ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION

DIAGNOSIS

SUBJECTIVE DATA: RISK FOR ALTERED SHORT TERM: INDEPENDENT: - Eating very SHORT TERM:
NUTRITION: less - after 30 frequent small - After
history & familial than body minutes of - Teaching the meals to 30minutes of
hx. of Diabetes requirements, health importance of improves to health
too, much cravings Risk for Unstable teaching, regularity of meals insulin function. teaching the
for sweets Blood Glucose Level. patient will be and when taking - Insulin needs patient will be
complaints of able to insulin. for the day can able to
Fatigue/ tiredness verbalize her - Teach and be adjusted verbalize her
notable excessive understanding demonstrate client based on understanding
sweating about to monitor sugar periodic serum about
increased thirst & gestational using a finger stick glucose gestational
Frequent urination diabetes method. readings. diabetes
episode of itching - Discuss the type of - Division of
on the genital area insulin dosage and insulin dosage LONG TERM:
expressed blurring LONG TERM: schedule (eg. considers basal - after a week
of vision. - after a week Usually 4time/day; maternal needs of nursing
of nursing 7:30am – NPH; and mealtime intervention,
intervention, 10:00am – regular; insulin to food patient will be
OBJECTIVE DATA: patient will be 4:00pm -NPH ratio and allows able to
able to 6:00pm – regular) more freedom demonstrate
height- 153cm demonstrate an in meal an improved
weight-220lbs improved scheduling. behavior and
behavior and - Diet specific is lifestyle.
lifestyle. DEPENDENT: necessary to
fluid Output@3L a maintain
day – Polyuria - Referred to a registered normoglycemia
dietician to individualized and to obtain
diet and counsel regarding desired weight
(+) macrosomia dietary questions gain.