Family needs & problem list.

Date Family name Family needs/problems Comment

Client : Problems
 Solved
randa Mohamed 1. altered in cardiovascular system related to
abdelaty hypertension As evidenced by:
- Tachycardia
- Decreased oxygen saturation
- Chest pain (angina)
- Difficulty breathing (dyspnea)
- Rapid breathing (tachypnea)
- Restlessness
- Fatigue
2. Altered in endocrine system related to diseases  Solved
process " diabetes mellitus" as evidenced by :
- Frequent urination (polyuria)
- Increased thirst (polydipsia)
- Increased feeling of hunger (polyphagia)
- Blurred vision
- Burning, tingling, or numbness in lower
extremities
- Fatigue
- Headaches
3. Ineffective Tissue Perfusion
Related to: Impaired oxygen transport
-Interruption in blood flow - Elevated blood  Not solved
glucose level
As evidenced by:
 Weak or absent peripheral pulses
 Numbness
 Pain
 Cool, clammy skin
 Difference in BP in opposite extremities
 Prolonged capillary refill
4. Acute Pain Related to: Blockage of coronary  Not solved
arteries Low or no oxygen-rich blood flowing to
the heart .As evidenced by:
- Verbal reports of chest pain, pressure, or
tightness
- Restlessness
- Labored breathing and dyspnea
 Needs
1. Knowledge deficit about complications  Client respond with
management and healthy nutrition for client me well
with hypertension as evidenced by client asks
many questions  Client respond with
me well
2. Knowledge deficit about complications of
wound to prevent infection as evidenced by
client asks many questions  Client respond with
me well
3. Knowledge deficit about diabetes or treatment
as evidenced by client asks many questions
 Client respond with
4. Knowledge deficit about psychological needs as me well
evidenced by client overload and sadness

Student name:
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 Family Pre-visit Plan

Visit Order:
Date Family Health Problems and Nursing Intervention
Member Needs
Sex/age "Nursing Diagnosis"
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Student signature

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 Family Nursing Care Plan

Visit Order:
Date Family Health Problems and Nursing Intervention
Membe Needs
r "Nursing Diagnosis"
Sex/ag
e
Altered in endocrine Assessment:
system related to
1. Assess the patient’s general symptoms.
diseases process "
diabetes mellitus" as Signs and symptoms that can indicate hyperglycemia include:
evidenced by :
- Frequent urination  Frequent urination (polyuria)
(polyuria)  Increased thirst (polydipsia)
 Increased feeling of hunger (polyphagia)
- Increased thirst  Blurred vision
(polydipsia)  Burning, tingling, or numbness in lower extremities
- Increased feeling  Fatigue
of hunger (polyphagia)  Headaches
 Balanitis (inflammation of the penis head) in men
- Blurred vision
- Burning, tingling, 2. Ask the patient about the duration of diabetes.
or numbness in lower
extremities
3. Inquire about the patient’s age at diagnosis.
- Fatigue
- Headaches
4. Investigate the patient’s risk factors.

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5. Investigate if the patient has had a yeast infection.

6. Assess for present complications related to diabetes.

7. Ask the patient for records of blood glucose monitoring.

Nursing Interventions
1. Encourage patient adherence.

2. Educate the patient.

3. Teach the patient to use a home glucose monitoring device.

4. Maintain ideal glucose levels.

5. Expect some differences in treatment for type 1 and 2 DM.

6. Ask the patient to demonstrate proper insulin administration..

7. Assist with wearable insulin pumps.

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8. Consider closed-loop insulin delivery.

9. Educate on oral diabetes medications.

10. Discuss a pancreas transplant for type 1 DM.

11. Assist the patient in meal planning.

12. Refer to a nutritionist or dietitian.

13. Promote physical activities.

14. Maintain an ideal weight.

15. Manage blood sugar levels during pregnancy.

16. Prevent the development of diabetes.

17. Refer the patient to a diabetologist or endocrinologist.

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Prevent Complications

1. Advise the patient to wear a medical alert ID.

2. Refer the patient to an ophthalmologist.

3. Promote up-to-date vaccinations..

4. Emphasize the need for regular foot care and exams.

5. Manage blood pressure and cholesterol levels.

6. Enlighten the patient about mouth care.

7. Cope with stress appropriately.

8. Coordinate with a diabetes nurse educator.

Student signature
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