ADRIAN G.

MALLAR BSN 2 FOCUS: OBESITY/OVERWEIGHT DURING PREGNANCY NURSING CARE PLAN DIABETES MELLITUS ASSESSMENT SCIENTIFIC DIAGNOSIS PLANNING INTERVENTION BACKGROUND
Subjective: Madali kasi ao magutom minsan kaya lumaki ako ng ganito, verbalized by the patient Objective: Polyuria polydypsia polyphagia increase weight gain sedentary activity A disorder of carbohydrate metabolism in which sugars in the body are not oxidized to produce energy due to lack of the pancreatic hormone (insulin) or to resistance to insulin, The accumulation of sugar leads to its appearance in the blood (hyperglycemia), then in the urine, symptoms include thirst, weight loss and the excessive production of urine. Imbalanced nutrition more than body requirements related to excessive intake in relationship to metabolic need. STO: after 30 minutes of health teaching, patient will be able to understand her condition as well as the effects of pregnancy and the disease process: Able to know ways on how to prevent complications on pregnancy . LTO: after 3-4 days of continuous nursing intervention, the patients condition will be stabilized to a controllable level and prevent complications especially on her baby. Diagnostic: Monitor vital signs especially BP, blood glucose level and input and output and record. Review laboratory results

RATIONALE

EVALUATION
STO: Goal met. The patient was able to understand regarding her condition as well as the effects to her baby and her previous pregnancy.

Serves a baseline data to note for alterations in the patient condition

Obtain records for the height, weight body build, gender and age.

Note for any increase or alterations on blood glucose or protein and urine. Provide comparative baseline and helps determine nutritional needs.

Therapeutic: Provide positive reinforcement and encouragement for efforts regarding proper diet on her condition Provide information regarding specific nutritional needs Enhances commitment to program

LTO: Goal met, patients condition was stabilized and controlled. There were no complications noted.

Obese individual maybe deficient in needed nutrients

Educative: Discuss importance of following proper diet for gestation DM patients as well as therapeutic regimens prescribed the obstetrician. Advised small frequent feelings Instruct to have a regular pre-natal check up Discuss smart snacks ( low fat foods or fruits, veggies and low carbohydrate foods). To prevent progress of complications on her condtion

To prevent accumulation of sugar in the blood To monitor patients condition as well as the baby To lessen glucose or sugar in the blood