Priority Nsg Diagnosis # 1: Ineffective Self-Health Management
\nSubjective data: \u201cI was alarmed at the high reading I got on my friend\u2019s meter. I had never used a meter before.\u201d \u201cPlease tell me what to do.\u201d
\nObjective data: Blood glucose-195mg\/dL, HgbA1C- 10.5, high fat\/high carb diet, BMI:28.6
\nPriority Nsg Diagnosis # 2: Risk for Impaired skin Integrity
\nSubjective data: \u201cMy feet sometimes feel like they are on fire. It\u2019s worse at night\u201d
\nObjective data: Decreased sensation to stimulation with a pin in bilateral feet; Unable to perceive touches of a light wisp of cotton to bilateral feet; Could not identify the position of her toes bilaterally
\nPatient: L. J.
\nExperiencing nocturia, polyuria, and occasional blurred vision for past 2 months; burning sensation in feet bilaterally; blood glucose of 275
\nMedical diagnosis: Type 2 Diabetes mellitus
\nRisk factors: Family Hx, Obesity, Race, Age, Previous impaired fasting glucose, Hypertension, High Cholesterol
\nDiagnostic tests: Fasting Blood Sugar, HgbA1C
\nTreatments: Glucose Monitoring, Healthy Diet, Exercise
\nMedications: Glyburide
\nNursing interventions:
\n1. Educate client on use of blood sugar meter including time and frequency to test, target blood glucose ranges and how to record results
\n2. Educate client on importance of a daily exercise program such as walking for 30 mins per day
\nShort-term goal: x 24 hours- Client will demonstrate the proper technique of using glucometer
\nLong-term goal: x 1 month- Client will report engaging in light exercise regimen, such as walking for 30 minutes at least 5 times every week.
\nMedical diagnosis: Type 2 Diabetes mellitus
\nRisk factors: Family Hx, Obesity, Race, Age, Previous impaired fasting glucose, Hypertension, High Cholesterol
\nDiagnostic tests: Fasting Blood Sugar, HgbA1C
\nTreatments: Glucose Monitoring, Healthy Diet, Exercise
\nMedications: Glyburide<\/p>\n
Nursing interventions:
\n1. Educate client regarding the importance of and procedure for diabetic foot care
\n2. Inspect client\u2019s feet without shoes and socks at each visit, observing skin for redness, blistering, corns, calluses, cracks, edema, changes in temperature
\nShort-term goal: x 24 hours- Client will perform appropriate diabetic foot care
\nLong-term goal: x 1 month- Client\u2019s skin will remain intact<\/p>\n","protected":false},"excerpt":{"rendered":"
Priority Nsg Diagnosis # 1: Ineffective Self-Health Management Subjective data: \u201cI was alarmed at the high reading I got on my friend\u2019s meter. I had\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[681],"class_list":["post-3965","post","type-post","status-publish","format-standard","hentry","category-concept-map","tag-priority-nsg-diagnosis-1-ineffective-self-health-management"],"_links":{"self":[{"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/posts\/3965","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/comments?post=3965"}],"version-history":[{"count":1,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/posts\/3965\/revisions"}],"predecessor-version":[{"id":3970,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/posts\/3965\/revisions\/3970"}],"wp:attachment":[{"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/media?parent=3965"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/categories?post=3965"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/homeworkacetutors.com\/nursing\/wp-json\/wp\/v2\/tags?post=3965"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}