Diabetes and nursing care are altogether among the great topics in the health industry these days since old people that have Type 1 as well as Type 2 diabetes need to be treated in nursing homes and then health agencies. The American Diabetes Association has designed standards to guide nursing experts to afford people with diabetes with more care and treatment.
Researchers maintain a record of how diabetic folks are given blood glucose treatments and then based on new surveys, around 40% of the sufferers meet the targets while the remaining 60% need to be given a lot more attention to getting satisfactory sugar blood levels. In diabetes, there exist areas which need to be checked on to determine life expectancy among people with diabetes.
All these areas are cardio risk factors akin to cholesterol, blood glucose level as well as hypertension control aspect. The plain information on diabetes and nursing care are overall health sections that professionals and patients must be well-informed of to ensure that proper treatments are secured
To plan and execute nursing interventions in the care of the diabetic patient, it is essential that the nurse performs the assessment, Establish the nursing diagnoses and finally project the interventions, which are the direct care that will be conducted to the benefit of the patient.These aspects include those initiated by nursing as a result of their diagnoses and those indicated by the physician. Also, these interventions should cover direct patient care in case of disability.
Interventions are classified into two types: those prescribed by the nurse and those prescribed by the physician (delegates). All interventions require an intelligent judgment by the nursing professional, as they are legally responsible for their proper implementation.The assessment of the patient is the first step of the process and consists of collecting the data in a deliberate as well as in a systematic way to determine their health status. With this data the nursing diagnoses are established, the appropriate interventions are planned and implemented, and their effectiveness is evaluated.
The first step involves amnesics, evaluation of the self-control book, assessment of physical examination compliance that focuses on signs and symptoms of prolonged hyperglycemia. Also, the physical and emotional factors that may affect the patient’s ability to To carry out or learn to carry out the activities related to the care of their illness, and finally, the diabetic education is required.
The patient is interviewed and asked about the symptoms that precede the diagnosis of diabetes such as polyuria, polydipsia, polyphagia, dry skin, weight loss, vaginal itching and non-healing skin lesions. Blood glucose and ketonuria are measured in patients with type 1 diabetes.
Patients with type 1 diabetes are assessed for signs of ketoacidosis such as dehydration, ketonic breath, nausea, vomiting, and abdominal pain. Laboratory values are monitored for signs of metabolic acidosis and electrolyte imbalance.
If signs of ketoacidosis (CAD) or hyperosmolar state (ENCHH) are detected, nursing care is focused on the treatment of acute complications, once these have been overcome, their interventions will focus on treatment and long-term care.
For both CAD and ENCHH, nursing interventions are very similar; the first is to achieve a balance of fluids and electrolytes, control of glycaemia, reduce anxiety to avoid complications, also must:
- Avoid vigorous aspiration if the patient presents signs and symptoms of neurological deterioration.
- Replenish fluids, usually beginning with 0.9% NaCl solution or 0.45% as prescribed, before administering insulin.
- Determine the water balance, measuring the ingested and eliminated fluids.
- Monitor vital signs for arrhythmias and hypotension.
- Monitor the patient’s lungs every 2 to 4 hours for crackles related to fluid overload.
- Control the concentration of electrolytes in the early stages of CAD. The concentration of K + may exceed 5.0 mEq / L due to acidosis and dehydration, and decreases as insulin is administered because potassium is displaced into intracellular space.
- Administer intravenous or intramuscular insulin, according to prescription, with the aim of reducing glycemia.
- Perform blood glucose checks to prevent hypoglycemia.
- Provide food by mouth when the patient is awake, has intestinal noises and blood glucose levels below 250mg /dL.
The nurse should provide help and set a time to accompany the patient who expresses their feelings and respond to their questions. To reduce anxiety, you are encouraged to perform the procedures to self-inject and take samples to determine your blood glucose.
Zafar Merchant is a passionate blogger & health advocate for men and women. He decided to highlight core health problems such as diabetes, hair loss, skin issues, weight problem and their easy solutions so that one can uncover the various possibilities of treatment and care. His current health site diabetesmanagementhub.com is providing best advice, medication and treatment options for diabetes patient.