CUES/DATA DIAGNOSIS RATIONALE GOALS AND NURSING RATIONALE EVALUATION

OBJECTIVES INTERVENTIONS

Subjective: Delayed wound Hyperglycemia After 1 hour of -teach on how to The patient food After 1 hour of
“ itong sugat ko sa recovery related to caused by decreased nursing intervention improve nutritional intake is planned nursing intervention
paa, hindi na ineffective insulin availability the patient will status with the primary the patient was able
gumagaling dahil sa adherence to and increased verbalize ways to goal of glucose to verbalize ways to
diabetes ko. Hindi therapeutic regimen resistance to insulin promote wound control. promote wound
na rin kasi ako and self care deficit can affect the healing and healing and
umiinom ng gamot cellular response to importance of importance of
ko” as verbalize by tissue injury. Studies adhering to the -Teach on how to To promote fast the adhering to the
the patient of the immune cells medication maintain skin care. healing process of medication
necessary for wound - Cleaning with the wound and to
healing, such as clean water promote optimal
Objective: PMN leukocytes and and soap blood glucose
Presence of wound fibroblasts, as well - Make sure that control because of
on left thumb and as studies of injured the feet are the patients wound
the side of the tissue suggest that dried
patients foot. there is a delayed thoroughly
response to injury - Avoid
and impaired excessive
functioning of soaking of
immune cells in feet.
diabetes mellitus.

-Stress importance of the To explain

clients knowledge and important facts
understanding of the about the disease
need for treatment as and also to prevent Reference: textbook
well as consequences further of medical-surgical
complications nursing 11th edition
brought about from
open wound.