A. The client with alterations affecting
nutrition/metabolism (ex.)
1. diabetes mellitus,
type I
2. diabetes mellitus,
type II
B. Nursing process related to the client with
alterations affecting nutrition/metabolism
1. nursing assessment
a. risk factors
b. objective data
c. subjective data
d. diagnostic tests
2. nursing diagnosis (ex.)
a. alteration in nutrition
b. alteration in oxygenation
c. alteration in tissue perfusion
d. non-compliance
e. knowledge deficit
f. self-care deficit
g. fluid volume deficit
h. ineffective coping
3. planning and intervention
a. nutrition (ADA diet)
b. pharmacological therapies
1. types of insulin
2. oral hypoglycemic agents
3. new technology related to insulin
administration
c. exercise
d. client teaching
1. effect of developmental stage
e. prevention and treatment
of complications
1. infections
2. hypoglycemia
3. hyperglycemia
4. vascular changes
5. neuropathy
f. compliance
1. age-related issues
2. cultural issues
g. surgical care of client with diabetes
h. support coping through
therapeutic
communication
4. Evaluation
-
expected outcomes related to nursing care of the diabetic
client
5. discharge planning
a. self-care needs
b. community resources
Readings:
Lewis pp. 1268-1301
Winningham & Preusser
Chapter 8: Case studies # 1, 7
Chapter 12: Case Studies # 7, 10
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A. 32-1 Blood glucose measurement
B. 33-4 Mixing Medications in One Syringe
Insulin injections
Readings:
Kozier: p. 760-763, 818-820
Videos:
"Nursing Management of Patients with Diabetes"
Diabetic Emergencies
Insulin Pump Therapy
Computer Programs:
Dosages and Calculations Made Easy : Calculating Injectable
Medications: Working with Insulin (review from Unit 1A)
Web Sites for further Review:
http://nurse.cyberchalk.com/nurse
Click on Clinical Care and then these units:
-Current Diabetes Management
-Diabetes:Cause, Effect, and
Treatment
-Insight on Diabetes and Medications
-Insulin
http://www.diabetes.org
(American Diabetes Association)
http://www.niddk.nih.gov
(National Institute of Diabetes and Digestive and Kidney Diseases)
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A. Utilizing the nursing process, provide care
for a client with diabetes mellitus.
1. monitor glucose control
2. administer insulin
3. assist with psychosocial
adjustment
4. monitor diabetic diet
B. Utilize teaching principles to assist client
in self-care after discharge.
C. In conference:
1. Discuss the care of
a client with diabetes
mellitus
-
what type of diabetes does the patient have?
-
what measures (diet, medications, exercise) are being used
to control the diabetes?
-
what are the patient's learning needs?
-
how does culture affect compliance?
-
describe a teaching plan
2. Identify the teaching materials
available at
your hospital for the diabetic client.
3. Describe a caring incident
affecting your client with diabetes.
Student Activities:
Attend selected support groups/ Community education program
related to diabetes mellitus (option)Investigate opportunities for service
learning in related agencies.
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