diabetic patient care report example

What is an example of a nursing care plan for gestational diabetes?

Following is an example of the nursing care plan for gestational diabetes. Start the treatment by screening the patient for the glucose tolerance test for about 1 hour. During this time, the patient is not required to fast.

What are the contents of the Diabetes Care Plan Summary?

Contents 3 Lead Your Diabetes Care Team 5 Manage Your Blood Sugar 8 Protect Your Heart Health 10 Protect Your Kidney Health 12 Protect Yourself from Other Diabetes Complications 14 Your Diabetes Care and Management Plan Summary It’s really important that people with diabetes

What is an example of a nursing care plan for diabetes ketoacidosis?

Following is an example of the nursing care plan for diabetes ketoacidosis. Monitor the blood sugar levels and track the insulin regularly to stop the ketone production and to balance out the glucose levels.

What is the nursing care plan for diabetes type 1?

Following is the nursing care plan for a patient with diabetes type 1. And because this condition is more common in children, we will consider them only. A person with diabetes needs adequate nutrition for their growth and to maintain blood sugar levels.

How do you assess a patient with diabetes?

A diabetes-focused examination includes vital signs, funduscopic examination, limited vascular and neurologic examinations, and a foot assessment. Other organ systems should be examined as indicated by the patient's clinical situation.

What should be included in a diabetes care plan?

Diabetes management requires a balance of healthy eating, regular physical activity, and blood sugar monitoring. Your diabetes care plan should include your blood sugar management goals and methods, such as insulin dosages, device settings, and medications. How often will you check your blood sugar?

What is the normal report of diabetes?

A blood sugar level less than 140 mg/dL (7.8 mmol/L) is normal. A reading of more than 200 mg/dL (11.1 mmol/L) after two hours indicates diabetes. A reading between 140 and 199 mg/dL (7.8 mmol/L and 11.0 mmol/L) indicates prediabetes.

What are the nursing assessment for diabetes?

The nurse should assess the following for patients with Diabetes Mellitus:Assess the patient's history. ... Assess physical condition. ... Assess the body mass index and visual acuity of the patient.Perform examination of foot, skin, nervous system and mouth.Laboratory examinations.

What are the aims of care for diabetic clients?

The main aim of diabetes treatment is to achieve blood glucose, blood pressure and blood fat levels (including cholesterol) within the target ranges agreed by you and your healthcare team.

What are care plans?

A care plan is a document that outlines your assessed health and social care needs and how you will be supported. It specifies who will provide your care, what type of care you need and how the support will be given. The care plan also serves as a record of care provided.

What is the normal HbA1c level?

For people without diabetes, the normal range for the hemoglobin A1c level is between 4% and 5.6%. Hemoglobin A1c levels between 5.7% and 6.4% mean you have prediabetes and a higher chance of getting diabetes. Levels of 6.5% or higher mean you have diabetes.

How do you read a HbA1c report?

A normal A1C level is below 5.7%, a level of 5.7% to 6.4% indicates prediabetes, and a level of 6.5% or more indicates diabetes. Within the 5.7% to 6.4% prediabetes range, the higher your A1C, the greater your risk is for developing type 2 diabetes....Your A1C Result.A1C %eAG mg/dL71548183921210240

What is the normal range of FBS and Ppbs?

A fasting blood sugar or FBS value of 70 to 90 and post prandial blood sugar or PPBS value of 120 to 140 is considered to be normal. However, fluctuations appear in these levels which could be either age related or genetic.

What is a nursing care plan for diabetes?

Nursing Care Plan for Diabetes 1Nursing Interventions for DiabetesRationaleEncourage the patient to increase physical activity, particularly aerobic exercise.Exercise decreases the blood glucose level as the demand for glucose (energy) in the cells increases with physical activity.4 more rows

How do you write a nursing diagnosis?

A nursing diagnosis has typically three components: (1) the problem and its definition, (2) the etiology, and (3) the defining characteristics or risk factors (for risk diagnosis). BUILDING BLOCKS OF A DIAGNOSTIC STATEMENT. Components of an NDx may include problem, etiology, risk factors, and defining characteristics.

How do you write a nursing care plan?

Nursing care plans follow a five-step process: assessment, diagnosis, outcomes, implementation, and evaluation.Assess the patient. The first step to writing a care plan is performing a patient assessment. ... Make a diagnosis. ... Set goals and outcomes. ... Determine nursing interventions. ... Evaluate the plan.

