Nursing Care For the Patient With Diabetes

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Table of Contents

Introduction
Collecting Data
Nursing Diagnosis within 2 hours
The three highest priority-nursing diagnoses
Conclusion
References

Introduction

Nursing care is exceedingly relevant to patients who already have a diagnosis of their sickness. When a patient has a proper diagnosis of what they are suffering from, it is easy to come up with the right medication for the patient. Diabetes is at times hereditary depending on somebody’s lineage (ADA, 2011). This means that lifestyle is not the only thing that leads to diabetes. Proper data analysis needs to be compiled concerning a patient’s condition. The right diagnosis of a patient’s condition also helps in the administering of the right medication. Problems that may arise from improper diagnosis have to be taken into account. In addition, various interventions help in the treatment of a sick patient whose condition is clear (Seonah, 2010). In this case, the patient’s diagnoses show that Douglas was suffering from diabetes 1(diabetes mellitus). Procedures taken towards the sick person include compiling data about his condition, outlining the proper diagnosis, sensitizing of emerging problems, and showing the interventions required (Chow & John, 2007).

Collecting Data

The data collected reveals that the patient, a male, had fifty years of age. Douglas suffered from diabetes mellitus. Diabetes mellitus is a condition whereby a person’s blood sugar level keeps fluctuating. This means that the patient does not have a normal blood sugar level. The other data compiled as pertaining to the patient’s condition was that the patient did not take alcohol but rather smoked at least a packet of cigarettes a day. The current medications taken by the patient include; Humalog Mix 25: 26 units mane and 16 units’ nocte, Perindopril: 4 mg mane, and Asprin 100 mg daily. His Glasgow coma score was 14/15 in an emergency, HR 72 bpm, BP 105/65 mmHg, RR 16 and SpO2 99 percentage (Kelly & Owen, 2010). When Douglas landed in the hospital, he was in a coma. This was a sign that his blood sugar level was exceedingly high. The other observation was that Douglas’s speech was full of stammers (De peril at.al, 2006). The stammers are evidence of a neurological disorder. This condition further culminates in the patient having general body weaknesses.

Nursing Diagnosis within 2 hours

The patient’s diagnosis took place in a spun of 2 hours. The patient is at risk of secondary hypoglycemia related to drop blood glucose level (Gordon, 2010). This is because when Douglas took sugar-laced substances like soda, his blood sugar level rose from 2.1 mmol/l to 4.7 mmol/L. The other fact that shows that Douglas was suffering from hypoglycemia is the fact that the doctor authorized the nurse to administer some carbohydrate drink after every 30 minutes. This was to ensure that the sugary drink would at least raise the level of Douglas’s blood sugar level. The patient was at the risk of impaired neurological system function related to secondary hypoglycemia (Wilson, 2011). This is because low blood sugar leads to a limited circulation of the blood in the brain. The patient would at times feel powerless, weak and even fall. This is because the patient does not have energy due to low blood sugar levels in his blood (Boyle & Zrebiec, 2007). The other symptom was that the patient would be at the risk of developing neurological problems. Less supply of blood to the brain leads to its malfunction (Carpenito, 2008). Vital signs will disappear because the body does not respond normally after the admission of medicine. This is because the body fails to go back to its normal state after someone uses diabetes-related medicine. This is because the body is not able to stabilize after the admission of diabetes medicine.

The three highest priority-nursing diagnoses

There are three nursing priorities derived from the diagnosis carried out. One of the diagnoses that are of a lot of concern is the fact that a patient is at risk of secondary hypoglycemia (Bluestone & Herold, 2010). Developing a goal would be the best thing to follow as one handles a patient. In this case, the doctor would keep the goal of administering the right medication to the patient. The patient is at risk of secondary hypoglycemia related to a drop blood glucose level. This problem ought to be solved with utmost concern. The doctor should have a goal of ensuring that the patient visits the hospital frequently. This would ensure that the doctor keeps a detailed record of the sugar levels of patient. This would in return ensure that the patient does not risk getting diseases that are more serious. Having a goal ensures that medication is up to standard and that the doctor can keep a record of progress. The other nursing priority is at the patient at risk of falling down due to hypoglycemia (Kowalski & Rosdahls, 2008). This exceedingly alarming condition affects a person that has diabetes mellitus. Goals that would reduce the event of someone falling when they have diabetes include such things as proper intake of medicine. Nursing Interventions used would include having the nurses take care of Douglas. This would mean that Douglas would be assured of getting attention of the nurses who would in return act according to his plea. The other nursing intervention would be educating Douglas on the foods that he ought to take (Medline plus, 2011). The other intervention would be providing services of consoling people like Douglas to manage their condition and live a happy life. The last intervention would be the production of materials that explain about the issue of diabetes to the readers. The readers appear equipped when they read such sources. The rationale for each intervention is for doctors to provide the best medication that helps save lives (Resnick et al, 2009). The rational includes reasons like offering the best medication. The other evaluation criteria would be keeping the patient’s condition in check. Regular check ups ensure that the condition of the patient improves with time. The evaluation criteria are usually from the doctor who examines the sick person. This is because the doctor concerns himself with the keeping of a patient’s records. The rationale is something that doctors find hard to avoid. This is because a rationale enables the doctors to act with a set objective (Estabrooks et al, 2009).

