Nursing Diagnose: Risk for effective therapeutic regimen management related to insufficient knowledge about diabetes and its

treatment Goal: patient will demonstrates ability to maintain blood glucose levels within defined target. No. Nursing intervention 1 Assess patients ability and willingness to learn rational To plan nursing management direct to patients need. 2 Ensure that the patient has knowledge about symptoms, To make sure patient know causes, treatment, and prevention of hyperglycaemia about the disease condition and her situation 3 Teach relationship between medication management Medication needs to and blood glucose level. be

close up monitoring direct to control glucose level.

Teach patient on dietary monitoring

Patient need to manage her nutritional diet and eating habit disease. in controlling her

Teach the relationship between regular exercise and Exercise improves blood glucose level. sensitivity

insulin

Instruct the patient on diabetes management during To monitor the diseases illness such as the importance of diabetes medication progress

Instruct the patient to carry the medication while she is Some travel may involve on travelling time changes that can

disrupted the patients usual routine.

Evaluation: patient demonstrates ability to maintain blood glucose levels within defined target.

Nursing Diagnose: Risk for impaired skin integrity related to hyperglycaemia Goal: Patient will maintains intact skin by performing daily foot care practices No 1 Nursing intervention rational

Assess the general appearance of the foot and the To detect sign of infection or status of her nail to detect any broken skin To detect any foreign that can harm the foot which can cause injury.

Teach patient to inspect her shoes daily

Instruct patient to wear clean, well fitting stocking Soft cotton or wool can made from soft cotton or wool absorb any moisture and discourages an environment in which fungus can thrive

Instruct patient to always wear protective foot wear, To prevent injury to foot never go barefoot

5 6 7

Instruct patient not to soaking the feet Instruct patient to cut nail straight across

Increase skin infection To prevent injury to the toes

Stress tyhe importance of maintaining blood glucose Hyperglycaemia level are associated for the risk of foot ulcer

Evaluation: Patient maintains intact skin by performing daily foot care practices

Nursing Diagnose: Risk for ineffective coping related to increasing self care requirements to maintain blood glucose control Goal: patient will perform self care behaviour, will identifies stressors that interfere with ability to control diabetes, and will develops appropriate action plan to deal with stressors No. Nursing Intervention 1. Assess current methods of coping with stress Rational Prior coping mechanisms

may not be effective in helping the patient to cope due to long term behavioural changes. 2. Assist patient to identify situations that cause anxiety or Patient may be able to cope increase stress with only one health

behaviour change at a time 3. Help patient to identify thought and feeling associated Feeling with stressor. denial are , anger,

depression associated disease

frequently

with a chronic

4.

Help the patient to identify stress related diabetes Guiding the patient to review problems and issues on which the patient wants to work the situation in smaller parts may make coping more

manageable. 5 Provide education for example: medication therapy, To reduce anxiety hypoglycaemia and hyperglycaemia, 6 Acknowledge that change may not be possible. The patients level of

readiness for change may prevent behaviour Evaluation: patient performed self care behaviour, will identified stressors that interfere with ability to control diabetes, and developed appropriate action plan to deal with stressors alterations in