How to manage diabetes?

There are methods of managing diabetes that are likely to provide some relief, including the development of a strategy to manage the condition that is adopted on a daily basis to prevent further complications from taking place. For example, blood sugar levels should be monitored daily and patients should recognize the importance of regular meals with a balance of proper nutrition (Mayo Clinic, 2013). In addition, portion control is one of the key necessities of a healthy diet and requires an effective understanding of recommended portion sizes and other characteristics (Mayo Clinic, 2013). In addition, if a patient is insulin dependent, he or she must coordinate the medication schedule along with food intake in order to accomplish the desired treatment and management objectives (Mayo Clinic, 2013). When administering insulin or other medications, it is necessary to be cautious and observant to ensure that there are no accidental errors in use that could further harm blood sugar levels (Mayo Clinic, 2013). This is an important step towards the creation of a more effective treatment plan for the diabetic condition (Mayo Clinic, 2013). Most importantly, patients should be aware of their blood sugar levels on a regular basis so that if any complications arise, they are treated rapidly and effectively (Mayo Clinic, 2013).

Why is diabetes important to the patient?

Diabetes is a highly challenging and complex condition that requires significant attention and focus in order to reduce its symptoms and long-term complications. In this context, it is necessary for patients to recognize when they might have some of the symptoms of diabetes and to seek guidance and treatment from their physician. These efforts require a greater understanding of diabetes and its impact on organs and systems because these impacts may ultimately reduce the quality of life for these patients. Therefore, it is important to identify methods of reducing the risks of diabetes at the prevention stage so that there are fewer diagnoses of this condition in the general population. With this framework in mind, diabetes-related education is critical to prevention and in enabling population groups to recognize their own risks and how to prevent these risks from leading to a diagnosis of diabetes. It is imperative that clinical professionals work with patients such at TP to recognize these risks and to begin treatment as necessary when a diagnosis is made. This will enable clinicians to be effective in addressing the severity of diabetes and its potential impact on patient care and wellbeing for many patients.

Why is it important to diagnose diabetes early?

It is important to diagnose diabetes as early as possible so that treatment may begin and long-term complications and organ/system damage may be reduced (Spollett, 2003). In supporting the educational strategy for TP, it was important to utilize the services of an advanced practice nurse (APN) to support the treatment plan and long-term management program (Spollett, 2003). In this capacity, “At the completion of assessments, advanced practice nurses, in conjunction with patients, identify management goals and determine appropriate plans of care. A review of patients’ self-care management skills and application/adaptation to lifestyle is incorporated in initial histories, physical exams, and plans of care” (Spollett, 2003). Therefore, it is important for patients to be provided with a strategy or plan of care that will be most effective in meeting their specific needs associated with diabetes management to promote the desired outcomes (Spollett, 2003). It is important for APNs and other clinical knowledge experts to provide guidance and insight as necessary to ensure that patient outcomes are accomplished and met on a continuous basis (Spollett, 2003). It is not sufficient to provide initial education and then fail to continue to provide guidance on a routine basis; rather, patients such as TP must be evaluated and monitored consistently to determine how to best move forward in the chosen treatment plan (Spollett, 2003).

What is diabetes mellitus?

Diabetes mellitus is a serious and debilitating medical condition that if left untreated, leads to numerous complications and bodily system decline and permanent physical damage in patients. It is important to identify the challenges that patients face with this condition and to determine methods ...

What happens if you have uncontrolled diabetes?

In patients with uncontrolled diabetes, the continued elevation of blood sugar leads to a variety of complications which may cause extensive organ and system damage over time (World Health Organization).

Why is it important to be proactive in diabetes?

These efforts require a greater understanding of diabetes and its impact on organs and systems, as well as the importance of diabetes-related education and a proper treatment plan. This case study example provides further evidence of the dangers of excess weight and obesity on the body and how poor diet and limited exercise play a role in increasing the risk of diabetes and related complications. Therefore, nurses and other clinical staff members must be prepared to work with diabetes patients and possess the knowledge that is necessary to improve outcomes and to reduce these risks over time. These efforts will demonstrate that diabetes should be taken seriously at all times under all conditions and that there are significant benefits to establishing a treatment plan and lifestyle changes to reduce the long-term impacts of this condition.