Conclusion

Nursing is a field that comprises of medical practitioners availing their services to patients. When handling a patient suffering from diabetes, it is necessary to note that medication must be up to the required standards if the patient is to get well (Goverover et al, 2009). Therefore, this must be done through such things as compiling of data about the patient. The doctor should ensure that he carries out the right diagnosis of a certain sickness. The diagnosis should be detailed to ensure that the sickness of the patient is clearly highlighted. Diagnosis ensures that the extremes of a certain sickness are clear. The diagnosis helps the doctor to administer the right medication to a patient. The diagnosis later leads to application of the right nursing interventions. The interventions lead to the right handling of a patient’s condition. The interventions must have a rationale that enables the doctor to stick to his goals (Christine & Jennifers, 2008). The last thing is usually the evaluation of the medication done.

References

American Diabetes Association. (2011). Genetics of Diabetes. Web.

Bluestone, J. A., Herold, K. Eisenbarth, G. (2010). Genetics, pathogenesis and clinical interventions in type 1 diabetes. Nature [Nature], 464 (7293), pp. 1293-300.

Boyle, P. J. & Zrebiec, J. (2007). Management of diabetes-related hypoglycemia. Southern Medical Journal [South Med J]. 100 (2). pp. 183-94. EBSCOhost.

Carpenito, L. J. (2008). Nursing diagnosis: application to clinical practice. United States of America: Lippincott Williams & Wilkins.

Christine, W. & Jennifer, K. (2008). Focus groups as a research method: a critique of Some aspects of their use in nursing research. Journal of Advanced Nursing. 33 (6). Pp.798–805.

Chow, J. &John, C. (2007). Hypoglycemia for Dummies. Indianapolis India. Wiley Publishing Inc.

De Pril, R., Fischer, D.F., van Leeuwen, F.W. (2006). Conformational diseases: An umbrella for various neurological disorders with an impaired ubiquitin-proteasome system. Neurobiology of Aging, 27 (4), pp.515-523.

Estabrooks, C. et al. (2011). The care unit in nursing home research: evidence in support of a definition. BMC Medical Research Methodology 11, pp. 46.

Gordon, M. (2010). Manual of Nursing Diagnosis. Canada: Jones & Bartlett Learning.

Goverover, Y., Johnston, M. V., Toglia, J. & DeLuca, J. (2007). Treatment to improve Self-awareness in persons with acquired brain injury. Brain Injury, 21(9), p913-923, 11p.

Kelly, R. C. & Owens, B. B. (2010). Hypoglycemia treatment in the ambulatory care setting. AAACN Viewpoint (AAACN VIEWPOINT). 32(6). 1, p.8-11. EBSCOhost.

Kowalski, M. T. & Rosdahl, B. C. (2008). Textbook of basic nursing. New York. Lippincott Williams & Wilkins.

Medline Plus. (2011). Type 1 diabetes. Web.

Rao, R., Ennis, K., Long J. D., Ugurbil, K., Gruetter, R. & Tkac I. (2010). Neurochemical changes in the developing rat hippocampus during prolonged hypoglycemia. Journal Of Neurochemistry, 114 (3). pp. 728-38. EBSCOhost.

Resnick, B. Galik, E. Gruber-Baldin, AL & Zimmerman, S. (2009). Implementing a restorative care philosophy of care in assisted living: pilot testing of Res-Care-AL.Restorative Care for Assisted Living. Journal of the American Academy of Nurse Practitioners (J AM ACAD NURSE PRACT), 21(2), pp. 123-33.

Seonah, L. (2010). Capturing Nursing Care Workflow Disruptions: Comparison Between Nursing and Physician Workflows. CIN: Computers, Informatics, Nursing, 28(3), P. 151 – 159.

Wilson, V. (2011). Non-diabetic hypoglycemia: causes and pathophysiology. Nursing Standard (NURS STAND). 25 (46). P.35-9. EBSCOhost.

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