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Module 05 Assignment – Designing a Care Map
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Rasmussen College
COURSE#: NUR2356
November 8th , 2020
Assessment/Data Collection
I have chosen to write about Diabetes Mellitus Type 1. In Type 1 Diabetes the langerhan cells that produce insulin are destroyed by an autoimmune process. This means that the pancreas produce little to no insulin. Insulin is required to move glucose into the cells for energy. Without insulin, glucose builds up in the blood and causes adverse effects such as impaired circlation.(Author last name, year). Common labs to diagnosis Type 1 Diabetes are a HGB AIC. This lab tests the average amount of glucose in the blood over the past 2-3 months and can give insight into the function of the pancreas. A client with Type 1 Diabetes may have a genetic disposition or a history of a viral illness. On assessment of a client with Type 1 Diabetes the client may report subjective findings of polyuria, polydipsia, and polyphagia. Objective findings may be decreased sensation, slow healing wounds, and changes in vision. Comment by Christina Cyrus: Clearly identify the Musculoskeletal disorder from Chapter 5 that you are writing about Comment by Christina Cyrus: Explain the disease process clearly so I know that you know what is happening in the body. Comment by Christina Cyrus: Describe applicable lab and diagnostic tests and explain why they are significant for the disorder you are writing about. Comment by Christina Cyrus: Explain risk factors or a health history that would contribute to the disorder. Comment by Christina Cyrus: Describe potential objective and subjective findings on assessment for a client with the disorder.
Nursing Diagnosis/ Goal/ Intervention Comment by Christina Cyrus: You must have THREE correctly done for full credit.
Imbalanced Nutrition: less than body requirements related to inability to not use glucose as evidence by HGB A1C greater than 7% Comment by Christina Cyrus: Nursing Diagnosis with all required parts. Relates to disease and potential problem
Client will maintain pre-prandial glucose levels between 60 and 100 mg/dl for 3 consecutive days within 2 weeks. Comment by Christina Cyrus: Comment by Christina Cyrus: SMART goal that addresses problem identified in nursing diagnosis.
Nurse will teach client how to obtain pre-prandial glucose levels with glucometer and strips. Rationale: The client will need to be able to monitor their glucose levels to make sure it is being utilized for energy and not building up in the vessels (Author last name, year).
Nurse will teach client how to count carbohydrates for insulin administration. Rationale: The client will have to administer the proper amount of insulin to move the glucose into the cells for energy (Author last name, year). Comment by Christina Cyrus: TWO interventions and rationale that will help the client meet the SMART Goal
References Comment by Christina Cyrus:
Author’s Last Name, First initial. Middle initial. (Year). Title of article. Journal Title, Volume Number(Issue number), Page numbers.
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