What happens when insulin levels are not controlled?

Diabetes emerges when the body is unable to effectively produce insulin at the pancreatic level, thereby interfering with blood sugar levels. When these levels cannot be controlled, a proper diagnosis and treatment must be identified to reduce possible organ and system damage.

How many participants were in the 2007 Metformin study?

In the study, 29 trials with 5259 participants were included in the analysis, comparing metformin (2007 participants) with sulphonylureas (1167), placebo (702), diet (493), thiazolidinediones (132), insulin (439), meglitinides (208), and glucosidase inhibitors (111). Obese patients who are given metformin as blood glucose control agent showed a superior benefit than glibenclamide, chlorpropamide, or insulin for any diabetes-related consequences (P = 0.009), and for mortality (P = 0.03). Besides that, patients assigned to metformin as a single therapy showed a significant greater benefit for blood glucose control, weight, dyslipidaemia, and blood pressure18.

What is the most effective test for glucose metabolism disorder?

OGTT is the most effective test to detect glucose metabolism disorder where it assesses the rate of glucose excretion after administration of glucose. OGTT is strongly recommended when fasting blood glucose is within 7.0-7.8 mmol/L in the diabetic range where OGTT is practical to clarify the diagnosis6,8.

How old was the patient when they were given sulphonylureas?

The mean age of the patients was 66.3±13.4 years old where 43.4% were female and their mean length of follow-up was 4.6±2.1 years. A greater risk of mortality was observed with higher daily doses of the first-generation sulfonylureas and glyburide but not metformin20.

How to diagnose DM?

There are three different types of plasma glucose test that can be used which include casual plasma glucose, fasting plasma glucose and oral glucose tolerance test (OGTT). According to WHO, there are three main criteria to be met to confirm diabetes in patients. The first would be symptoms of diabetes which include thirst, polydipsia, loss of weight and polyuria are seen in patients and their casual plasma glucose ≥ 11mmol/L. The other two would be if patient’s fasting plasma glucose ≥ 7.0mmol/L and patient’s 2-hours plasma glucose ≥ 11.1mmol/L during OGTT being conducted by giving the patient 75g of glucose load6. OGTT is the most effective test to detect glucose metabolism disorder where it assesses the rate of glucose excretion after administration of glucose. OGTT is strongly recommended when fasting blood glucose is within 7.0-7.8 mmol/L in the diabetic range where OGTT is practical to clarify the diagnosis6,8.

How long does insulin take to work?

Insulin plays an important role in the regulation of carbohydrate, protein and fat metabolism where it helps to increase the glucose utilization in human body. Actrapid, soluble insulin, is a short acting form of insulin where it is normally injected into patients 15 to 30 minutes pre-meal. Actrapid is normally given in emergency cases especially in patients suspected with diabetic ketoacidosis4. It is normally administered subcutaneously as it gives a rapid onset of action (30 to 60 minutes) and a longer duration of action of up to 8 hours. One of the potential problems of insulin is hypoglycaemia where patients can be advised on how to avoid it13.

What are the different types of DM?

DM is classified into four different types which include Type 1 DM , Type 2 DM, DM due to specific mechanisms and diseases and lastly, gestational DM8. Only type 2 DM will be discussed further here. Type 2 DM is normally caused by a combination of insulin resistance and decreased insulin secretion to overcome the resistance. It is the more common form of DM and it comprises of approximately 90-95% of the total DM cases8. The common risk factors associated with type 2 DM include increasing age, high caloric intake, overweight, central adiposity and sedentary lifestyle8. In type 2 DM patients, insulin secretory peaks every 5-10 minutes seen in normal subjects are hardly or absolutely not seen. In normal cases, when intravenous glucose is administered into a human’s body, this will stimulate normal insulin secretion and is illustrated by a biphasic pattern, with an initial peak rising immediately 3-5 minutes after the administration, and lasted for 10 minutes, then followed by a deliberate and more progressive phase, which lasts throughout the glucose infusion period. In type 2 DM, initial phase insulin secretion is not seen and the late phase occurs later and to a lesser extent11.

Why is oxygen given?

Oxygen is normally prescribed for patients experiencing hypoxia to raise the alveolar oxygen tension and to lessen the workload of breathing in patients . There are generally four types of oxygen therapy which include long term oxygen therapy, short burst oxygen therapy, emergency oxygen and ambulatory oxygen. It is commonly given in emergency cases to achieve oxygen saturation within the normal range, just like in this case. The administration of the correct oxygen concentration is important as inappropriate concentration of oxygen may result in serious or fatal outcomes13.

