In: Nursing
I want good answer because that for project. thank you (:
- The condition is Diabetes
Q1:Discussion of the health condition; information about the disorder/condition
Q2:Epidemiology of Diabetes
Q3:
ANSWER:-
DIABETES:
1. Diabetes mellitus, commonly known as diabetes is a metabolic desease that weakens the body's ability to process blood glucose . It occurs either when the pancreas does not produce enough insulin( a hormone that regulates blood sugar) or when the body cannot effectively use the insulin it produce.
Types of Diabete:-
a) Type 1 Diabetes:- A chronic condition in which the pancreas does not produce little or no insulin.
b) Type 2 Diabetes:- A chronic condition in which the body either doesn't roduce enough insulin or it resists insulin.
c) Prediabetes:- A condition in which blood sugar is high but not like type 2 diabetes.
2. Epidermiology of Diabetes:-
-In 2018,the number of people having diabetes has increased. 34.2million Americans or 10.5%of the population had diabetes. out of these, 26.8million were diagnosed and 7.3million were left undiagnosed.
- Nearly 1.6million Americans have Type 1 diabetes including about 187000children and adolescence. Diabetes is reatively very high in elderly people with age 65 ad above at 26.8% or14.3million seniorss.
- New cases:- 1.5million Americans ae diagnosed with diabetes every year.
3. NURSING ASSESSMENT OF DIABEES:-
i) assess the patient's history: to know if there is diabtes. to assess history of symptoms, results of blood glucose monitoring, adherence to the dietary prescriptions, patient's lifestyle , pharmacologic and so on.
ii) assess physical condition:- assess blood pressure on sitting, standing to understand orthostatic changes.
iii) laboratory examination:- HgbA1C, fasting blood sugar, lipid profile, microalbuminemia test, serum creatinine level, urine analysis, Ecg sould be performed.
NURSING DIAGNOSIS OF DIABETES:-
-Risk for unstabe blood glucose level related to insulin resistance, impaired insulin secretion, and distruction of beta cells.
- Risk for infection related to delayed healing of open wounds.
- Risk of disturbed sensory percption .
- Risk for impaired skin integrity.
NURSING INTERVENSIONS:-
1.Risk for unstable blood glucose:-
- assess for signs of hyperglycemia- increased thirst, hunger, and increased urination, non-specific symptoms of fatigue and blurred vision.
- assess blood glucose levels before and after meals- should be between 140 to 180mg/dl. Premeal level <140mg/dl.
-monitor patient's HgbA1C should be between 6.5% TO 7% level.
2. Risk for infection:-
- observe for signs of infection- fever, flushed appearance, wound drainage, purulent sputum, cloudy urine.
-maintain asepsis during all procedure.
- teach good handhygiene.
-provide cather or perineal care. Teach female patients to clean the perineal area from front to back.
- administer antibiotics as prescribed.
3. Risk of disturbed sensory perception:
- monitor vitals and mental status.
- callthe patient by nae, orientation to place, person and time,
-keep patient's routine as consistent as possible and encourage to take part in daily activities.
-protect patient from injury.
4. Risk for impaired skin integrity:-
- assess integrity of the skin- assess knee and deep tendon reflexes.
-use foot cradle on bed to reduce pressure .
- wash feet daily with soap and warm water..
- inspect feet for erethma or injury.
- wear stockings daily and change it daily. and use moisturisers.