shellzbellz

Im from New Zealand, in my final year, 1st time doing care plan. 1st nursing diagnosis i thought - Anxiety and lack of knowledge relating to insulin administration. 2nd Unstable BGL related to irregular testing and knowledge regarding importance of stable BGL 3rd Knowledge deficit related to diet. Is this the sort of thing i should be looking at?

Hi, This is what i have got from my assessment and info about my pt. Pt is 76 year old married man who is a sheep farmer Never smoked Past health history: Diagnosed with type 2 diabetes in 1996 (17 years). March 2012: Cardio Vascular Risk Assessment (CVRA) = 27% August 2012: Hba1c was high at 126mmol/mol - Normal range Present health: Blood test showed HBA1c 101mmol/mol ( He came in after the 3 days with his recordings BGL 4-4.5 in mornings than high prior to lunch 16-18. maintain lantus 10 u and glicazide BD and melformin TDS. Suggested to change diet- is not hhaving supper so advised to have 1 piece of toast before bed. Advised to reduce breakfast reduce to 1 weetbix instead of 2 and 2 toast instead of 4, Pt rang in a few days later saying his morning BGL readings had doped to 2.9 and 2.2. Advised to reduce lantus to 8u and glicazide to 1 tab nocte. advised re his carb intake for rest of the day post hypo. I rang him the following day to check his BGL was 6 waiting to see diabetic nurse. Can anyone help with how i write this up into a care plan