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Expected Patient

Nursing Plan of Care Evaluation


Outcome
Diagnosis (Outcome Criteria – Short & Long Nursing Interventions
Term)

∙ If the client either verbalize


having kept a blood glucose diary,
or can present a blood glucose diary
this intervention would be
Teach client to maintain a blood glucose successful. If not, the intervention
diary. (Keeping a diary can help clients would be unsuccessful.


realize what symptoms are related to blood
glucose readings, as well as guide diabetes The intervention would be
treatment)
successful if the client verbalizes
having consumed extra carbs or
Teach clients who are treated with insulin
that they may need to eat extra glucose before exercising. If the
Short Term: client can not do this the
carbohydrates before exercise, depending
Client will verbalize self-care actions to take on how exercise affects their blood glucose intervention is not successful.
if blood glucose is too high or too low a week
from the date of care
levels.
∙ The intervention would be
successful if the client verbalizes
Problem continuing insulin therapy. If the
Risk for unstable blood glucose Teach client that stopping insulin therapy client can not do this the intervention
can lead to hyperglycemic crisis is not successful.
(ketoacidosis or hyperosmolar
hyperglycemia). A goal would be met if the client’s
blood glucose levels are between or
Ensure client receives insulin per order and below the targeted levels. A goal that
at order time. (Diabetes can be a is not successfully met would be
particularly expensive disease to cope with, shown by glucose levels being above
but it is important to continue therapy) the targeted levels.

Result :
Long Term: Patient’s glucose reading was 91mg/dl
Client will maintain fasting blood glucose Monitor blood glucose before meals and at after meal at 10:30- am .
level 105 mg/dL, bedtime. (Self-monitoring of blood
1-hour after the meal (pc) level 155 mg/dL, glucose is an easy, less intensive way to Pt. Received insulin shot at prescribed
and 2-hour pc level 130 mg/dL help reach blood glucose goals) time

∙ Monitor for signs and symptoms of Pt received finger stick monitor 3


times a day.
hyperglycemia, such as polydipsia,
polyuria, and polyphagia. (Being aware of
blood glucose levels outside of normal
allows for early detection and treatment
before progressing to ketoacidosis or other
more serious conditions)
Expected Patient
Nursing Plan of Care Evaluation
Outcome
Diagnosis (Outcome Criteria – Short & Long Nursing Interventions
Term)


Problem Long Term:
Risk for
unstable
Client will maintain
fasting blood glucose
∙ Monitor blood glucose before meals and at bedtime. If the client verbalizes self-monitoring blood
blood level 105 mg/dL, 1- (Self-monitoring of blood glucose is an easy, less glucose levels before meals and at bedtime then the
glucose hour after the meal intensive way to help reach blood glucose intervention has been successfully carried out. If the
(pc) level 155 mg/dL, goals) (Ackley & Ladwig, 2008). client does not monitor blood glucose levels before


and 2-hour pc level meals and at bedtime the intervention is not
130 mg/dL until the Monitor for signs and symptoms of successfully
EDD (xxxxx) (Ackley
& Ladwig, 2008).
hyperglycemia, such as polydipsia, polyuria, and
polyphagia. (Being aware of blood glucose levels ∙ If the client can verbalize several signs and
outside of normal allows for early detection and symptoms of hyperglycemia the intervention would
treatment before progressing to ketoacidosis or other be successfully carried out. If the client can not, the
more serious conditions) (Ackley & Ladwig, 2008). intervention is not successfully met.

∙ ∙
Risk Short Term: The goal would be
Factors Client will verbalize Teach client to maintain a blood glucose diary. successfully met if If the client either verbalize having kept a blood
Pregnancy, self-care actions to the client can
stress take if blood glucose (Keeping a diary can help clients realize what verbalize 5 self-care glucose diary, or can present a blood glucose diary
(Ackley & is too high or too low symptoms are related to blood glucose readings, as actions to take if this intervention would be successful. If not, the
Ladwig, a week from the date well as guide diabetes treatment) (Ackley & Ladwig, blood glucose is too intervention would be unsuccessful.


2008). of care, xxxxx 2008). high or too low on
(Ackley & Ladwig,
2008). ∙ Teach clients who are treated with insulin that they
xxxxxx. If the client
can not verbalize 5
self-care actions the
The intervention would be successful if the client
verbalizes having consumed extra carbs or glucose
may need to eat extra carbohydrates before exercise, before exercising. If the client can not do this the
depending on how exercise affects their blood goal would not be intervention is not successful.
successfully met.


glucose levels. (Taking glucose before exercise can
help prevent hypoglycemia) (Ackley & Ladwig, The intervention would be successful if the client
2008).
verbalizes continuing insulin therapy. If the client
can not do this the intervention is not successful.
Expected Patient
Nursing Plan of Care Evaluation
Outcome
Diagnosis (Outcome Criteria – Short & Long Nursing Interventions
Term)

∙ Teach client that stopping insulin therapy can


lead to hyperglycemic crisis (ketoacidosis or
hyperosmolar hyperglycemia). Ensure client has
resources to purchase insulin. (Diabetes can be a
particularly expensive disease to cope with, but it is
important to continue therapy)(Ackley & Ladwig,
2008).