NURSING CARE PLAN

Name of the Patient: ***** Age: 90-year-old Sex: Female Name of Student: Marc William Caballero__________
Civil Status: Religion: Rm/Bed No. ________ Area: __________________________ Level/ Block: III-B
Address: Date Submitted: ____________________________________
Date of Admission: Diagnosis: DM type 2 Rating: ________________________________________

CUES Nursing Diagnosis Nursing Objectives Nursing Interventions Rationale Expected Outcomes
Subjective/ Objective
Risk for Unstable Blood After 2 hours of Independent Intervention Independent Intervention After 2 hours of
Risk Factors Glucose Level related to Independent Nursing Independent Nursing
 Lack of diabetes Cognitive Decline Intervention the client  Establish rapport to the  To obtain trust on the Intervention the goal
management or will be able to: client and to her client and guardian to was met as evidenced
adherence to diabetes NOTE: A risk diagnosis is guardian allow them be more by:
management plan not evidenced by signs and comfortable discussing
(e.g., adhering to the symptoms, as the problem  Acknowledge or raising any issues.  The client/SO
action plan); has not occurred; rather, factors that may identified the
inadequate blood nursing interventions are lead to unstable  Assess client’s learning  To determine how the factors that causes
glucose monitoring; directed at prevention. glucose. needs and abilities; note client will accept and the problem
medication barriers in accepting integrate the health
management Definition:  Verbalize plan for information. education.  The client/SO
- At risk for variation of modifying factors to verbalizes of
 Developmental level blood glucose/sugar prevent or minimize  Ascertain client’s/SO’s  So, she will be able to changes needed to
levels from the normal shifts in glucose knowledge and maintain her health minimize the shift
 Physical health status range that may compromise level. understanding of in glucose level
or activity level health condition and treatment
needs.

 Determine client’s  Age, maturity, current

Nursing Diagnosis Handbook.
awareness and ability to
Ackley, Ladwig, & Makic. 11 ed
be responsible for
dealing with situation.
health status, and
developmental stage all
affect a client’s ability
to provide for their own
 safety.
 Assess family/SO(s)
support of client.  Client may need
assistance with lifestyle
changes (e.g., food
preparation or
consumption, timing of
intake and/or exercise,
or administration of
medications).
 Discuss home glucose
monitoring to SO  To identify and manage
according to individual glucose variations.
parameters

 Refer to appropriate
community resources,  For lifestyle
diabetic educator, modification, medical
and/or support groups, management, referral
as needed, for insulin pump or
glucose monitor,
financial assistance for
supplies, and so forth.