What is a nursing care plan for diabetes?

The plan includes positive treatment for normalizing the blood glucose and lowering the complications with the help of insulin replacement, a well-planned diet, and exercise.

What is diabetes in nursing?

What is diabetes? Diabetes or diabetes mellitus is a health problem where the levels of blood glucose are high.

What is a nursing care plan for hyperglycemia?

The nursing care plan for hyperglycemia: Instruct your patient to exercise regularly and have a well- balanced diet. Provide the material and instructions to educate your patients about the side effects of mishandled diabetes.

How to care for diabetic foot ulcer?

Following is the nursing care plan for diabetic foot ulcer: Take care of the skin integrity which is generally caused because of immobilization. Take care of the pain which can either be associated with any infection or with any surgery. Keep an eye on the prevalent infection risks in your patients.

What are the three types of diabetes?

Slow-healing wounds. Polydipsia. Generally, there are three types of diabetes and the treatment and nursing care plan for diabetes depends upon these types. TYPE 1 DIABETES. Type 1 diabetes is also known as juvenile-onset and insulin-dependent diabetes. This type is very common in children.

What are diabetics prone to?

In general, diabetic patients are prone to the urinary tract and respiratory infections.

What should nurses educate their patients about?

Further, the nurses should educate their patients about the importance of treatment and the necessity to follow the prescribed plan.

What Is a Patient Care Report?

We often hear of care reports based on by medical teams or by medical authorities. Yet, we are not sure how this differs from the kind of report that is given to us by the same people. So this is the time to make it as clear as possible.

How to Write a Patient Care Report?

Where do you even begin when you write a patient care report? A lot of EMS or EMTs do know how to write one since they are trained to do so.

What is a patient care report?

A patient care report is a document made mostly by the EMS or EMTs. This documented report is done after getting the call. This consists of the information necessary for the assessment and evaluation of a patient’s care.

What should not be written in a patient care report?

What should be avoided in a patient care report is making up the information that is not true to the patient. This is why you have to be very careful and very meticulous when writing these kinds of reports. Every detail counts.

Who is in charge of reading the patient care report?

The person or the people who will be reading the report are mostly medical authorities. When you are going to be passing this kind of report, make sure that you have all the information correctly. One wrong information can cause a lot of issues and problems.

What is the goal of nursing care for diabetic patients?

Nursing care planning goals for patients with diabetes include effective treatment to normalize blood glucose levels and decrease complications using insulin replacement, balanced diet, and exercise. The nurse should stress the importance of complying with the prescribed treatment program through effective education of the patient. Tailor your teaching to the patient’s needs, abilities, and developmental stage. Stress the effect of blood glucose control on long-term health.

What is the goal of diabetes management?

The goal of diabetes management is to normalize insulin activity and blood glucose levels to prevent or reduce the development of complications that are neuropathic and vascular in nature. Glucose control and management can dramatically reduce the development and progression of complications.

What is diabetes mellitus associated with?

Diabetes mellitus associated with other conditions is when specific types of diabetes develop due to other causes (e.g., pancreatic diseases, hormonal abnormalities, medications).

How does hyperglycemia affect the body?

1. Assess for signs of hyperglycemia.#N#Hyperglycemia results when there is an inadequate amount of insulin to glucose. Excess glucose in the blood creates an osmotic effect that results in increased thirst, hunger, and increased urination. The patient may also report nonspecific symptoms of fatigue and blurred vision.

What are the risks of blood glucose control?

Here are 17 nursing care plans (NCP) and nursing diagnoses for diabetes mellitus (DM): Risk for Unstable Blood Glucose. Deficient Knowledge. Risk for Infection. Risk for Disturbed Sensory Perception. Powerlessness.

Why is weight loss important for diabetics?

Weight loss is an important factor in the treatment of diabetes. Weight loss of around 5-10% of the total body weight can reduce or eliminate the need for medications and significantly improve blood glucose levels. 14.

How much weight loss is needed for diabetes?

Weight loss is an important factor in the treatment of diabetes. Weight loss of around 5-10% of the total body weight can reduce or eliminate the need for medications and significantly improve blood glucose levels.