My client had diabetes mellitus and his morning accucheck was 172. For breakfast he had a sausage, egg and potatoes bowl, orange juice and a cinnamon roll.
So for my nursing diagnosis I was thinking either ineffective self health management or risk for unstable glucose level.
I was considering possibly knowledge deficit but he told me that he didn't think orange juice was ok to have but since it was on the menu he figured they (the hospital cafeteria) knew what he could and couldn't have.
What does anyone think of those?
What were his labs like??? Family and health history??? What other factors in the assessment you can look at to conclude a nursing diagnosis???
For example, what did they find with his symptoms? Like Esme said, what type of insulin is he on??? Has he transitioned from non-insulin to insulin dependent??? What has his trends in his Blood Glucose???
These factors help decide what nursing diagnoses a patient has...if his history is remarkable, then look into the wellness category.
Remember, you can choose NANDA wellness diagnoses as well; there are actual, risk and wellness diagnoses-do you have a NANDA book?
Last edit by LadyFree28 on Sep 27, '13