Diabetes Care Plam

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I am currently in Nursing School for LPN. I'm trying to learn how to write a care plan. The topic is Diabetes. I need 3 fears for diabetes and each fear needs: 1 nursing diagnosis, 1 related to, 1 as evidenced by, 1 short term goal that has to be measured and have an end date. And to finalize it, each fear needs 5 interventions pertaining to the information that goes along with it.

Situation: YOU WERE FOUND UNRESPONSIVE IN THE CLASSROOM. UPON ARRIVAL AT THE ER, YOUR SERUM BG WAS 950. YOU WERE STARTED ON IV REGULAR INSULIN DRIP AT 2 ML/HR AND ADMITTED TO ICU. YOU SPENT 2 DAYS IN ICU, THE INSULIN DRIP WAS D/C AND YOU WERE TRANSFERRED TOT HE MED/SURG UNIT WITH ORDERS FOR A SLIDING SCALE COVERED WITH HUMALOG INSULIN AC MEALS. THE MD ORDERED YOU TO BE ON A CC DIET OF 45-60 G/MEAL WITH A MID-MORNING / MID-AFTERNOON AND HS SNACK OF 8-22 G. THE MD HAS ORDERED THAT YOU INCREASE YOUR PO WATER INTAKE TO 2 L/DAY. ON THE 3RD DAY YOU ARE D/C HOME.

PLEASE HELP. IVE BEEN TRYING TO WORK ON THIS ALL WEEKEND AND ITS DUE TOMORROW.

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3 fears??

?

Well, anyway - have you come up with any of the fears yet? What do you have so far?

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yea, i have to be the pt in the situation i wrote above. As if i was the pt that was diagnosed with diabetes. so what are my 3 fears now that i have diabetes.

1) safety

2) family

3) nutrition/control of bg levels (not being able to eat correctly and control my levels)

im not diabetic, so this is a bit tough for me to write up

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I'm not sure how I would go about it from this angle. Seems like someone got a little too creative with the assignment.

1) safety - yes. "Risk for unstable blood glucose" (hypoglycemia)

2) family - you might personally say that if this patient were you, but the information given doesn't provide any "AEB"/evidence of this at all.

3) nutrition and new medication regimens - yes. "Knowledge deficit"

Anxiety and altered coping could also come into play, but again, there are is no "AEB" information to support these.

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Specializes in Public Health, TB.

Depending on your age, you might have a fear around image. Many teenagers do not want to be different than their peers and do not want to be seen doing glucose checks or injecting insulin.

The cost of insulin and glucose monitoring can be exorbitant , so that could be a fear.

There could be fears around being restricted from certain jobs or careers. My son wanted to be a naval aviator, but could not because of DM. He also had a struggle to get a CDL.

Women could have fear around become pregnant.

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43 minutes ago, nursej22 said:

Depending on your age, you might have a fear around image. Many teenagers do not want to be different than their peers and do not want to be seen doing glucose checks or injecting insulin.

The cost of insulin and glucose monitoring can be exorbitant , so that could be a fear.

There could be fears around being restricted from certain jobs or careers. My son wanted to be a naval aviator, but could not because of DM. He also had a struggle to get a CDL.

Women could have fear around become pregnant.

thank you so much. this helps alot in the path i need to go!

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1 hour ago, JKL33 said:

I'm not sure how I would go about it from this angle. Seems like someone got a little too creative with the assignment.

1) safety - yes. "Risk for unstable blood glucose" (hypoglycemia)

2) family - you might personally say that if this patient were you, but the information given doesn't provide any "AEB"/evidence of this at all.

3) nutrition and new medication regimens - yes. "Knowledge deficit"

Anxiety and altered coping could also come into play, but again, there are is no "AEB" information to support these.

thanks again. this helps alot in the path i want to go!

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