Nursing Care Plan For Diabetes Mellitus
Nursing Care Plan For Diabetes Mellitus
Nursing Care Plan For Diabetes Mellitus
Diagnosis Interventions
Assessment for Diabetes Mellitus
Assessment is the first step in the nursing process and basic overall.
Assessment of patients with diabetes mellitus (Doenges, 1999) include:
a. Activity / Rest
Symptoms: weakness, fatigue, difficulty moving / walking, muscle cramps,
decreased muscle tone.
Signs: decreased muscle strength.
b. Circulation
Symptoms: ulcers on the legs, a long healing process, tingling / numbness in the
extremities.
Signs: skin hot, dry and reddish.
c. Ego integrity
Symptoms: depend on others.
Signs: anxiety, sensitive stimuli.
d. Elimination
Symptoms: changes in the pattern of urination (polyuria), nocturia
Signs: dilute urine, pale dry, poliurine.
e. Food / fluid
Symptoms: loss of appetite, nausea / vomiting, do not follow the diet, weight
loss.
Symptoms: dry skin / scaly, ugly turgor.
f. Pain / comfort
Symptoms: pain in the ulcer wound
Signs: face grimacing with palpitations, looks very carefully.
g. Security
Symptoms: dry skin, itching, skin ulcers.
Symptoms: fever, diaphoresis, damaged skin, lesion / ulceration
h. Counseling / learning
Symptoms: family risk factors diabetes, heart disease, stroke, hypertension,
long healing. The use of drugs such as steroids, diuretics (thiazides): diantin and
phenobarbital (may increase blood glucose levels).
2. Determine the diet program and diet of patients compared with food that can
be spent on the patient.
R: Identify deviations from the requirements.
3. Auscultation of bowel sounds, record the presence of abdominal pain /
abdominal bloating, nausea, vomiting, keep fasting as indicated.
R: Influence of intervention options.
4. Observation of the signs of hypoglycemia, such as changes in level of
consciousness, cold / humid, rapid pulse, hunger and dizziness.
R: Potentially life-threatening, which must be multiplied and handled
appropriately.
5. Collaboration in the delivery of insulin, blood sugar tests and diet.
R: It is useful to control blood sugar levels.