Nursing Diagnosis For Diabetes Mellitus

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Can anyone please give me any nursing diagnosis for diabetes mellitus?

Must be nanda approved. Any help will be appreciated! thanks!

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There could be many diagnoses r/t DM. Could you give a little more info about the pt? If you have a Nursing Diagnosis book, like Ackley, you can look through there and find diagnoses geared towards your specific patient.

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My care plan is really centered around patient teaching of the condition and nutrition. I need one for like activity intolerance. Like would activity intolerance related to muscle weakness due to disease process be wrong?

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In the Ackley Nursing Dx Handbook, the first 50 pages or so is an index with common diseases listed. You can look of DM and see what fits your patient the best. I glanced at it and it looks like Ineffective Health Maint. r/t deficient knowlege regarding care of diabetic condition may fit nutrition teaching. Also, for the activity intolerance, I think that is a seperate dx (not listed under DM, but activity intolerance) and in ackley you can look through the different types and compair them to your patients defining characteristics.

Good Luck.

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"Diagnoses r/t DM"

I'm not sure using a medical dx is a proper for an etiology.

What type of DM is it?

Imbalanced nutrition less/more than body requirements ( depending on DM type AND actual condition) and as brookes said ineffective health maintenance r/t deficient knowledge regarding care of diabetic condition are a few from Ackley et Ladwig p.44

It's probably a good idea to fit the Dx to the pt, and not the pt to the Dx. Does the pt. have impaired skin integrity, special risks, etc. Don't get locked into the DM thing. Consider the pt. holistically. Crap, I sound like a text, shoot me.

How old is the client?

Keep in mind I'm a student myself- so take with a grain of salt

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Specializes in med/surg, telemetry, IV therapy, mgmt.

Diagnosing a patient is based upon performing very specific activities using the steps of the nursing process. Care planning is problem solving. A nursing diagnosis is identifying a patient's nursing problems. To do this you must perform a thorough assessment and determine what their abnormal symptoms are. Every nursing diagnosis (there are currently 188 nanda diagnoses) has a set of defined characteristics (symptoms). Match your patients symptoms against these using a care plan book or cross match guideline to give you ideas of what diagnoses to start looking at. However, these books and guidelines do not take the place of using the nursing process:

Assessment

Collect data from medical record, do a physical assessment of the patient, assess adl's, look up information about your patient's medical diseases/conditions to learn about the signs and symptoms and pathophysiology

  • A physical assessment of the patient
  • Assessment of the patient's ability and any assistance they need to accomplish their adls (activities of daily living) with the disease
  • Data collected from the medical record (information in the doctor's history and physical, information in the doctor's progress notes, test result information, notes by ancillary healthcare providers such as physical therapists and dietitians
  • Knowing the pathophysiology, signs/symptoms, usual tests ordered, and medical treatment for the medical disease or condition that the patient has. This includes knowing about any medical procedures that have been performed on the patient, their expected consequences during the healing phase, and potential complications. If this information is not known, then you need to research and find it.

Determination of the patient's problem(s)/nursing diagnosis

Make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnoses to use

  • It helps to have a book with nursing diagnosis reference information in it. there are a number of ways to acquire this information.
  • Your instructors might have given it to you.
  • You can purchase it directly from nanda. Nanda-I Nursing Diagnoses: Definitions & Classification published by Nanda International.
  • Many authors of care plan and nursing diagnosis books include the nanda nursing diagnosis information. this information will usually be found immediately below the title of a nursing diagnosis.
  • The nanda taxonomy and a medical disease cross reference is in the appendix of both Taber's Cyclopedic Medical Dictionary and Mosby's Medical, Nursing, & Allied Health Dictionary

Planning

Write measurable goals/outcomes and nursing interventions.

  • Goals/outcomes are the predicted results of the nursing interventions you will be ordering and performing. They have the following overall effect on the problem:
    • Improve the problem or remedy/cure it
    • Stabilize it
    • Support its deterioration
  • Interventions are of four types
    • Assess/monitor/evaluate/observe (to evaluate the patient's condition)
    • Care/perform/provide/assist (performing actual patient care)
    • Teach/educate/instruct/supervise (educating patient or caregiver)
    • Manage/refer/contact/notify (managing the care on behalf of the patient or caregiver)

Implementation

Initiate the care plan.

Evaluation

Determine if goals/outcomes have been met.

For more information on how to write a care plan read this topic...

I will only help with determining your patient's specific nursing diagnoses if you list their symptoms after you have done the assessment activities. There are abundant websites where you can find information about the signs and symptoms of diabetes as well as teaching information about it on the thread posted above. Teaching can focus on the disease or condition of diabetes itself, prognosis, treatment, self-care, or discharge needs of the patient and can be a part of any one of the nursing diagnoses chosen or be placed into its own diagnosis if you can prove that the patient has a cognitive learning problem that you identified during your assessment.

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  1. imbalanced nutrition: less/more than body requirements
  2. ineffective tissue perfusion: renal, cardiopulmonary, peripheral
  3. impaired urinary elimination
  4. disturbed sensory perception: visual, tactile
  5. activity intolerance
  6. ineffective coping
  7. sexual dysfunction
  8. fear
  9. deficient knowledge
  10. deficient knowledge (diagnosis and treatment)
  11. risk for impaired skin integrity
  12. risk for injury
  13. risk for infection
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Risk for impaired skin integrity would be a big one for DM!!!!

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You know I have been trying to do my ncp for a patient with diabetes.

I realize that diabetics are prone to skin integrity problems because of their excessive urination, their skin turgor is bad and more prone to breakdown. And because of neuropathy their risk of feeling an injury is minimal. And because of risk of arterial insufficiency.. But when I tried to write out the diagnosis, I couldn't put it together for some reason...

I wrote...

Risk for impaired skin integrity related to _______.

And I can't write the related to statement.

Can you help me????

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Wouldn't you just write what is the nursing dx book

I have Risk for Impaired Skin Integrity: risk factor: loss of pain perception in extremities. ?

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On 10/11/2011 at 12:07 PM, BBRANRN2013 said:

Wouldn't you just write what is the nursing dx book

I have Risk for Impaired Skin Integrity: risk factor: loss of pain perception in extremities.

YEP, you are right..but for some reason I did not see (loss of pain perception in extremities) in my book.. I guess I was so tired..

but for sure , it makes sense to me

Thanx again. ?

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You are welcome!

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