
i
ncr easedener gy nursingi nt
erventi
ons, nursi
ng pati
enttheneedfor nur si
ng
mot ivat
eto
demands: patientwi l
lbeableto i
nterventions, acti
vit
y.Pl
an i
nt ervent i
ons,the
i
ncr easeacti
vit
y
hyper met abolic verbalizeincreasein pati
entwi lldi
splay schedulewit
hthe goalwaspar ti
all
y
l
ev eleventhough
state/infectionas ener gylevel
. i
mpr ov edabili
tyto pati
entandidenti
fy metast hepatient
thepat i
entmay
evidencedby parti
cipatein acti
vit
iest
hatleadto slowl y
feel t
ooweak
over whelmi nglackof desir
edact i
vi
ti
es. fati
gue. par ti
cipatingin
i
nitial
ly
ener gy,i
nabi li
tyto desi r
edact i
vit
ies
mai ntainusual asi tprogr essi
ng
routines, decreased. toi mpr ove.

Alt
ernat
eactiv
itywit
h
peri
odsofrestand Toprevent
uni
nterr
upt
edsl eep. excessi
vefat
igue.
Bi
colUni
ver
sit
yTabacoCampus
NURSINGDEPARTMENT
I
ncreasepat i
ent Incr
eases
par
ticipat
ioninADLs confidencel
evel
,
astolerat
ed. self
-esteem,and
t
oler
ancel
evel
.

Perform act
ivi
ti
es Int
erventi
ons
slowlywithfr
equent shoul
dbedi rected
restperi
ods. atdel
ay i
ngt he
onsetoffatigue
andopt i
mizing
muscleef f
iciency.

I
nstructthepati
entt
o Helpspromot
e
perform deep r
elaxat
ion.
breathi
ngexerci
ses.

Tobef reefr
om
Provi
decomfortand
i
njuryduri
ng
safet
ymeasures.
acti
vit
y.

Admi
nist
eroxy
genas
or
der
ed. Topr
ovi
depr
oper
v
ent
il
ati
on.
Bi
colUni
ver
sit
yTabacoCampus
NURSINGDEPARTMENT
Bi
colUni
ver
sit
yTabacoCampus
NURSINGDEPARTMENT
Bi
colUni
ver
sit
yTabacoCampus
NURSINGDEPARTMENT
Bi
colUni
ver
sit
yTabacoCampus
NURSINGDEPARTMENT
Bi
colUni
ver
sit
yTabacoCampus
NURSINGDEPARTMENT
Bi
colUni
ver
sit
yTabacoCampus
NURSINGDEPARTMENT