NURS FPX 6610 Assessment 2 Patient Care Plan

Inadequate healthcare management and limited education regarding the risks associated with diabetes may result in severe consequences.

Assessment Data:

  • Subjective: Mrs. Snyder, a 56-year-old married woman and mother of two, is currently being treated for hyperglycemia and uncontrolled diabetes.
  • Objective: Admitted with blood sugar levels ranging from 230 to 389, experiencing dyspnea on exertion, low abdominal discomfort, malaise, urination problems, and hypertension.

Goals:

  1. Ensure Mrs. Snyder achieves controlled blood pressure and diabetes levels.
  2. Enhance Mrs. Snyder’s understanding of self-care management, leading to improved health habits.

Nursing Interventions

  1. Educate Mrs. Snyder on lifestyle modifications such as adopting a healthy diet, engaging in regular physical activity, ensuring adequate sleep, mindfulness practices, and reducing snacking habits over three months.
  2. Provide guidance on diabetes self-monitoring at home and insulin administration techniques, including instruction on preparing and administering insulin injections.

Rationale:

  • Regular monitoring of blood sugar levels and adherence to prescribed lifestyle changes and medication are crucial for managing diabetes effectively, reducing the risk of complications, and promoting overall health improvement.

Outcome Evaluation:

  • Assess the efficacy of the interventions through regular monitoring of Mrs. Snyder’s glucose logs and adjust diabetes medication dosages as necessary to achieve optimal control.

Was the Goal Met?

  • Continuous monitoring is required to assess Mrs. Snyder’s response to the interventions and to make necessary adjustments to the care plan.

References:

  • Carolina, C. M. (2019). Unlocking the full potential of self-monitoring of blood glucose.
  • Heart.org. (2021). Living healthy with diabetes.
  • Nursing.usc.edu. (2018). What does self-care mean for diabetic patients?

Next Diagnosis: Mrs. Snyder experiences increased domestic responsibilities, including catering to family members with food allergies and lactose intolerance, leading to neglect of her own health needs due to external validation.

Assessment Data:

  • Subjective: Mrs. Snyder feels overwhelmed, depressed, anxious, and physically weak due to managing household tasks with minimal assistance and dealing with issues related to her son.
  • Objective: Increased anxiety levels, elevated blood pressure, and cardiac pulse rate.

Goals:

  1. Improve Mrs. Snyder’s mental health and emotional well-being.
  2. Facilitate appropriate caregiving arrangements for Mrs. Snyder’s mother, allowing Mrs. Snyder to focus on her chemotherapy treatment.

Nursing Interventions:

  1. Prescribe appropriate anxiolytic medications and schedule weekly counseling sessions using cognitive-behavioral therapy techniques to reduce anxiety levels.
  2. Facilitate referral to a counselor specializing in caregiver support and engage a social worker to identify suitable placement facilities for Mrs. Snyder’s mother.

Rationale:

  • Combining pharmacological interventions with psychotherapy can effectively manage anxiety symptoms, thereby reducing blood pressure and tachycardia levels.
  • Access to caregiver support and placement facilities can alleviate Mrs. Snyder’s domestic burden, allowing her to prioritize her health needs during chemotherapy.

Outcome Evaluation:

  • Continuously monitor Mrs. Snyder’s progress and revise the care plan based on her evolving needs and responses to interventions.

Was the Goal Met?

  • Ongoing assessment is necessary to determine the effectiveness of interventions and make adjustments accordingly.

References:

  • Goodtherapy.org. (2019). Therapy for self-love, therapist for self-love issues.
  • Pegg, S. et al. (2022). Cognitive behavioral therapy for anxiety disorders in youth.
  • SeniolLiving.org. (2022). Assisted living & senior placement agencies.

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