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Nursing Care Plan – Diabetes
Below you will find a copy of one of the type 2 diabetes care plans written by me (a registered nurse manager). A detailed description of mine can be found under the nursing care plan. Please read the care plan to better understand the standards for type 2 diabetes care.
Please see the link at the end of this article for in-depth information on diabetes for patients and professionals!
NANDA Equipment Maintenance Plan Nursing Promotion (problem statement)
An imbalanced diet r/t the amount of food intake is shown by Type II diabetes:
Nursing Care Plan Goal Statement:
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The patient admits to his/her behavior/emotions that interfere with eating inappropriately (a lot) within 8 hours. (this is a good example of a short-term goal statement).
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The patient will design a proper diet plan to help him reduce caloric intake, within 24 hours. (The key word in this statement is REALISTIC, to increase compliance ).
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The patient incorporates at least 30 minutes of moderate exercise into their daily schedule at the end of 48 hours. (a short-term goal statement, a long-term lifestyle change).
Nursing Interventions for Eating Disorders (Mostly):
The nurse explains and gives the patient information about the relationship between diabetes and food, and the patient responds by retelling the information in his own words. (this nursing intervention helps clear up misconceptions and reinforces the therapeutic value of a healthy diabetic diet).
The patient visits a nutritionist to find out what the best caloric intake is for his size, activity level and weight loss goal, so he knows where to start planning his dietary needs. (primary education and vocational education).
The patient keeps a complete food journal every time the food is consumed and points out areas that could be improved. (accountability, continuing education experience)
The patient demonstrates (you choose how) a working knowledge of reading the food label after the nurses demonstrate (you choose the method based on the patient’s best learning path)
Encourage a family member or caregiver to participate in the 30-minute training program mentioned above. (increasing compliance through a support system, motivation).
The nurse should write an exercise book. (accountability)
The patient has a list of goals and the cost of those goals related to reducing caloric intake. (increases compliance).
Comment: The most important thing to remember about type 2 diabetes is the fact that food can reverse the diabetes process. Diet for diabetes is very strict, but some “cheats” in simple, planned ways are a very good idea. Human behavior dictates, and research has shown, that following a strict diet is difficult. With type 2 diabetes, diet is a life-long diet, and sticking to the diet is the whole point. A lack of proper nutrition can easily lead to type 1 diabetes and other serious health problems such as neuropathy, vision loss, and sudden death associated with diabetes.
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