Diabetes Mellitus (Type II

)
(A health teaching plan)

Submitted to: Mr. Robel Sardan R.N.,M.A.N.,DODT

Submitted By: Ms. Ana Marie V. Busa BSN II-B

Patient: Jairis Kristine Malinao Diagnosis: Diabetes Mellitus Type II General Objectives: After 8 hours of nursepatient-significant others interaction. The patient-significant others will be able to acquire knowledge, skills and attitude in the care of patient with Diabetes Mellitus Type II. Specific Objectives: After 45 minutes of nursepatient-significant others interaction, the patient-significant others will be able to: 1. define Diabetes Mellitus Type II. Definition of Diabetes Mellitus Type II: Diabetes Mellitus Type II is a chronic disorder of carbohydrate protein and fat metabolism resulting from insufficient production of insulin or from inadequate utilization of this hormone by the body cells. It is characterized by high blood glucose in the context of insulin resistance and relative insulin deficiency. It is also called adult onset type. Manifestations of Diabetes Mellitus Type II:  polyuria (excessive urination)  polydipsia (excessive thirst)  polyphagia (excessive hunger)  recurrent blurred vision(develops as the lens and retina are exposed to hyperosmolar fluids)  Paresthesias (that reflect a temporary dysfunction of peripheral sensory nerves)  Skin infections (cause by the growth of yeast microorganisms.) -informal discussion -leaflets -visual aids -manila paper Contents Methodology Evaluation

After 45 minutes of nurse-patientsignificant others interaction, the patient/significant others was able to: -define Diabetes Mellitus Type II.

2. enumerate some manifestations Diabetes Mellitus Type II.

-lecture -leaflets -flash cards -images

- enumerate some manifestations Diabetes Mellitus Type II.

3. identify the risk factors of Diabetes Mellitus Type II.

Risk factors of diabetes mellitus include:  genetic predisposition or history of diabetes in parents or siblings.  obesity  physical inactivity  race/ ethnicity  hypertension

-formal discussion -peer sharing -leaflets -images

- identify the risk factors of Diabetes Mellitus Type II.

4. demonstrate beginning skills of Nail and Foot Care for diabetic patients.

-demonstration and return demonstration Steps in Nail and Foot care for diabetic patients: 1. Perform hand hygiene. Arrange equipment -leaflets -images on overbed table. 2. Pull curtain around bed or close room door (if desired). 3. Assist ambulatory client to sit in bedside chair. Help bedfast client to supine position with head of the bed elevated. Place disposable mat on the floor under the clients feet or place towel on mattress. 4. Adjust overbed table to low position and place it over the client’s lap. 5. Fill emesis basin with warm water. Test the temperature. Place basin on paper towels on the overbed table. 6. Instruct patient to place fingers in emesis basin and place arms in comfortable position. Never soak hands of diabetic clients. 7. Clean gently under fingernails with orange stick. Remove emesis basin and dry fingers thoroughly. 8. With nailclippers, clip fingernails straight across and even with tops of fingers. Shape nails with emery board or file. 9. Move overbed table away from client. 10. Fill washbasin with warm water. Test the temperature. 11. Place basin on bath mat or towel and help

-demonstrate beginning skills of Nail and Foot Care for diabetic patients.

5. show awareness of the disease condition.

client place feet in basin. Never soak feet of diabetic clients. 12. Apply disposable gloves and scrub callused areas of feet with washcloth. 13. Clean gently under nails with orange stick. Remove feet from basin and dry thoroughly. 14. Clean and trim toenails using procedures in step 8. Don’t file corners of toenails. 15. Apply lotion to feet and hands and assist client back to bed and into comfortable position. 16. Remove disposable gloves and place in receptacle. Clean and return the equipment and supplies to proper place dispose soiled linen in hamper. Perform hand hygiene.

- show awareness of the disease condition.

Polyuria (excessive urination)

Polydipsia (excessive thirst)

polyphagia (excessive hunger)

Recurrent blurred vision (develops as the lens and retina are exposed to hyperosmolar fluids)

Paresthesias (that reflect a temporary dysfunction of peripheral sensory nerves)

Skin infections (cause by the growth of yeast microorganisms.)

 polyphagia (excessive hunger)  recurrent blurred vision(develops as the lens and retina are exposed to hyperosmolar fluids)  Paresthesias (that reflect a temporary dysfunction of peripheral sensory nerves)  Skin infections (cause by the growth of yeast microorganisms.)

What are the Risk factors of Diabetes Mellitus(Type II)?
Risk factors of diabetes mellitus include:  genetic predisposition or history of diabetes in parents or siblings.

What is Diabetes Mellitus (Type II)?
Diabetes Mellitus Type II is a chronic disorder of carbohydrate protein and fat metabolism resulting from insufficient production of insulin or from inadequate utilization of this hormone by the body cells. It is characterized by high blood glucose in the context of insulin resistance and relative insulin deficiency. It is also called adult onset type.

 Obesity

How do I know if I have Diabetes Mellitus (Type II)?
If you have these manifestations:  polyuria (excessive urination)  polydipsia (excessive thirst)  physical inactivity

 race/ ethnicity

 hypertension

2. Pull curtain around bed or close room door (if desired). 3. Assist ambulatory client to sit in bedside chair. Help bedfast client to supine position with head of the bed elevated. Place disposable mat on the floor under the clients feet or place towel on mattress. 4. Adjust overbed table to low position and place it over the client’s lap. 5. Fill emesis basin with warm water. Test the temperature. Place basin on paper towels on the overbed table. 6. Instruct patient to place fingers in emesis basin and place arms in comfortable position. Never soak hands of diabetic clients. 7. Clean gently under fingernails with orange stick. Remove emesis basin and dry fingers thoroughly.

9. Move overbed table away from client. 10. Fill washbasin with warm water. Test the temperature. 11. Place basin on bath mat or towel and help client place feet in basin. Never soak feet of diabetic clients. 12. Apply disposable gloves and scrub callused areas of feet with washcloth.

Steps in Nail and Foot care for diabetic patients:
1. Perform hand hygiene. Arrange equipment on overbed table.

8. With nailclippers, clip fingernails straight across and even with tops of fingers. Shape nails with emery board or file.

13. Clean gently under nails with orange stick. Remove feet from basin and dry thoroughly. 14. Clean and trim toenails using procedures in step 8. don’t file corners of toenails. 15. Apply lotion to feet and hands and assist client back to bed and into comfortable position.

16. Remove disposable gloves and place in receptacle. Clean and return the equipment and supplies to proper place dispose soiled linen in hamper. Perform hand hygiene. Thank YOU!!! & Have a healthy lifestyle!!!

Diabetes Mellitus (Type II)

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