Diabetes mellitus is a disorder in which the level of blood glucose is persistently raised above the normal range. Diabetes mellitus is a syndrome with disordered metabolism and inappropriate hyperglycemia due to either a deficiency of insulin secretion or to a combination of insulin resistance and inadequate insulin secretion to compensate. Diabetes mellitus occurs in two primary forms: type 1, characterized by absolute insufficiency, and the more prevalent type 2, characterized by insulin resistance with varying degrees of insulin secretory defects. Diabetes mellitus is a group of metabolic diseases characterized by elevated levels of glucose in the blood (hyperglycemia) resulting from defects in insulin secretion, insulin action, or both (ADA], Expert Committee on the Diagnosis and Classification of Diabetes Mellitus, 2003.
Nursing Intervention for Diabetes
Nursing Diagnosis
Impaired nutrition: less than body requirements related to the reduction of oral input, anorexia, nausea, increased metabolism of protein, fat.
Nursing Intervention
Objective :
The patient's nutritional needs are met
Result Criteria :
Patients can digest the amount of calories or nutrients appropriate
Stable weight or additions to the range usually
Intervention :
- Weigh the body weight per day or according to the indication.
- Determine the diet and eating patterns of patients and compare it with foods that can be spent on patients.
- Auscultation bowel sounds, record the existence of abdominal pain / abdominal bloating, nausea, vomit that has not had time to digest food, maintain a state of fasting according to the indication.
- Give the liquid diet containing foods (nutrients) and the electrolyte immediately if the patient has to tolerate it orally.
- Involve the patient's family at this meal digestion according to the indication.
- Observation of the signs of hypoglycemia, such as changes in level of consciousness, skin moist / cold, rapid pulse, hunger, sensitive to stimuli, anxiety, headaches.
- Collaboration examination of blood sugar.
- Collaboration of insulin treatment.
- Collaboration with dietitians.
Source : http://ncp-blog.blogspot.com/2010/09/ncp-for-dm-diabetes-mellitus.html
