Utilize the case study below to complete a nursing care plan.
Directions:
Differentiate subjective and objective data. Cluster the data into cues.
Identify the patient’s problems
Identify 2 nursing diagnoses based on identified problems. Prioritize the diagnoses.
Identify 2 goals for each diagnosis. (one short term and one long term)
List all appropriate nursing interventions, with a rationale for each intervention (provide source of rationale!)
Identify evaluation methods to verify if patient goals were met or not met.
Case Study #2:
Beth is a 65 year old woman of African American heritage. She was admitted to the ER, 2 days ago with a serum blood sugar of 457. She states she is unaware that she has diabetes and this is a new diagnosis for her. Her daughter states this is not true, that her mother was diagnosed with “some sort of blood sugar problem” 2 years ago, but her mother did not follow up with her doctor. Beth c/o visual blurriness, thirst and frequent urination. She has snacks hidden in her bedside table because she is “always hungry.” She has been placed on oral medication, Metformin 500 mg BID and is currently on a corrective insulin regime utilizing Novolog insulin. Her blood sugar is still not stabilized, often in the 200’s. In addition, Beth has 2 black spots on her first and second toes of her left foot, has uncontrolled hypertension, an elevated Blood Urea Nitrogen (BUN) and Creatinine (Cr). VS: B/P 190/88, R 98.7°F, P 87, RR 22.