Rabu, 06 Juni 2012

Nursing Intervention for Diabetes


Nursing Intervention for Diabetes

Diabetes mellitus is a disorder in which the level of blood glucose is persistently raised above the normal range. Diabetes mellitus is a syndrome with disordered metabolism and inappropriate hyperglycemia due to either a deficiency of insulin secretion or to a combination of insulin resistance and inadequate insulin secretion to compensate. Diabetes mellitus occurs in two primary forms: type 1, characterized by absolute insufficiency, and the more prevalent type 2, characterized by insulin resistance with varying degrees of insulin secretory defects. Diabetes mellitus is a group of metabolic diseases characterized by elevated levels of glucose in the blood (hyperglycemia) resulting from defects in insulin secretion, insulin action, or both (ADA], Expert Committee on the Diagnosis and Classification of Diabetes Mellitus, 2003.

Nursing Intervention for Diabetes

Nursing Diagnosis

Impaired nutrition: less than body requirements related to the reduction of oral input, anorexia, nausea, increased metabolism of protein, fat.

Nursing Intervention

Objective :
The patient's nutritional needs are met

Result Criteria :
Patients can digest the amount of calories or nutrients appropriate
Stable weight or additions to the range usually

Intervention :

  • Weigh the body weight per day or according to the indication.
  • Determine the diet and eating patterns of patients and compare it with foods that can be spent on patients.
  • Auscultation bowel sounds, record the existence of abdominal pain / abdominal bloating, nausea, vomit that has not had time to digest food, maintain a state of fasting according to the indication.
  • Give the liquid diet containing foods (nutrients) and the electrolyte immediately if the patient has to tolerate it orally.
  • Involve the patient's family at this meal digestion according to the indication.
  • Observation of the signs of hypoglycemia, such as changes in level of consciousness, skin moist / cold, rapid pulse, hunger, sensitive to stimuli, anxiety, headaches.
  • Collaboration examination of blood sugar.
  • Collaboration of insulin treatment.
  • Collaboration with dietitians.
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