Question

Hi, I'm doing a Client Teaching care plan. I listed the things I need below for the care plan

1. Nursing Diagnosis
2. Client Goal/ evaluation
3. Teaching interventions ( what will you do) you much include 4 interventions
4. Subjective & Objective data
5. what information will you teach the client
6. How will you evaluate the effectiveness of the teaching?

A non-compliant newly 35 y/o diagnosed diabetic patient, whose blood glucose levels are consistently above 250 D/L. The patient is obese at 274 lbs with a height of 5 feet 4 inches. The patient works at a fast food restaurant, single, has low income and has two small children. The patient states “I eat a lot at work, and I take extra food home for the kids, and I am not the best cook”.

Answer 1

1. Nursing Diagnosis

Type 2 Diabetes mellitus(Adult-onset diabetes or noninsulin-dependent diabetes)

-older than 30 years

-obesity

2. Client Goal/ evaluation

As the blood sugar levels are consistently high, the patient needs to know how to lower sugar levels and combat diabetes. The patient wants information about diabetes, what diet should be followed, or any change in lifestyle to improve his condition.

3. Teaching interventions for the patient ( 4 interventions).

You need to teach the patient about the facts of diabetes. It is a hormonal and metabolic disorder that can't be completely cured, but it can be treated and controlled.

The goals of managing diabetes are to improve Lifestyle patterns, healthy diet, regular exercise, and taking medications along with regular follow up is necessary for maintaining sugar level in diabetic patients.

• Taking medications(sulphonylureas, biguanides)prescribed by your doctor without fail and it should be on time.
• Obesity is one of the risk factors for diabetes and responsible for many other complications. So maintaining your weight is of utmost importance by doing regular exercise and eating a healthy diet. A healthy diet includes eating low cholesterol food, having fruits, leafy vegetables, calcium-rich foods like milk.
• Avoid habits of eating junk foods, smoking, alcohol consumption to maintain your blood pressure and sugar level.
• Monitoring your blood glucose and blood pressure levels at home.
• Keep regular follow up for your treatment with your health care providers.

4. Subjective & Objective data

Subjective Data:

This data is based on the subject's feelings and emotions. So, it may vary in different subjects.

• Hyperglycemia: Blood Glucose >180 mg/dL
• Polydipsia-increased thirst
• Polyphagia-increase appetite
• Polyuria-increase urination
• Blurred vision
• Dry mouth
• Increased tiredness
• Leg pain
• Nausea/Vomiting

Hypoglycemia: <70 mg/dL

• Confusion and Weakness
• Numbness around the mouth
• Anxiety
• Hungry
• Headaches

Objective Data:

This data is based on studies and hence would be the same in every subject.

Hyperglycemia:

• Hot and Dry, Sugar High.

Hypoglycemia:

• Cold and clammy
• Sweaty
• Tachycardia
• Irritability
• blurred speech.

5. What information will you teach the client?

1. In Diabetes, a hormone called insulin is secreted less or may develop insulin resistance. This hormone is essential for metabolism and transferring sugar into the cell from the blood. Hence helps in maintaining the sugar level in the blood.
2. Teach the patient how to monitor their blood glucose and why it is important.
3. Teach and educate them about taking medication and administration of insulin pumps.

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