nursing plan for diabetes
MABEL CASE STUDY
1. Six Nursing strategies to assist diabetes patient for each identified problem Risk for Impaired Swallowing
• Maintain upright position for 45–60 min after eating.
• Stimulate lips to close or manually open mouth by light pressure on lips/under chin, if needed;
• Place food of appropriate consistency in unaffected side of mouth;
• Have suction equipment available at bedside, especially during early feeding efforts.
• Promote effective swallowing, e.g.:Schedule activities/medications to provide a minimum of 30 min rest before eating;
• Provide pleasant environment free of distractions (e.g., TV);
• Feed slowly, allowing 30–45 min for meals;
Self-Care Deficit
• Assess abilities and level of deficit (0–4 scale) for performing ADLs.
• Provide self-help devices, e.g., button/zipper hook, knife-fork combinations, long-handled brushes, extensions for picking things up from floor; toilet riser, leg bag for catheter; shower chair.
• Assist and encourage good grooming and makeup habits.
• Be aware of impulsive behavior/actions suggestive of impaired judgment.
• Create plan for visual deficits that are present, e.g.: Place food and utensils on the tray related to patient’s unaffected side; Situate the bed so that patient’s unaffected side is facing the room with the affected side to the wall; Position furniture against wall/out of travel path.
• Provide positive feedback for efforts and accomplishments.
• Avoid doing things for patient that patient can do for self, but provide assistance as necessary.
Impaired Verbal Communication
• Assess type/degree of dysfunction: e.g., patient does not seem to understand words nor has trouble speaking or making self understood. Differentiate aphasia from dysarthria
• Listen for errors in conversation and provide feedback
• Ask patient to follow simple commands (e.g., “Shut your eyes,” “Point to the door”); repeat simple words/ sentences;
• Point to objects and ask patient to name
1. Six Nursing strategies to assist diabetes patient for each identified problem Risk for Impaired Swallowing
• Maintain upright position for 45–60 min after eating.
• Stimulate lips to close or manually open mouth by light pressure on lips/under chin, if needed;
• Place food of appropriate consistency in unaffected side of mouth;
• Have suction equipment available at bedside, especially during early feeding efforts.
• Promote effective swallowing, e.g.:Schedule activities/medications to provide a minimum of 30 min rest before eating;
• Provide pleasant environment free of distractions (e.g., TV);
• Feed slowly, allowing 30–45 min for meals;
Self-Care Deficit
• Assess abilities and level of deficit (0–4 scale) for performing ADLs.
• Provide self-help devices, e.g., button/zipper hook, knife-fork combinations, long-handled brushes, extensions for picking things up from floor; toilet riser, leg bag for catheter; shower chair.
• Assist and encourage good grooming and makeup habits.
• Be aware of impulsive behavior/actions suggestive of impaired judgment.
• Create plan for visual deficits that are present, e.g.: Place food and utensils on the tray related to patient’s unaffected side; Situate the bed so that patient’s unaffected side is facing the room with the affected side to the wall; Position furniture against wall/out of travel path.
• Provide positive feedback for efforts and accomplishments.
• Avoid doing things for patient that patient can do for self, but provide assistance as necessary.
Impaired Verbal Communication
• Assess type/degree of dysfunction: e.g., patient does not seem to understand words nor has trouble speaking or making self understood. Differentiate aphasia from dysarthria
• Listen for errors in conversation and provide feedback
• Ask patient to follow simple commands (e.g., “Shut your eyes,” “Point to the door”); repeat simple words/ sentences;
• Point to objects and ask patient to name