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NURSING CARE PLAN

ASSESSMENT NURSING PLANNING NURSING RATIONALE EVALUATION

DIAGNOSIS INTERVENTIONS

SUBJECTIVE Unstable blood Short-term goal: INDEPENDENT: Short-term

DATA: glucose level outcomes:
related to insufficient After 2 hours of nursing  Assess the patient’s  A thorough understanding of
“Nagngatu latta insulin production interventions, the and Family's readiness to the condition allows for a Goal was met.
iti blood glucose and medication patient will be able to learn and level of better prognosis and
level na, 217 pay management as verbalize understanding understanding management of the disease. After 4 hours of
latta jay last nga evidenced by of proper balance diet. regarding diabetes Allows the nurse to address and nursing interventions,
inala da “as increased blood management. educational approach and pace the patient was able
verbalized by the glucose level. Long-term goal: according to the patient's and to verbalize
watcher. family's emotional readiness and understanding of
After 3 days of nursing capacity to absorb information proper balance diet.
interventions, the effectively. The Significant other
patient’s blood glucose verbalized that they need
OBJECTIVE level will decrease from to buy a low sugar foods
DATA: 217 mg/dl to 120  Non adherence to dietary and non-beverages with
mg/dl. guidelines for specific clinical his meal. The patient also
- Dry skin condition can result in verbalized that he need to
fluctuations in blood glucose. normalized eating foods
- Dry mouth with low sugar and non
 Encourage the patient to fatty food.
- Weak adhere to his diatary plan  To assess contributing
as set by the diabetes factors in the increase of Long-term
-Frequent urination specialist dietitian. blood glucose level. outcomes:

-Weight loss (191.802 The goal was partially

lbs to 169.756 lbs) met. After 3 days of
 Determine individual  It is essential that the patient and nursing interventions,
factors that may the Family knows the proper the patient’s blood
BLOOD GLUCOSE
MONITORING: contribute to administration of insulin injection glucose level
unstable glucose. for better absorption and timing decreased from
6:00 AM for insulin administration ensures 217mg/dl to 180
optimal glucose control. mg/dl.
-210 mg/dl  Assess the patient's and
Family's understanding of
10:00 AM insulin administration
techniques; Instruct the
-175 mg/dl family on proper timing
of insulin administration.  To allow timely adjustment in the
3:00 PM insulin regimen and prevent the
hypoglycemia at the same time to
-217 mg/dl control hyperglycemia.
 Monitor patient's
7:00 PM response to insulin  Compliance to the prescribed
therapy. medication regimen using
-228 mg/dl easy - to - understand words
 Discuss the that can help to improve
importance of about her treatment regimen.
Vital signs taken
adhering to the
as follows:
prescribed treatment
regimen in
Bp160/100mmhg
maintaining a normal
blood sugar level.  To keep the glucose levels
T-36.5◦C
within normal range.
PR-102bpm DEPENDENT:
RR-18bpm  Administer insulin as
prescribed.  Ensure that the patient received
specialezed and individualized
Spo2-95%
education to address and manage
Collaborative: diabetes.
 Colaborate with a
multidisciplinary team,
 including diabetes  Low fat, low calories and
educators and specialists, high fiber foods are ideal for
to provide diabetic patient.
comprehensive and
advanced education
based on patient's
interest and ability.

 Collaborate to dietitian