ADN 421: Maternal Child Nursing II Learning Unit 9: Handout Page 1 of 4 Nursing Care Plan of Child with Diabetes Diabetes Mellitus: A chronic disorder involving primarily carbohydrate metabolism and characterized by partial and /or complete insulin inefficiency. Powerlessness. The Apgar score serves as the starting point for all subsequent observations of a newborn. If signs and symptoms continue after feeding, observe for other complications. She found a passion in the ER and has stayed in this department for 30 years. Proper wound care contributes to the prevention of wound infection. Assess the patients activities of daily living, as well as actual and perceived limitations to physical activity. Nursing Diagnosis: Risk for Unstable Blood Glucose. Physical therapy, 88(11), 1254-1264. Breast milk - Wikipedia Here are some of the most important NCPs for diabetes: May be related to unfamiliarity with information misinterpretation lack of recall, Possibly evidenced by verbal statements of concerns or misconceptions expressions of request for information improper or inadequate follow-through of instructions development of preventable complications, Desired Outcome participates in the learning process exhibits signs of taking responsibility for own learning by asking questions verbalizes understanding of condition and treatment correlates signs and symptoms of the disease process and identify corresponding management perform demonstrated procedures correctly and explain reasons for actions, May be related to lack of adherence to diabetes management inadequate blood glucose monitoring practices fluctuating physical activity level stress, As evidenced by blood glucose levels below or above normal levels, Desired Outcome identifies factors that may lead to unstable blood glucose levels verbalizes understanding of balancing body and energy needs verbalizes plan in modifying identified risk factors to prevent shifts in glucose level maintains blood glucose levels within the normal range, May be related to decreased leukocyte function circulatory changes due to high blood glucose levels, Desired Outcome verbalizes understanding of identified risk factors identifies important interventions in reducing risks for infection ensures timely wound healing free from purulent discharges and necrosis, See Also:Nursing Care Plan for Risk for Infection. It affects roughly 2% to 10% of pregnancies. Teach the patient to apply a light moisturizer to the feet and after softening toenails with a bath, cut them straight across. Gestational diabetes may cause the baby to grow overly large, a condition known as macrosomia. Discuss with the patient about the previous management done to keep up with the diabetic treatment plan. infants of a woman with diet controlled diabetes (pre-existing or gestational) early, frequent oral feeding (preferably breast milk) glucose infusion (4-6 mg/kg/min = 60-80 mL/kg/day 10 per cent glucose) judicious use of glucagon.
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