NSG.

ANALYSIS GOALS & INTERVENTI RATIONAL EVALUATIO

DIAGNOS OBJECTIVES ON E N
IS
Impaired Patients with GOAL: The client was
Physical diabetes are at able to
Mobility increased risk for After 8 hours of maintain/increa
r/t loss of delayed union or nursing se strength and
integrity of nonunion following interventions, the function of
bone skeletal trauma or client will be able affected body
fractures elective orthopedic to part.
surgery, due to maintain/increase
impaired osseous strength and
regeneration. function of
Researchers are affected body part.
investigating the
underlying etiologies OBJECTIVES:
in an effort to find
therapeutic The client will be
solutions. able to:

A history of diabetes 1. Maintain • Support • To

with age at diagnosis position of affected maintain
of 40 yr or older was function body position
reported by 657 and skin parts/joints of
(6.8%) women. The integrity. using function
average duration of pillows, and
diabetes was 9.2 foot reduce
(±7.9) yr. Of the 657 supports risk of
participants with etc. pressure
diabetes, 106 ulcers.
(16.1%) reported
using insulin at
baseline. Participant
characteristics, stratif 2. Participate • Schedule • To reduce
ied by history of in n ADLs activities fatigue.
diabetes and insulin and desired with
treatment, activities. adequate
are reported in Table rest periods
1 . As expected, during the
women with diabetes day.
had
poorer performance
on measures of
balance and gait, • Encourage • Enhances
peripheral participatio self-
neuropathy, and n in self- concept
vision, and were care, and sense
more likely to report recreationa of
being in fair or poor l activities, independe
health. etc. nce.
3. Verbalize • Instruct in • To
understandi the use of promote
ng of side rails. safety.
situation
and safety
measures. • Encourage • Promotes
adequate well-
fluid intake being and
and maximize
nutritious s energy
foods. productio
n.
DISCHARGE PLAN

MEDICATION
• Comply with the medication prescribed by the Physician such as, omeprazole, lactulose, tramadol,
lanoxin, catapres, citicoline, sertraline, clexane, atorvastation, fluimicil.

EXERCISE
• Perform simple exercise to promote blood circulation such as; walking in the hallway, deep breathing
exercise.
• Avoid extreme daily activities and exercise to prevent fatigue.

TREATMENT
• Take prescribed medication on time.
• Rehabilitation treatment for bones and joints development.
• Emphasized the importance of regular follow-up check-ups and as instructed by physician.
• Advised patient and family members to seek medical advise if any unusuality arises
• Reinforced the importance of having blood sugar checked every day.

HEALTH TEACHING
• Provide adequate rest.
• Deep breathing exercise to reduce pain.
• Eat nutritious food and enough fluid intake.
• Medication compliance.
• Encouraged client to do at least 30 minutes of walking a day as a form of exercise.
• Instructed to monitor blood sugar regularly. Adjustments in diet, medication and exercise can be made
accordingly.
• Encouraged to stick to the monitoring protocol prescribed by the doctor. Generally, blood is monitored
before meals and at bedtime.

OUT-PATIENT FOLLOW-UP
• After 2 weeks of being discharged the patient is advised to have a follow-up check up for further
observation of the condition.

• Advised the patient to have a regular monthly check-up to prevent further complications.

DIET
• Soft mechanical diabetic low cholesterol with Strict aspiration Precaution diet.
• Eat a variety of foods as recommended in the Diabetes Food Pyramid to get a balanced intake of the
nutrients your body needs - carbohydrates, proteins, fats, vitamins, and minerals.
• Use less salt in cooking and at the table. Eat fewer foods that are high in salt, like canned and
packaged soups, pickles, and processed meats.
• Fruits: (contain vitamins C, A, potassium, folate, and fiber) 3-4 servings/day
• Vegetables: (provide vitamins A, C, folate, and fiber) 3-5 servings/day
• Milk: (source of calcium, protein, vitamins A and D) 2-3 servings/day
• Meats and Others: (good source of iron, zinc, B vitamins, and protein) 2-3 servings/day