Question

In: Nursing

I want good answer because that for project. thank you (: - The condition is Diabetes...

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:

  • Evidence based nursing management of  Diabetes
    • Nursing assessment of  Diabetes
    • Nursing diagnosis of  Diabetes
    • Nursing interventions of  Diabetes

Solutions

Expert Solution

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.


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